Adhesión de mujeres mayores a un programa de ejercicios domicilarios post-entrenamiento ambulatorio
DOI:
https://doi.org/10.590/1809-2950/13997522032015Resumen
La práctica de ejercicios terapéuticos para mayores pretende mejorar el desempeño funcional. La prescripción de ejercicios domiciliarios es una práctica rutinera en la fisioterapia, pero su eficacia depende de la adhesión de los mayores, que a menudo es baja. El objetivo del estudio fue evaluar la adhesión y retención de mujeres mayores a un programa domiciliario e identificar los factores asociados a esta práctica. Este estudio es observacional exploratorio, formado por 96 mujeres mayores (71,3±5,16 años) sometidas a un programa de ejercicios en casa. Se evaluaron las medidas clínicas, funcionales y un cuestionario de adhesión para identificar los factores motivadores y las barreras. La tasa de retención fue del 86% y la de adhesión fue del del 36%, con un mínimo del 85% de frecuencia. Los modelos de regresión aplicados no fueron significativos y en los análisis estadísticos comparativos entre grupos se comprobó alta incidencia de factores negativos. La ausencia de correlación entre peor desempeño funcional y físico con la baja adhesión demuestra que este resultado es complejo y multifactorial, y que debe ser explorado también en los aspectos sociales, emocionales y culturales.Descargas
Referencias
Paixão Jr CM, Eichenheim ME. Uma Revisão Sobre
Instrumentos de avaliação do estado funcional do idoso.
Cad. Saúde Pública. 2005;21(1):7-19.
Carvalho JAM, Garcia RAO. Envelhecimento da população
brasileira: um enfoque demográfico. Cad Saúde Pública.
; 19(3): 725-33.
Hardage J, Peel C, Morris D, Graham C, Brown CJ, Foushee
R, Braswell J. Adherence to exercise scale for older patients
(AESOP): A measure for predicting exercise adherence
in older adults after discharge from home health physical
therapy. J Geriat Phys Ther. 2007;30:69-70.
Hughes SL, Seymour RB, Campbell RT, Whitelaw Bazzarre
T. Best-practice physical activity programs for older adults:
findings from the national impact study. Am J Public Health.
;99(2):362-8.
Fielding RA, Katula J, Miller ME, Abbot-Pillola K, Jordan
A, Glynn NW, Goodpaster B, Walkup MP, King AC, Rejeski
J. Activity adherence and physical function in older
adults with functional limitations. Med Sci Sport Exerc.
;39(11):1997-2004.
Benedetti TRB, Mazo GZ, Gobbi S, Amorim M, Gobbi
LTB, Ferreira L, Hoefelmann C. Valores Normativos de
Aptidão Funcional em Mulheres de 70 a 79 Anos. Rev Bras
Cineantropom Desempenho Hum. 2007;9(1):28-36.
Iliffe S, Kendrick D, Morris R, Skelton D, Gage H, Dinan S,
Stevens Z, Pearl M, Masud T. Multi-centre cluster randomised
trial comparing a community group exercise programme
with home based exercise with usual care for people aged
and over in primary care: protocol of the proact 65+ trial,
Trials. 2010;11(6):1-12.
Pisters MF, Veenhof C, Schellevis FG, Twisk JW, Dekker J, De
Bakker DH. exercise adherence improving long term patient
outcome in patients with osteoarthritis of the hip and/or
knee. Arthr Care Res. 2010;62(8):1087-94.
Jette AM, Rooks D, Lachman M, Lin TH, Levenson C, Heislen
D, Giorgetti MM, Harris BA. Home-based resistance training
predictors of participation and adherence. Gerontologist.
;38(4):412-21.
Dorgo S, King GA, Brickey GD. The application of peer
mentoring to improve fitness in older adults. J Aging Phys
Activ. 2009;17:344-61.
Huberty JL, Vener J, Waltman Ott C, Twiss J, Gross G, Mcguire
R, Dwyer A. Development of an instrument to measure
adherence to strength training in postmenopausal breast
cancer survivors. Oncol Nurs Fórum. 2009;36(5):266-73.
Henry KD, Rosemond C, Eckert LB. Effect of number of home
exercises on compliance and performance in adults over 65
years of age. Phys Ther. 1999;79(3):270-7.
