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Physical Activity in Elderly Individuals

Yıl 2024, Cilt: 7 Sayı: 2, 109 - 120, 30.09.2024
https://doi.org/10.52538/iduhes.1528652

Öz

Aging is a physiological process that causes a gradual decrease in physical, mental and social functions and occurs in the body over time. Although regular physical activity is very important for all age groups, its importance has been emphasized more in recent years, especially for older individuals. Because physical activities serve some sensitive purposes in elderly individuals, such as minimizing the discomfort and disability that occurs with age, improving the quality of life and reminding elderly individuals that they are a productive part of society. On the other hand, the prevalence of physical inactivity is the highest among individuals aged 65 and over among all age groups, and this age group is the fastest growing age group worldwide. As the time spent inactive increases, the musculoskeletal systems of these individuals weaken, and their cardiovascular capacities decrease significantly. Physical activity interventions for elderly individuals have a positive effect on aging. Therefore, in this review, we aimed to provide knowledge about physical activity in elderly individuals. Electronic databases were investigated throughout PubMed, Scopus and Google Scholar using "aging, elderly, exercise, physical activity" keywords between June 2024 and August 2024. With aging, while all cells, tissues and organs in the human body are directly affected by the process, physiological and pathological changes occur in the body. Cardiovascular mortality, breast and prostate cancer, fractures, limitations in activities of daily living, risk of falling, cognitive decline and depression are reduced in physically active elderly people. Regular physical activity supports the physical and mental development of elderly individuals and protects the body against diseases. In this context, it is extremely important to recommend personalized exercise protocols to protect the cognitive function, muscle strength, physical condition and quality of life the elderly population.

Kaynakça

  • Aalami, O. O., Fang, T. D., Song, H. M., Nacamuli, R. P. (2003). Physiological features of aging persons. Archives of surgery (Chicago, Ill.: 1960), 138(10), 1068–1076. https://doi.org/10.1001/archsurg.138.10.1068
  • Aigner, T., Rose, J., Martin, J., Buckwalter, J. (2004). Aging theories of primary osteoarthritis: from epidemiology to molecular biology. Rejuvenation research, 7(2), 134–145. https://doi.org/10.1089/1549168041552964
  • Amarya, S., Singh, K., Sabharwal, M. (2018). Ageing Process and Physiological Changes. InTech. Doi: 10.5772/intechopen.76249
  • Atalay, O. T., Cavlak, U. (2012). The impact of unsupervised regular walking on health: a sample of Turkish middle-aged and older adults. European Review of Aging and Physical Activity, 9, 71-79.
  • Baltacı G. (2008). Obezite ve egzersiz. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Ankara; Klasmat Matbaacılık.
  • Batouli, S. A. H., Saba, V. (2017). At least eighty percent of brain grey matter is modifiable by physical activity: A review study. Behavioural Brain Research, 332, 204– 217.
  • Boss, G. R., Seegmiller, J. E. (1981). Age-related physiological changes and their clinical significance. The Western journal of medicine, 135(6), 434–440.
  • Brailovskaia, J., Cosci, F., Mansueto, G., Miragall, M., Herrero, R., Baños, R. M., Krasavtseva, Y., Kochetkov, Y., Margraf, J. (2021). The association between depression symptoms, psychological burden caused by Covid-19 and physical activity: An investigation in Germany, Italy, Russia, and Spain. Psychiatry research, 295, 113596. https://doi.org/10.1016/j.psychres.2020.113596
  • Browne, R. A. V., Macêdo, G. A. D., Cabral, L. L. P., Oliveira, G. T. A., Vivas, A., Fontes, E. B., Elsangedy, H. M., Costa, E. C. (2020). Initial impact of the COVID-19 pandemic on physical activity and sedentary behavior in hypertensive older adults: An accelerometer-based analysis. Experimental gerontology, 142, 111121. https://doi.org/10.1016/j.exger.2020.111121
  • Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., Leitzmann, M., Milton, K., Ortega, F. B., Ranasinghe, C., Stamatakis E., Tiedemann, A., Troiano, R. P., van der Ploeg, H. P., Wari, V., Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
  • Burns, N., Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence. (6th ed., pp. 90-119, 598-610). USA: Saunders.
  • Chang, Y. K., Pan, C. Y., Chen, F. T., Tsai, C. L., Huang, C. C. (2012). Effect of resistance-exercise training on cognitive function in healthy older adults: a review. Journal of aging and physical activity, 20(4), 497–517. https://doi.org/10.1123/japa.20.4.497
  • Conn V. S. (2010). Depressive symptom outcomes of physical activity interventions: meta-analysis findings. Annals of behavioral medicine: a publication of the Society of Behavioral Medicine, 39(2), 128–138. https://doi.org/10.1007/s12160-010-9172-x
  • Cunningham, C., O' Sullivan, R., Caserotti, P., Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian journal of medicine and science in sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616
  • De Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., Millán-Calenti, J. C. (2015). Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC geriatrics, 15, 154. https://doi.org/10.1186/s12877-015-0155-4
  • Dunsky, A. (2019). The Effect of Balance and Coordination Exercises on Quality of Life in Older Adults: A Mini-Review. Frontiers in aging neuroscience, 11, 318. https://doi.org/10.3389/fnagi.2019.00318
  • Faulkner, J. A., Larkin, L. M., Claflin, D. R., Brooks, S. V. (2007). Age-related changes in the structure and function of skeletal muscles. Clinical and experimental pharmacology and physiology, 34(11), 1091–1096. https://doi.org/10.1111/j.1440-1681.2007.04752.x
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Yaşlı Bireylerde Fiziksel Aktivite

