BibTex RIS Kaynak Göster

Physical Activity in Older People: A Review

Yıl 2021, Cilt: 2 Sayı: 1, 16 - 22, 25.04.2021
https://doi.org/10.51261/yiu.2021.00029

Öz

Aging is associated with reduction in physiological and functional capacities and quality of life. Physical activity PA in older people is critically important in the prevention of disease, maintenance of independence and improvement of quality of life. It has been shown that increased physical activity increases functional capacity and prevents many chronic non-communicable diseases. Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity and at least two days of musclestrengthening activities per week. Despite the highly known benefits of physical activity, the majority of older people in the world do not meet the minimum physical activity levels needed to maintain health. Any amount of exercise is better than being sedentary, even if health status prevents a person from achieving recommended goals. Physicians should educate the patient about the benefits of physical activity and motivate them to start a physical activity program.

Kaynakça

  • Levinger P, Hill KD. Are the Recommended Physical Activity Guidelines Practical and Realistic for Older People With Complex Medical Issues? J Geriatr Phys Ther 2021;44:2–8. https://doi.org/10.1519/jpt.0000000000000291
  • World Health Organization. Global Status Report on Noncommunicable Diseases. Geneva, Switzerland: World Health Organization; 2014. https:// www.who.int/nmh/publications/ncd-status-report-2014/en/
  • World Health Organization. Global Health and Ageing. Geneva, Switzerland: World Health Organization; 2011. https://www.who.int/ageing/publications/ global_health/en/
  • Roth GA, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national age-sex specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1736–1788. https://doi. org/10.1016/S0140-6736 18 32203-7
  • World Health Organization. Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva, Switzerland: World Health Organization; 2009. https://apps.who.int/iris/handle/10665/44203
  • World Health Organization. Global action plan on physical activity 2018– 2030: more active people for a healthier world. Switzerland: World Health Organization; 2018. https://www.who.int/ncds/prevention/physical-activity/ global-action-plan-2018-2030/en/
  • World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010. https://www.who.int/ dietphysicalactivity/global-PA-recs-2010.pdf
  • Schuch F, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J Psychiatr Res 2016;77:42–51. https://doi.org/10.1016/j.jpsychires.2016.02.023
  • Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet 2017;390:2673–2734. https://doi.org/10.1016/s0140-6736 17 31363-6
  • Das P, Horton R. Rethinking our approach to physical activity. Lancet 2012;380:189–190. https://doi.org/10.1016/s0140-6736 12 61024-1
  • Taylor D. Physical activity is medicine for older adults. Postgrad Med J 2014;90:26–32. https://doi.org/10.1136/postgradmedj-2012-131366
  • World Health Organization. World health statistics 2016: monitoring health for the SDGs, sustainable development goals. Geneva, Switzerland: World Health Organization. https://apps.who.int/iris/handle/10665/206498
  • Frontera WR. Physical Activity and Rehabilitation in Elderly. In: Masiero S, Carraro U, editors. Rehabilitation Medicine for Elderly Patients. Practical Issues in Geriatrics. Italy: Springer; 2018. p.3–13. https://doi.org/10.1007/978- 3-319-57406-6_1
  • Boulton ER, Horne M, Todd C. Multiple influences on participating in physical activity in older age: Developing a social ecological approach. Health Expectations 2018;21:239–248. https://doi.org/10.1111/hex.12608
  • Langhammer B, Bergland A, Rydwik E. The Importance of Physical Activity Exercise among Older People. Biomed Res Int 2018;2018:7856823. https:// doi.org/10.1155/2018/7856823
  • Lee PG, Jackson EA, Richardson CR. Exercise Prescriptions in Older Adults. Am Fam Physician 2017;95:425–432. https://www.aafp.org/afp/2017/0401/ p425.html
