目的:体育锻炼可提高老年人的功能能力,帮助防止或延迟依赖。这项研究评估了基于Vivifrail计划的多组分体育锻炼干预的影响,在一家初级保健中心进行了两年多,恰逢COVID大流行。
方法:描述性纵向设计,前后比较,无对照组。参与者年龄超过65岁,通过执行测试测量功能受损,就读于ElPalo健康中心,马拉加.干预措施包括每周两次在监测员指导下进行体育锻炼的小组会议,根据Vivifrail计划。
方法:Barthel指数,步态速度,Vivifrail类别,生活质量(EuroQol5-D[EQ-5D]),使用助行器,前一年的下降次数。
方法:基线,第二个(一年)和最后一个(两年)。对Kruskal-Wallis试验的分析,显著性水平0.05。
结果:对20例患者进行评估。在第一次和第二次评估之间,我们观察到助行器(p0.01)和Vivifrail类别的使用发生了显着变化:从最初的B类别,剩下50%,25%移至A,C2为16.7%,D为8.3%(p0.048)。在基线-最终评估的分析中,我们发现通过EQ-5D测量的生活质量有统计学上的显着改善(在今天的生活质量测量中,平均增加了24分,EQ-5D温度计,95%CI(9.6-38.3),p0.004)和Vivifrail类别(n=10),B类保留60%,D类保留40%(自主)(p<0.0001)。步态速度有改善的趋势,每天步行时间,和跌倒的次数,但没有达到统计意义。
结论:多组分体育锻炼可改善EQ-5D测量的感知生活质量,并导致功能能力改善的趋势,心情,和跌倒次数。
OBJECTIVE: Physical exercise increases functional capacity in older adults, helping to prevent or delay dependence. This study evaluates the impact of a multicomponent physical exercise intervention based on the Vivifrail program, conducted in a primary care center over two years coinciding with the COVID pandemic.
METHODS: Descriptive longitudinal design with before-after comparison without control group. Participants were older than 65 years old with functional impairment measured by execution test, enrolled in the El Palo Health Center, Málaga. The intervention consists of two weekly group sessions of physical exercise guided by a monitor, according to the Vivifrail program.
METHODS: Barthel Index, Gait Speed, Vivifrail Category, Quality of Life (EuroQol 5-D [EQ-5D]), use of walking aids, number of falls in the previous year.
METHODS: baseline, second (one year) and final (two years). Analysis of the Kruskal-Wallis test, significance level 0.05.
RESULTS: Twenty patients were evaluated. Between the first and second evaluation, we observed a significant modification in the use of walking aids (p 0.01) and Vivifrail categories: from an initial B category, 50% remained, 25% moved to A, 16.7% to C2 and 8.3% to D (p 0.048). In the analysis of the baseline-final evaluation, we found a statistically significant improvement in quality of life measured by EQ-5D (mean increase of 24 points in today\'s quality of life measurement, EQ-5D thermometer, with 95% CI (9.6-38.3), p 0.004) and Vivifrail category (n=10) with 60% remaining in category B and 40% moving to D (autonomous) (p<0.0001). There was a trend towards improvement in gait speed, daily walking time, and number of falls, but without reaching statistical significance.
CONCLUSIONS: Multicomponent physical exercise improves perceived quality of life measured by EQ-5D and leads to a trend towards improvement in functional capacity, mood, and number of falls.