Yıl 2024, Cilt: 7 Sayı: 2, 109 - 120, 30.09.2024
https://doi.org/10.52538/iduhes.1528652

Öz

Yaşlılık, organizmada zaman içerisinde ortaya çıkan ve fiziksel, ruhsal ve sosyal işlevlerde kademeli olarak azalmaya neden olan fizyolojik bir süreçtir. Düzenli fiziksel aktivite yapmak tüm yaş gruplarında oldukça önemli olmakla birlikte son yıllarda özellikle yaşlı bireylerde önemi daha çok vurgulanmaktadır. Çünkü yaşlı bireylerde fiziksel aktiviteler yaşla birlikte oluşan rahatsızlıkları ve sakatlıkları minimum seviyeye indirmek, yaşam kalitesini artırmak ve yaşlı bireylere toplumun üretken bir parçası olduklarını hatırlatmak gibi bazı hassas amaçlara hizmet eder. Diğer yönden, fiziksel inaktivite prevalansı tüm yaş grupları içerisinde 65 yaş ve üstü bireylerde en yüksektir ve bu yaş grubu tüm dünyada hızla büyüyen yaş grubudur. Hareketsiz geçirilen sürenin artmasıyla bireylerin kas iskelet sistemi zayıflarken kardiyovasküler kapasiteleri önemli ölçüde azalır. Yaşlı bireylere yönelik yapılan fiziksel aktivite müdahalelerinin yaşlanma üzerine olumlu etkisi bulunmaktadır. Bu sebeple bu derlemede yaşlı bireylerde fiziksel aktivite hakkında bilgi vermeyi amaçladık. Haziran 2024 ve Ağustos 2024 tarihleri arasında “egzersiz, fiziksel aktivite, yaşlanma, yaşlı” anahtar kelimeleri kullanılarak PubMed, Scopus ve Google Akademik üzerinden elektronik veri tabanları tarandı. Yaşlanmayla birlikte insan vücudundaki tüm hücre, doku ve organlar süreçten doğrudan etkilenirken vücutta fizyolojik ve patolojik değişiklikler meydana gelmektedir. Fiziksel olarak aktif olan yaşlılarda kardiyovasküler mortalite, meme ve prostat kanseri, kırık, günlük yaşam aktivitelerinde kısıtlanmalar, düşme riski, bilişsel gerileme ve depresyon riski azalmıştır. Düzenli fiziksel aktivite yaşlı bireylerin fiziksel ve zihinsel gelişimini destekleyip bedeni hastalıklara karşı korumaktadır. Bu bağlamda yaşlı nüfusun bilişsel işlevini, kas kuvvetini, fiziksel kondisyonunu ve yaşam kalitesini korumaya yönelik kişiye özel egzersiz protokolleri önermek son derece önemlidir.