  • Chodzko-Zajko WJ, Proctor D, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009;41:1510–30. https://doi.org/10.1249/mss.0b013e3181a0c95c
  • Rojer AGM, Ramsey KA, Trappenburg MC, van Rijssen NM, Otten RHJ, Heymans MW, et al. Instrumented measures of sedentary behaviour and physical activity are associated with mortality in community-dwelling older adults: A systematic review, meta-analysis and meta-regression analysis. Ageing Res Rev 2020;61:101061. https://doi.org/10.1016/j.arr.2020.101061
  • Muchiri WA, Olutende OM, Kweyu IW, Vurigwa E. Meaning of Physical Activities for the Elderly: A Review. Am J Sports Sci Med 2018;6:79–83. https://www.researchgate.net/publication/327602163_Meaning_of_Physical_ Activities_for_the_Elderly_A_Review
  • McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology 2016;17:567–580. https://doi.org/10.1007/s10522-016-9641-0
  • Feldman DI, Al-Mallah MH, Keteyian SJ, Brawner CA, Feldman T, Blumenthal RS, et al. No evidence of an upper threshold for mortality benefit at high levels of cardiorespiratory fitness. J Am Coll Cardiol 2015;65:629–630. https://doi. org/10.1016/j.jacc.2014.11.030
  • Pavlova J, Vovkanych L, Vynogradskyi B. Physical activity of elderly people. Fizjoterapia 2014;22:33–39. https://doi.org/10.1515/physio-2014-0012
  • Newman A, Kupelian V, Visser M, Simonsick EM, Goodpaster BH, Kritchevsky SB, et al. Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. J Gerontol A Biol Sci Med Sci 2006;61:72–77. https://doi.org/10.1093/gerona/61.1.72
  • Roschel H, Artioli GG, Gualano B. Risk of Increased Physical Inactivity During COVID-19 Outbreak in Older People: A Call for Actions. J Am Geriatr Soc 2020;68:1126–1128. https://doi.org/10.1111/jgs.16550
  • Oliveira JS, Sherrington C, Paul SS, Ramsay E, Chamberlain K, Kirkham C, et al. A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial. J Physiother 2019;65:16–22. https://doi.org/10.1016/j. jphys.2018.11.005
  • Varela S, Ayán C, Cancela J, Martín V. Effects of two different intensities of aerobic exercise on elderly people with mild cognitive impairment: a randomized pilot study. Clinical Rehabilitation; 2012;26:442–450. https://doi. org/10.1177/0269215511425835
  • Notthoff N, Reisch P, Gerstorf D. Individual Characteristics and Physical Activity in Older Adults: A Systematic Review. Gerontology 2017;63:443– 459. https://doi.org/10.1159/000475558
  • Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health 2013;13:449. https://doi.org/10.1186/1471-2458-13-449
  • Rojer AGM, Reijnierse EM, Trappenburg MC, van Lummel RC, Niessen M, van Schooten KS, et al. Instrumented assessment of physical activity is associated with muscle function but not with muscle mass in a general population. J Aging Health 2018;30:1462–1481. https://doi.org/10.1177/0898264317721554
  • Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for Americans. Am J Prev Med 2011;40:454–461. https://doi.org/10.1016/j.amepre.2010.12.016
  • Dobson F, Bennell KL, French SD, Nicolson PJ, Klaasman RN, Holden MA, et al. Barriers and facilitators to exercise participation in people with hip and/or knee osteoarthritis: synthesis of the literature using behavior change theory. Am J Phys Med Rehabil 2016;95:372–389. https://doi.org/10.1097/phm.0000000000000448
  • Goh SL, Persson MSM, Stocks J, Hou Y, Lin J, Hall MC, et al. Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: a systematic review and meta-analysis. Ann Phys Rehabil Med 2019;62:356– 365. https://doi.org/10.1016/j.rehab.2019.04.006
  • Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, et al. Using pedometers to increase physical activity and improve health: a systematic review. JAMA 2007;298:2296–2304. https://doi.org/10.1001/jama.298.19.2296
  • McGarrigle L, Boulton E, Todd C. Map the Apps: A Rapid Review of Digital Approaches to Support the Engagement of Older Adults in Strength and Balance Exercises. Research Square 2020. https://doi.org/10.21203/rs.3.rs-63743/v1

Yaşlılarda Fiziksel Aktivite: Derleme

Yıl 2021, Cilt: 2 Sayı: 1, 16 - 22, 25.04.2021
https://doi.org/10.51261/yiu.2021.00029

