Effects of a multicomponent exercise program in adults with chronic disease in primary care
PDF (Español (España))

Keywords

chronic Disease
circuit-Based Exercise
Adults
Primary Health Care

How to Cite

Zambrano-Urbano, J. L., Ocampo-Chaparro, J. M., Etayo-Ruiz, E., Realpe-Loaiza, J. ., & Reyes-Ortiz, C. . (2022). Effects of a multicomponent exercise program in adults with chronic disease in primary care. Duazary, 19(1), 49–63. https://doi.org/10.21676/2389783X.4489

Abstract

Both chronic diseases and physical inactivity negatively influence the independence, functionality and autonomy of older adults in the short and long term. There is little evidence regarding the implementation of exercise protocols in adults with chronic diseases. The clinical-geriatric changes of a 6-week multicomponent exercise program will be determined with a before-and-after, single-center design study of 523 patients with a mean age of 68.3 ± 10.5 years [33-96]. By bivariate analysis through paired t-test and McNemar's test, better SPPB battery scores were found 3.80 (3.65-3.96) p <0.0001, grip strength 3.79 (3,50-4.09) p <0.0001, Barthel 0.53 (0.20-0.87) p = 0.0019 and calf circumference 0.55 (0.21-0.88) p = 0.0014. The proportion of patients without pain or with mild pain increased by 46% (p <0.0001) and those with excellent and good self-perceived health (SPH) up to 85% (p <0.0001). In conclusion, 6 weeks of supervised and protocolized multicomponent exercise improved functional, dependency, biological, pain and SPH variables.
https://doi.org/10.21676/2389783X.4489
PDF (Español (España))

References

United Nations. World Population Prospects The 2017 Revision. 2017 [internet]. [Consultado 2021 May 25]. Disponible en https://www.un.org/development/desa/publications/world-population-prospects-the-2017-revision.html

Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Lancet. 2019;394(10206):1365-1375. Doi: http://dx.doi.org/10.1016/S0140-6736(19)31786-6

Kang JH, Baik HW. PP194-SUN: Prevalence of Sarcopenia and Skeletal Muscle Mass Changes Among Hospitalized Patients in Korea. Clin Nutr. 2014;33:S92. Doi: http://dx.doi.org/10.1016/s0261-5614(14)50236-1

Sharma P, Maurya P, Muhammad T. Number of chronic conditions and associated functional limitations among older adults: cross-sectional findings from the longitudinal aging study in India. BMC Geriatr. 2021;21(1):1-12. Doi: http://dx.doi.org/10.1186/S12877-021-02620-0

Yokota RTC, Nusselder WJ, Robine JM, et al. Contribution of chronic conditions to functional limitations using a multinomial outcome: Results for the older population in Belgium and Brazil. Arch Public Heal. 2017;75(1):1-12. Doi: http://dx.doi.org/10.1186/S13690-017-0235-3

Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: The evidence. CMAJ. 2006;174(6):801-809. Doi: http://dx.doi.org/10.1503/cmaj.051351

Friedenreich CM, Stone CR, Cheung WY, Hayes SC. Physical Activity and Mortality in Cancer Survivors: A Systematic Review and Meta-Analysis. JNCI Cancer Spectr. 2020;4(1). Doi: http://dx.doi.org/10.1093.

Pinillos-Patiño Y, Herazo-Beltrán Y, Gil Cataño J, Ramos de Ávila J. Actividad física y calidad de vida en personas con enfermedad renal crónica. Rev Med Chil. 2019;147(2):153-160. Doi: http://dx.doi.org/10.4067/s0034-98872019000200153

Wilund KR, Thompson S, Viana JL, Wang AYM. Physical Activity and Health in Chronic Kidney Disease. Contrib Nephrol. 2021;199:43-55. Doi: http://dx.doi.org/10.1159/000517696

Marchesan M, Krug R de R, Silva JRL da C e, Barbosa AR, Rombaldi AJ. Physical exercise modifies the functional capacity of elderly patients on hemodialysis. Fisioter em Mov. 2016;29(2):351-359. Doi: http://dx.doi.org/10.1590/0103-5150.029.002.ao14