Etik Beyan

Bu çalışmanın herhangi bir insan/hayvan öğesi üzerinde araştırmaya yönelik verisi bulunmadığından bu derleme makale için etik onay gerekmemektedir. **Derleme makale kapsamında herhangi bir araştırma verisi bulunmadığından paylaşım da söz konusu değildir.

Destekleyen Kurum

Çalışmayı maddi yönden destekleyen herhangi bir kişi/kuruluş yoktur.

Kaynakça

  • Aalami, O. O., Fang, T. D., Song, H. M., Nacamuli, R. P. (2003). Physiological features of aging persons. Archives of surgery (Chicago, Ill.: 1960), 138(10), 1068–1076. https://doi.org/10.1001/archsurg.138.10.1068
  • Aigner, T., Rose, J., Martin, J., Buckwalter, J. (2004). Aging theories of primary osteoarthritis: from epidemiology to molecular biology. Rejuvenation research, 7(2), 134–145. https://doi.org/10.1089/1549168041552964
  • Amarya, S., Singh, K., Sabharwal, M. (2018). Ageing Process and Physiological Changes. InTech. Doi: 10.5772/intechopen.76249
  • Atalay, O. T., Cavlak, U. (2012). The impact of unsupervised regular walking on health: a sample of Turkish middle-aged and older adults. European Review of Aging and Physical Activity, 9, 71-79.
  • Baltacı G. (2008). Obezite ve egzersiz. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Ankara; Klasmat Matbaacılık.
  • Batouli, S. A. H., Saba, V. (2017). At least eighty percent of brain grey matter is modifiable by physical activity: A review study. Behavioural Brain Research, 332, 204– 217.
  • Boss, G. R., Seegmiller, J. E. (1981). Age-related physiological changes and their clinical significance. The Western journal of medicine, 135(6), 434–440.
  • Brailovskaia, J., Cosci, F., Mansueto, G., Miragall, M., Herrero, R., Baños, R. M., Krasavtseva, Y., Kochetkov, Y., Margraf, J. (2021). The association between depression symptoms, psychological burden caused by Covid-19 and physical activity: An investigation in Germany, Italy, Russia, and Spain. Psychiatry research, 295, 113596. https://doi.org/10.1016/j.psychres.2020.113596
  • Browne, R. A. V., Macêdo, G. A. D., Cabral, L. L. P., Oliveira, G. T. A., Vivas, A., Fontes, E. B., Elsangedy, H. M., Costa, E. C. (2020). Initial impact of the COVID-19 pandemic on physical activity and sedentary behavior in hypertensive older adults: An accelerometer-based analysis. Experimental gerontology, 142, 111121. https://doi.org/10.1016/j.exger.2020.111121
  • Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., Leitzmann, M., Milton, K., Ortega, F. B., Ranasinghe, C., Stamatakis E., Tiedemann, A., Troiano, R. P., van der Ploeg, H. P., Wari, V., Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
  • Burns, N., Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence. (6th ed., pp. 90-119, 598-610). USA: Saunders.
  • Chang, Y. K., Pan, C. Y., Chen, F. T., Tsai, C. L., Huang, C. C. (2012). Effect of resistance-exercise training on cognitive function in healthy older adults: a review. Journal of aging and physical activity, 20(4), 497–517. https://doi.org/10.1123/japa.20.4.497
  • Conn V. S. (2010). Depressive symptom outcomes of physical activity interventions: meta-analysis findings. Annals of behavioral medicine: a publication of the Society of Behavioral Medicine, 39(2), 128–138. https://doi.org/10.1007/s12160-010-9172-x
  • Cunningham, C., O' Sullivan, R., Caserotti, P., Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian journal of medicine and science in sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616
  • De Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., Millán-Calenti, J. C. (2015). Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC geriatrics, 15, 154. https://doi.org/10.1186/s12877-015-0155-4
  • Dunsky, A. (2019). The Effect of Balance and Coordination Exercises on Quality of Life in Older Adults: A Mini-Review. Frontiers in aging neuroscience, 11, 318. https://doi.org/10.3389/fnagi.2019.00318