Öz

Yaşlanma, fizyolojik ve fonksiyonel kapasitelerde ve yaşam kalitesinde azalma ile ilişkilidir. Yaşlılarda fiziksel aktivite FA , hastalığın önlenmesi, bağımsızlığın sürdürülmesi ve yaşam kalitesinin iyileştirilmesinde kritik öneme sahiptir. FA düzeyindeki artışın fonksiyonel kapasiteyi artırdığı ve birçok kronik bulaşıcı olmayan hastalığı önlediği gösterilmiştir. Kılavuzlar, haftada en az 150 dakika orta yoğunlukta aerobik aktivite veya 75 dakika şiddetli aerobik aktivite ve haftada en az iki gün kas güçlendirme aktiviteleri önermektedir. FA’nın oldukça bilinen faydalarına rağmen, dünyadaki yaşlıların çoğunluğu sağlığı korumak için gereken minimum FA seviyelerini karşılamamaktadır. Sağlık durumu bir kişinin önerilen hedefleri başarmasını engellese bile, herhangi bir egzersiz miktarı hareketsiz olmaktan daha iyidir. Hekimler hastaları fiziksel aktivitenin faydaları konusunda eğitmeli ve onları bir fiziksel aktivite programına başlamaya motive etmelidir.

Kaynakça

  • Levinger P, Hill KD. Are the Recommended Physical Activity Guidelines Practical and Realistic for Older People With Complex Medical Issues? J Geriatr Phys Ther 2021;44:2–8. https://doi.org/10.1519/jpt.0000000000000291
  • World Health Organization. Global Status Report on Noncommunicable Diseases. Geneva, Switzerland: World Health Organization; 2014. https:// www.who.int/nmh/publications/ncd-status-report-2014/en/
  • World Health Organization. Global Health and Ageing. Geneva, Switzerland: World Health Organization; 2011. https://www.who.int/ageing/publications/ global_health/en/
  • Roth GA, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national age-sex specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1736–1788. https://doi. org/10.1016/S0140-6736 18 32203-7
  • World Health Organization. Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva, Switzerland: World Health Organization; 2009. https://apps.who.int/iris/handle/10665/44203
  • World Health Organization. Global action plan on physical activity 2018– 2030: more active people for a healthier world. Switzerland: World Health Organization; 2018. https://www.who.int/ncds/prevention/physical-activity/ global-action-plan-2018-2030/en/
  • World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010. https://www.who.int/ dietphysicalactivity/global-PA-recs-2010.pdf
  • Schuch F, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J Psychiatr Res 2016;77:42–51. https://doi.org/10.1016/j.jpsychires.2016.02.023
  • Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet 2017;390:2673–2734. https://doi.org/10.1016/s0140-6736 17 31363-6
  • Das P, Horton R. Rethinking our approach to physical activity. Lancet 2012;380:189–190. https://doi.org/10.1016/s0140-6736 12 61024-1
  • Taylor D. Physical activity is medicine for older adults. Postgrad Med J 2014;90:26–32. https://doi.org/10.1136/postgradmedj-2012-131366
  • World Health Organization. World health statistics 2016: monitoring health for the SDGs, sustainable development goals. Geneva, Switzerland: World Health Organization. https://apps.who.int/iris/handle/10665/206498
  • Frontera WR. Physical Activity and Rehabilitation in Elderly. In: Masiero S, Carraro U, editors. Rehabilitation Medicine for Elderly Patients. Practical Issues in Geriatrics. Italy: Springer; 2018. p.3–13. https://doi.org/10.1007/978- 3-319-57406-6_1
  • Boulton ER, Horne M, Todd C. Multiple influences on participating in physical activity in older age: Developing a social ecological approach. Health Expectations 2018;21:239–248. https://doi.org/10.1111/hex.12608
  • Langhammer B, Bergland A, Rydwik E. The Importance of Physical Activity Exercise among Older People. Biomed Res Int 2018;2018:7856823. https:// doi.org/10.1155/2018/7856823
  • Lee PG, Jackson EA, Richardson CR. Exercise Prescriptions in Older Adults. Am Fam Physician 2017;95:425–432. https://www.aafp.org/afp/2017/0401/ p425.html
  • Chodzko-Zajko WJ, Proctor D, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009;41:1510–30. https://doi.org/10.1249/mss.0b013e3181a0c95c
