Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
Por:
Viegas, R, da Costa, FA, Mendes, R, Alves, MD, Mcintosh, E, Sansano-Nadal, O, Magaña, JC, Rothenbacher, D, Denkinger, M, Caserotti, P, Tully, MA, Roqué-Figuls, M, Giné-Garriga, M
Publicada:
16 nov 2023
Resumen:
Background: Sedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.Method: This manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.Result: A sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group (p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time.Conclusion: The findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.
Filiaciones:
Viegas, R:
Univ Lisbon, Res Inst Med, Fac Pharm, IMED, Lisbon, Portugal
da Costa, FA:
Univ Lisbon, Res Inst Med, Fac Pharm, IMED, Lisbon, Portugal
Egas Moniz Ctr Interdisciplinary Res CiiEM, Egas Moniz Sch Hlth & Sci, Almada, Portugal
Mendes, R:
Univ Porto, EPIUnit, Inst Saude Publ, Porto, Portugal
Adm Reg Saude Norte, ACES Douro I Marao & Douro Norte, Vila Real, Portugal
Alves, MD:
Univ Glasgow, Inst Hlth & Wellbeing IHW, Hlth Econ & Hlth Technol Assessment HEHTA, Glasgow, Scotland
Mcintosh, E:
Univ Glasgow, Inst Hlth & Wellbeing IHW, Hlth Econ & Hlth Technol Assessment HEHTA, Glasgow, Scotland
Sansano-Nadal, O:
Univ Ramon Llull, Fac Psychol Educ & Sport Sci Blanquerna, Barcelona, Spain
Rovira I Virgili Univ, Sch Hlth & Sport Sci EUSES, Tarragona, Spain
Magaña, JC:
Univ Ramon Llull, Fac Psychol Educ & Sport Sci Blanquerna, Barcelona, Spain
Rothenbacher, D:
Ulm Univ, Inst Epidemiol & Med Biometry, Ulm, Germany
Denkinger, M:
Ulm Univ Med Ctr, Inst Geriatr Res, Agaples Bethesda Clin, Ulm, Germany
Ulm Univ Med Ctr, Geriatr Ctr, Ulm, Germany
Caserotti, P:
Univ Southern Denmark, Ctr Act & Healthy Ageing, Dept Sports Sci & Clin Biomech, Odense, Denmark
Tully, MA:
Univ Ulster, Sch Med, Londonderry, North Ireland
Roqué-Figuls, M:
Biomed Res Inst St Pau IIB St Pau, CIBER Epidemiol & Salud Publ CIBERESP, Iberoamerican Cochrane Ctr, Barcelona, Spain
Giné-Garriga, M:
Univ Ramon Llull, Fac Psychol Educ & Sport Sci Blanquerna, Barcelona, Spain
Univ Ramon Llull, Fac Hlth Sci Blanquerna, Barcelona, Spain
gold, All Open Access; Gold Open Access; Green Open Access
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