Galaviz KI, Jauregui-Ulloa E, Fabrigar LR, Latimer-Cheung A, Lopez Y Taylor J, Lévesque L. Physical activity prescription among Mexican physicians: A structural equation analysis of the theory of planned behaviour. Int J Clin Pract. 2015;69(3):375-383. Doi: http://dx.doi.org/10.1111/ijcp.12546

Shaikh AA, Dandekar SP, Hatolkar RS, et al. Perceived Benefits and Barriers to Exercise of Physically Active and Non-active School Teachers in an Education Society from Pune: An Analysis using EBBS. Int J Heal Sci Res. 2020;10(6):2249-9571. ISSN: 2249-9571

De Paula EA, Costa MB, Colugnati FAB, et al. Potencialidades da atenção primária à saúde no cuidado à doença renal crônica. Rev Lat Am Enfermagem. 2016;24(0). Doi: http://dx.doi.org/10.1590/1518-8345.1234.2801

Ministerio de Salud y Protección Social - Departamento Administrativo de Ciencia Tecnología e Innovación, Caldas CU del V y U de. Encuesta SABE Colombia: Situación de Salud, Bienestar y Envejecimiento en Colombia. 2016:476p. [internet]. [Consultado 2021 Marz 20]. Disponible en https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/Resumen-Ejecutivo-Encuesta-SABE.pdf

Stookey AD, Katzel LI. Home Exercise Interventions in Frail Older Adults. Curr Geriatr Reports. 2020;9(3):163-175. Doi: http://dx.doi.org/10.1007/S13670-020-00326-6

Cadore EL, Casas-Herrero A, Zambom-Ferraresi F, et al. Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age (Omaha). 2014;36(2):773-785. Doi: http://dx.doi.org/10.1007/s11357-013-9586-z

Daryanti Saragih I, Yang YP, Saragih IS, Batubara SO, Lin CJ. Effects of resistance bands exercise for frail older adults: A systematic review and meta-analysis of randomised controlled studies. J Clin Nurs. 2022;31(1-2):43-61. Doi: http://dx.doi.org/10.1111/JOCN.15950.

Chittrakul J, Siviroj P, Sungkarat S, Sapbamrer R. Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Heal 2020, Vol 17, Page 3102. 2020;17(9):3102. Doi: http://dx.doi.org/10.3390/IJERPH17093102.

Zurita-Cruz JN, Márquez-González H, Miranda-Novales G, Villasís-Keever MÁ. Experimental studies: Research designs for the evaluation of interventions in clinical settings. Rev Alerg Mex. 2018;65(2):178-186. Doi: http://dx.doi.org/10.29262/RAM.V65I2.376

Mehmet H, Yang AWH, Robinson SR. Measurement of hand grip strength in the elderly: A scoping review with recommendations. J Bodyw Mov Ther. 2020;24(1):235-243. Doi: http://dx.doi.org/10.1016/j.jbmt.2019.05.029

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journals Gerontol. 1994;49(2). Doi: http://dx.doi.org/10.1093/geronj/49.2.M85

Cid-Ruzafa J, Damián-Moreno J. Valoración de la discapacidad física: el indice de Barthel.1997. Rev. Esp. Salud Publica [internet]. 1997;71(2) [consultado 2021 Agost 03], pp.127-137. Disponible en: <http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57271997000200004&lng=es&nrm=iso>. ISSN 2173-9110.

Kim S, Kim M, Lee Y, Kim BS, Yoon TY, Won CW. Calf circumference as a simple screening marker for diagnosing sarcopenia in older Korean adults: The Korean Frailty and Aging Cohort Study (KFACS). J Korean Med Sci. 2018;33(20). Doi: http://dx.doi.org/10.3346/jkms.2018.33.e151

Guarnizo EFN, Tapia HRC, Suarez AZ. Relation between Cockcroft-Gault, MDRD-4 and CKD-EPIformulas, compared with the 24-hour creatinin depuration. Rev Colomb Nefrol. 2021;8(1):e458-e458. Doi: http://dx.doi.org/10.22265/ACNEF.8.1.458.

Schofield P, Editor Professor Patricia Schofield -RGN PGDipEd DipN E, Docking Senior Evidence Manager RM. The Assessment of Pain in Older People: UK National Guidelines. Age Ageing. 2018;47(suppl_1):i1-i22. Doi: http://dx.doi.org/10.1093/AGEING/AFX192.