  • Rojer AGM, Ramsey KA, Trappenburg MC, van Rijssen NM, Otten RHJ, Heymans MW, et al. Instrumented measures of sedentary behaviour and physical activity are associated with mortality in community-dwelling older adults: A systematic review, meta-analysis and meta-regression analysis. Ageing Res Rev 2020;61:101061. https://doi.org/10.1016/j.arr.2020.101061
  • Muchiri WA, Olutende OM, Kweyu IW, Vurigwa E. Meaning of Physical Activities for the Elderly: A Review. Am J Sports Sci Med 2018;6:79–83. https://www.researchgate.net/publication/327602163_Meaning_of_Physical_ Activities_for_the_Elderly_A_Review
  • McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology 2016;17:567–580. https://doi.org/10.1007/s10522-016-9641-0
  • Feldman DI, Al-Mallah MH, Keteyian SJ, Brawner CA, Feldman T, Blumenthal RS, et al. No evidence of an upper threshold for mortality benefit at high levels of cardiorespiratory fitness. J Am Coll Cardiol 2015;65:629–630. https://doi. org/10.1016/j.jacc.2014.11.030
  • Pavlova J, Vovkanych L, Vynogradskyi B. Physical activity of elderly people. Fizjoterapia 2014;22:33–39. https://doi.org/10.1515/physio-2014-0012
  • Newman A, Kupelian V, Visser M, Simonsick EM, Goodpaster BH, Kritchevsky SB, et al. Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. J Gerontol A Biol Sci Med Sci 2006;61:72–77. https://doi.org/10.1093/gerona/61.1.72
  • Roschel H, Artioli GG, Gualano B. Risk of Increased Physical Inactivity During COVID-19 Outbreak in Older People: A Call for Actions. J Am Geriatr Soc 2020;68:1126–1128. https://doi.org/10.1111/jgs.16550
  • Oliveira JS, Sherrington C, Paul SS, Ramsay E, Chamberlain K, Kirkham C, et al. A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial. J Physiother 2019;65:16–22. https://doi.org/10.1016/j. jphys.2018.11.005
  • Varela S, Ayán C, Cancela J, Martín V. Effects of two different intensities of aerobic exercise on elderly people with mild cognitive impairment: a randomized pilot study. Clinical Rehabilitation; 2012;26:442–450. https://doi. org/10.1177/0269215511425835
  • Notthoff N, Reisch P, Gerstorf D. Individual Characteristics and Physical Activity in Older Adults: A Systematic Review. Gerontology 2017;63:443– 459. https://doi.org/10.1159/000475558
  • Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health 2013;13:449. https://doi.org/10.1186/1471-2458-13-449
  • Rojer AGM, Reijnierse EM, Trappenburg MC, van Lummel RC, Niessen M, van Schooten KS, et al. Instrumented assessment of physical activity is associated with muscle function but not with muscle mass in a general population. J Aging Health 2018;30:1462–1481. https://doi.org/10.1177/0898264317721554
  • Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for Americans. Am J Prev Med 2011;40:454–461. https://doi.org/10.1016/j.amepre.2010.12.016
  • Dobson F, Bennell KL, French SD, Nicolson PJ, Klaasman RN, Holden MA, et al. Barriers and facilitators to exercise participation in people with hip and/or knee osteoarthritis: synthesis of the literature using behavior change theory. Am J Phys Med Rehabil 2016;95:372–389. https://doi.org/10.1097/phm.0000000000000448
  • Goh SL, Persson MSM, Stocks J, Hou Y, Lin J, Hall MC, et al. Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: a systematic review and meta-analysis. Ann Phys Rehabil Med 2019;62:356– 365. https://doi.org/10.1016/j.rehab.2019.04.006
  • Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, et al. Using pedometers to increase physical activity and improve health: a systematic review. JAMA 2007;298:2296–2304. https://doi.org/10.1001/jama.298.19.2296
  • McGarrigle L, Boulton E, Todd C. Map the Apps: A Rapid Review of Digital Approaches to Support the Engagement of Older Adults in Strength and Balance Exercises. Research Square 2020. https://doi.org/10.21203/rs.3.rs-63743/v1
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Hatice Rana Erdem Bu kişi benim

Melahat Sayan Bu kişi benim

Zafer Gökgöz Bu kişi benim

Meltem Refiker Ege Bu kişi benim

Yayımlanma Tarihi 25 Nisan 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 2 Sayı: 1

Kaynak Göster

AMA Erdem HR, Sayan M, Gökgöz Z, Ege MR. Yaşlılarda Fiziksel Aktivite: Derleme. YIU Saglik Bil Derg. Nisan 2021;2(1):16-22. doi:10.51261/yiu.2021.00029