Relationship between falls and sedentary lifestyle after implementation of the Otago multicomponent exercise program

Laura Gonzalez-Lozano, Margarita Fernandez-Fernandez, M. Jesus Rodriguez-Nachon, M. Jose Vicente-Anton,M. Angeles Cidoncha-Moreno,Ana Covadonga Gonzalez-Pisano

RQR ENFERMERIA COMUNITARIA(2022)

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摘要
Objective: To know the sedentary lifestyle among the subjects who participate in a multicompone nt exercise program and to study the relation with falls. Methodology: Multicenter prospective descriptive correlational study in non-institutionalized people between 65-80 years of age in Asturias and the Pais Vasco, between 2017 and 2019, in Primary Health Care Centers. The program OTAGO for the prevention of falls, Individually or in a group way, was applied. Response variable: number of falls. Secondary: sociodemographic, anthropometric, comorbidities and sedentary lifestyle (IPAQ questionnaire). Descriptive and correlational analysis. Results: n = 200, mean age 72.28 years, 65% women, 76.5% low educational level and 24.5% live alone. 29.5% had previously fallen. The time spent sitting before and after the intervention was 1260 minutes / week. Older people, men, with a me- dium-high level of education, who lived alone, with sensory and musculoskeletal diseases presented higher levels of sedentary lifestyle. After the intervention, sedentary lifestyle worsened in those > 72 years (from 1540 minutes to 1680) and those with cardiovascular diseases -CVD- (840 to 1260) and improved in those who lived with someone (1330 to 1260). Relating this improvement to the group intervention. Conclusions: A sedentary lifestyle is associated with people over 72 years of age, being a man, a higher level of studies, illnesses of the senses and a decrease in CVD and musculoskeletal. No significant differences have been observed in the level of sedentary lifestyle before and after a multicomponent physical exercise intervention for the prevention of falls applied individually, but it has improved after the intervention in a group way.
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关键词
Exercise, sedentary behavior, Primary Health Care, accidentals falls, healthy aging, fragility
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