Ocampo JM. Self-rated health: Importance of use in elderly adults. Colomb Med [internet]. 2010;41(3):275-289. [consultado 2021 Agost 03] Disponible en http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-95342010000300011

Casas Herrero Á, Cadore EL, Martínez Velilla N, Izquierdo Redin M. El ejercicio físico en el anciano frágil: Una actualización. Rev Esp Geriatr Gerontol. 2015;50(2):74-81. Doi: http://dx.doi.org/10.1016/j.regg.2014.07.003

Todde F, Melis F, Mura R, Pau M, Fois F, Magnani S, et al. A 12-Week Vigorous Exercise Protocol in a Healthy Group of Persons over 65: Study of Physical Function by means of the Senior Fitness Test. Biomed Res Int ;2016. Doi: http://dx.doi.org/10.1155/2016/7639842

Binder EF, Schechtman KB, Ehsani AA, Steger-May K, Brown M, Sinacore DR, et al. Effects of exercise training on frailty in community-dwelling older adults: Results of a randomized, controlled trial. J Am Geriatr Soc. 2002;50(12):1921-1928. Doi: http://dx.doi.org/10.1046/j.1532-5415.2002.50601.x

Oviedo GR, Javierre C, Font-Farré M, et al. Intellectual disability, exercise and aging: The IDEA study: Study protocol for a randomized controlled trial. BMC Public Health. 2020;20(1):1-16. Doi: http://dx.doi.org/10.1186/S12889-020-09353-6

Wolf R, Locks RR, Lopes PB, et al. Multicomponent Exercise Training Improves Gait Ability of Older Women Rather than Strength Training: A Randomized Controlled Trial. J Aging Res. 2020;2020. Doi: http://dx.doi.org/10.1155/2020/6345753.

Fiatarone MA, O'Neill EF, Ryan ND, Clements KM, Solares GR, Nelson ME, et al. Exercise Training and Nutritional Supplementation for Physical Frailty in Very Elderly People. N Engl J Med. 1994;330(25):1769-1775. Doi: http://dx.doi.org/10.1056/nejm199406233302501

Lord SR, Castell S, Corcoran J, Dayhew J, Matters B, Shan A, et al. The Effect of Group Exercise on Physical Functioning and Falls in Frail Older People Living in Retirement Villages: A Randomized, Controlled Trial. J Am Geriatr Soc. 2003;51(12):1685-1692. Doi: http://dx.doi.org/10.1046/j.1532-5415.2003.51551.x

Casas-Herrero A, Cadore EL, Zambom-Ferraresi F, Idoate F, Millor N, Martínez-Ramirez A, et al. Functional capacity, muscle fat infiltration, power output, and cognitive impairment in institutionalized frail oldest old. Rejuvenation Res. 2013;16(5):396-403. Doi: http://dx.doi.org/10.1089/rej.2013.1438

Moro T, Marcolin G, Bianco A, et al. Effects of 6 weeks of traditional resistance training or high intensity interval resistance training on body composition, aerobic power and strength in healthy young subjects: A randomized parallel trial. Int J Environ Res Public Health. 2020;17(11):1-16. Doi: http://dx.doi.org/10.3390/IJERPH17114093.

Hiol AN, von Hurst PR, Conlon CA, Mugridge O, Beck KL. Body composition associations with muscle strength in older adults living in Auckland, New Zealand. PLoS One. 2021;16(5). Doi: http://dx.doi.org/10.1371/JOURNAL.PONE.0250439

Rodríguez-García M, Gómez C, Rodríguez A, Antequera P, Vírgala M, Carro M, et al. Effect of frailty and sarcopenia on the risk of falls and oste oporotic fractures in anun selected population. Rev Osteoporos y Metab Miner. 2020;12(3):81-86. Doi: http://dx.doi.org/10.4321/S1889-836X2020000300002

Koncicki HM, Unruh M, Schell JO. Pain Management in CKD: A Guide for Nephrology Providers. Am J Kidney Dis. 2017;69(3):451-460. Doi: http://dx.doi.org/10.1053/j.ajkd.2016.08.039

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2022 Universidad del Magdalena

Downloads

Download data is not yet available.