Determinants of Participation in a Post-Hospitalization Physical Exercise Program for Older Adults
| العنوان: | Determinants of Participation in a Post-Hospitalization Physical Exercise Program for Older Adults |
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| المؤلفون: | Mikel Aldamiz, Miriam Urquiza, Ariadna Besga, Jon Irazusta, Iñaki Echeverria, Maria Amasene, Julia Barroso, Ana Rodriguez-Larrad, Idoia Labayen |
| المساهمون: | Universidad Pública de Navarra. Departamento de Ciencias de la Salud, Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila |
| المصدر: | Addi. Archivo Digital para la Docencia y la Investigación instname BMC Geriatrics, Vol 20, Iss 1, Pp 1-9 (2020) Academica-e. Repositorio Institucional de la Universidad Pública de Navarra Academica-e: Repositorio Institucional de la Universidad Pública de Navarra Universidad Pública de Navarra Addi: Archivo Digital para la Docencia y la Investigación Universidad del País Vasco BMC Geriatrics |
| بيانات النشر: | BioMed Central, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Gerontology, medicine.medical_specialty, medicine.medical_treatment, barriers, Psychological intervention, costs, Physical exercise, malnutrition, lcsh:Geriatrics, decline, law.invention, older people, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, physical exercise, medicine, Humans, participation, 030212 general & internal medicine, care, Patient participation, Exercise, Aged, risk, people, Rehabilitation, business.industry, Public health, Australia, association, mortality, Exercise Therapy, Hospitalization, Clinical trial, Preferred walking speed, lcsh:RC952-954.6, cardiac rehabilitation, Cross-Sectional Studies, Geriatrics and Gerontology, post-hospitalization, business, 030217 neurology & neurosurgery, Research Article |
| الوصف: | Background Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients. Methods A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model. Results Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07–1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69–0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08–0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P P Conclusions This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12619000093189, (date: January 22, 2019, retrospectively registered). |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1261-9000 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5334503cf2a1caaa48d8872ad6646f03 http://hdl.handle.net/10810/50116 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5334503cf2a1caaa48d8872ad6646f03 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 12619000 |
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