  • Faulkner, J. A., Larkin, L. M., Claflin, D. R., Brooks, S. V. (2007). Age-related changes in the structure and function of skeletal muscles. Clinical and experimental pharmacology and physiology, 34(11), 1091–1096. https://doi.org/10.1111/j.1440-1681.2007.04752.x
  • Feldman, D. I., Al-Mallah, M. H., Keteyian, S. J., Brawner, C. A., Feldman, T., Blumenthal, R. S., Blaha, M. J. (2015). No evidence of an upper threshold for mortality benefit at high levels of cardiorespiratory fitness. Journal of the American College of Cardiology, 65(6), 629–630. https://doi.org/10.1016/j.jacc.2014.11.030
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  • Fornelli, G., Isaia, G. C., D’Amelio, P. (2016). Ageing, muscle and bone. Journal of Gerontology and Geriatrics, 64(3), 75-80.
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  • Gerrish, K., Lacey, A. (2010). The research process in nursing. (6th ed., pp. 79-92, 188-198, 284-302). London: Wiley-Blackwell.
  • Gonçalves, P. M. D., Maifrino, L. B., Gama, E. F., Costa, J. B. V., de Souza, R. R. (2010). Morphological changes caused by aging on skeletal muscles and effects of exercise: a literature review. Journal of Morphological Sciences, 27(3), 117-120.
  • Hassmen, P., Koivula, N., Uutela, A. (2000). Physical exercise and psychological wellbeing: A population study in Finland. Preventive medicine, 30(1), 17-25. https://doi.org/10.1006/pmed.1999.0597.
  • Holmes, M. D., Chen, W. Y., Feskanich, D., Kroenke, C. H., Colditz, G. A. (2005). Physical activity and survival after breast cancer diagnosis. Jama, 293(20), 2479-2486. https://doi.org/ 10.1001/jama.293.20.2479.
  • Ireland, A., Maden-Wilkinson, T., Ganse, B., Degens, H., Rittweger, J. (2014). Effects of age and starting age upon side asymmetry in the arms of veteran tennis players: a cross-sectional study. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 25(4), 1389–1400. https://doi.org/10.1007/s00198-014-2617-5
  • Janssens, J. P., Pache, J. C., Nicod, L. P. (1999). Physiological changes in respiratory function associated with ageing. The European respiratory journal, 13(1), 197–205. https://doi.org/10.1034/j.1399-3003.1999.13a36.x Lara, J., Cooper, R., Nissan, J., Ginty, A. T., Khaw, K.T., Deary, I. J., Lord, J. M., Kuh, D., Mathers, J. C. (2015). A proposed panel of biomarkers of healthy ageing. BMC Medicine, 13, 222. https://doi.org/10.1186/s12916-015-0470-9
  • Hidalgo, J. L. T., DEP-EXERCISE Group. (2019). Effectiveness of physical exercise in the treatment of depression in older adults as an alternative to antidepressant drugs in primary care. BMC psychiatry, 19(1), 21. https://doi.org/10.1186/s12888-018-1982-6
  • Matthews, K., Demakakos, P., Nazroo, J., Shankar, A. (2014) The evolution of lifestyles in older age in England. In: Banks J, Nazroo J, Steptoe A (eds) The dynamics of ageing: evidence from the English longitudinal study of ageing 2002–2012. The Institute for Fiscal Studies, London. ISBN 978-1-909463-58-5, 51-93.
  • Meyer, K. C. (2005). Aging. Proceedings of the American Thoracic Society, 2(5), 433–439. https://doi.org/10.1513/pats.200508-081JS
  • Miles, L. (2007). Physical activity and the prevention of cancer: are view of recent findings. Nutrition Bulletin, 32, 250-282.
  • Miller, K. E., Hoffman, J. H. (2009). Mental well-being and sport-related identities in college students. Sociology of sport journal, 26(2), 335.
  • Miyahara, S., Tanikawa, Y., Hirai, H., Togashi, S. (2021). Impact of the state of emergency enacted due to the COVID-19 pandemic on the physical activity of the elderly in Japan. Journal of physical therapy science, 33(4), 345–350. https://doi.org/10.1589/jpts.33.345
  • Silva, M. F., Petrica, J., Serrano, J., Paulo, R., Ramalho, A., Lucas, D., Ferreira, J. P., Duarte-Mendes, P. (2019). The Sedentary Time and Physical Activity Levels on Physical Fitness in the Elderly: A Comparative Cross Sectional Study. International journal of environmental research and public health, 16(19), 3697. https://doi.org/10.3390/ijerph16193697
