Relationship of the SITLESS intervention on medication use in community-dwelling older adults

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 in...

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Detalles Bibliográficos
Autores: Viegas, R., Alves da Costa, F., Mendes, R., Deidda, Manuela|||0000-0002-0921-6970, McIntosh, E.|||0000-0001-6340-3083, Sansano-Nadal, Oriol|||0000-0002-1767-7443, Magaña, J.C., Rothenbacher, Dietrich|||0000-0002-3563-2791, Denkinger, Michael|||0000-0002-8097-060X, Caserotti, Paolo|||0000-0002-0476-5786, Tully, Mark|||0000-0001-9710-4014, Roqué i Figuls, Marta|||0000-0003-0043-1364, Giné-Garriga, M.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:296618
Acceso en línea:https://ddd.uab.cat/record/296618
https://dx.doi.org/urn:doi:10.3389/fpubh.2023.1238842
Access Level:acceso abierto
Palabra clave:Intervention
Medication use
Older adults
Physical activity
Primary health care
Sedentary behavior
Descripción
Sumario: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. 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. 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. 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.