  • Nazroo, J. Y. (2008). Living in the 21st century: older people in England: The 2006 English Longitudinal Study of Ageing.
  • Netz, Y., Wu, M. J., Becker, B. J., Tenenbaum, G. (2005). Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychology and aging, 20(2), 272–284. https://doi.org/10.1037/0882-7974.20.2.272
  • Nguyen, T. V., Center, J.R., Eisman, J. A., (2000) Osteoporosis in elderly men and women: Effects of dietary calcium, physical activity and body mass index. Journal of Bone and Mineral Research, 15(2), 322-331.
  • Nuzum, H., Stickel, A., Corona, M., Zeller, M., Melrose, R. J., Wilkins, S. S. (2020). Potential Benefits of Physical Activity in MCI and Dementia. Behavioural neurology, 2020, 7807856. https://doi.org/10.1155/2020/7807856
  • Oliveira, M. R., Sudati, I. P., Konzen, V. M., de Campos, A. C., Wibelinger, L. M., Correa, C., Miguel, F. M., Silva, R. N., Borghi-Silva, A. (2022). Covid-19 and the impact on the physical activity level of elderly people: A systematic review. Experimental gerontology, 159, 111675. https://doi.org/10.1016/j.exger.2021.111675
  • Oken, B. S., Zajdel, D., Kishiyama, S., Flegal, K., Dehen, C., Haas, M., Kraemer, D. F., Lawrence, J., Leyva, J. (2006). Randomized, controlled, six-month trial of yoga in healthy seniors: effects on cognition and quality of life. Alternative therapies in health and medicine, 12(1), 40–47.
  • Pelicioni, P. H. S., Lord, S. R. (2020). COVID-19 will severely impact older people's lives, and in many more ways than you think. Brazilian journal of physical therapy, 24(4), 293–294. https://doi.org/10.1016/j.bjpt.2020.04.005
  • Rodrigues, G. D., Junior, E. D. D. A., Soares, P. P. D. S. (2020). Stay active, stay at home and stay safe: the risk of falls in older adults in the COVID-19 quarantine. Geriatrics, Gerontology and Aging, 14(3), 216-217.
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  • Richardson, D. L., Duncan, M. J., Clarke, N. D., Myers, T. D., Tallis, J. (2021). The influence of COVID-19 measures in the United Kingdom on physical activity levels, perceived physical function and mood in older adults: A survey-based observational study. Journal of sports sciences, 39(8), 887–899. https://doi.org/10.1080/02640414.2020.1850984
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  • Schuch, F., Vancampfort, D., Firth, J., Rosenbaum, S., Ward, P., Reichert, T., Bagatini, N. C., Bgeginski, R., Stubbs, B. (2017). Physical activity and sedentary behavior in people with major depressive disorder: A systematic review and meta-analysis. Journal of affective disorders, 210, 139–150. https://doi.org/10.1016/j.jad.2016.10.050
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  • Yıldırım, İ., Özşevik, K., Özer, S., Canyurt, E., Tortop, Y. (2015). Üniversite öğrencilerinde fiziksel aktivite ile depresyon ilişkisi. Beden Eğitimi ve Spor Bilimleri Dergisi, 9(9), 32-39.
  • Zhang, Y., Jiang, X. (2023). The effects of physical activity and exercise therapy on frail elderly depression: A narrative review. Medicine, 102(34), e34908. https://doi.org/10.1097/MD.0000000000034908
Toplam 62 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Makaleler
Yazarlar

Esra Sude Akın 0009-0005-1637-9953

Gülşah Barğı 0000-0002-5243-3997

Özlem Çınar Özdemir 0000-0002-9205-5652

Seda Yıldız 0000-0003-2197-5475

Erken Görünüm Tarihi 16 Eylül 2024
Yayımlanma Tarihi 30 Eylül 2024
Gönderilme Tarihi 5 Ağustos 2024
Kabul Tarihi 18 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 2

Kaynak Göster

APA Akın, E. S., Barğı, G., Çınar Özdemir, Ö., Yıldız, S. (2024). Yaşlı Bireylerde Fiziksel Aktivite. Izmir Democracy University Health Sciences Journal, 7(2), 109-120. https://doi.org/10.52538/iduhes.1528652

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