Medina-Mirapeix F, Escolar-Reina P, Gascón-Cánovas JJ,
Montilla-Herrador J, Collins SM. Personal characteristics
influencing patients adherence to home exercise during chronic pain: a qualitative study. J Rehabil Med.
;41:347352.
Schmidt JA, Gruman C, King MB, Wolfson LI. Attrition in
an exercise intervention: a comparison of early and later
dropouts. JAGS. 2000;48:952-60.
Jansen MJ, Hendriks EJ, Oostendorp RAB, Dekker J, De Bie
RA. Quality indicators indicate good adherence to the clinical
practice guideline on “osteoarthritis of the hip and knee”
and few prognostic factors influence outcome indicators: a
prospective cohort study. Eur J Phys Rehabil Med. 2010;46
(3):337-45.
Giacomin K. Epidemiologia da incapacidade funcional em
idosos na comunidade: inquérito de saúde de Belo Horizonte
e tradução e confiabilidade do instrumento de avaliação
funcional SMAF no projeto Bambuí. Belo Horizonte,
Fundação Oswaldo Cruz: Tese (Doutorado). Programa De
Pós-Graduação Em Ciências Da Saúde. Centro De Pesquisa
René Rachou. Belo Horizonte, 2008.
Macchi CP, Cecchi F, Zipoli R, Sofi F, Romanelli A, Pepi L,
Sibilio M, Lipoma M, Petrilli M, Molino-Lova R. One-year
adherence to exercise in elderly patients adherence to
exercise in elderly patients receiving postacute inpatient
rehabilitation after cardiac surgery. Am J Phys Med Rehabil.
;88(9):727-34.
Bertolucci MO. Mini-exame do estado mental em uma
população geral. Arq Neuropsiquiatr. 1994;52(1):1-7.
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A
practical method for grading the cognitive state of patients
for the clinician. J Psychiat Res. 1975 Nov;12(3):189-98.
Porteney LG, Watkins M: Foundations Of Clinical Research:
Applications To Practice. 3th. Ed.: Prentice Hall Health, 2008.
Lourenço RA, Veras R, Ribeiro CC. Confiabilidade testereteste do mini-exame do estado mental em uma população
idosa assistida em uma unidade ambulatorial de saúde. Rev
Bras Geriatr Gerontol. 2008;11(1):7-16.
Paradela EM, Lourenço RA, Veras R. Validação da escala de
depressão geriátrica em um ambulatório geral. Rev Saúde
Pública. 2005; 39 (6):918-23.
Batistonil SST, Neril AL, Cupertinoll AFB. Validade da escala
de depressão do center for epidemiological studies entre
idosos brasileiros. Rev Saúde Pública, 2007;41 (4):598-605.
Stineman MG, Strumpf Kurichi JE, Charles J, Grisso JA,
Jayadevappa R. Attempts to reach the oldest and frailest:
recruitment, adherence, and retention of urban elderly
persons to a falls reduction exercise program. Gerontologist.
;51(1):59-72.
Findforr MJ, Wyman JF, Gross CR. Predictors of long-term
exercise adherence in a community sample of older women.
J Women’s Health. 2009;18(11):1769-76.
Fritz S, Lusardi M. “White Paper: Walking Speed: The Sixth
Vital Sign,” J Geriatr Phys Ther. 2009; 32:2-4.
Podsiadlo D1, Richardson S. The timed “up & go”: a test of
basic functional mobility for frail elderly persons. J Am
Geriatr Soc. 1991;39(2):142-8.
Bohannon RW. Reference Value for the timed up and go test:
a descriptive metaanalysis. J Geriatr Phys Ther. 2006;29:64-8.
Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern JMF.
Clinical measurement of sit-to-stand performance in people
with balance disorders: validity of data for the five-times-sitto-stand test. Phys Ther. 2005;85 (10):1034-45.
Lustosa L, Coelho FM, Silva J, Pereira DS, Parentoni A, Dias
JMD, Dias RC, Pereira LSM. The Effects of a muscle resistance
program on the functional capacity, knee extensor muscle
strength and plasma levels of il-6 and tnf-in pre-frail elderly
women: a randomized crossover clinical trial - a study
protocol. Trials. 2010;11(82). doi:10.1186/1745-6215-11-8.
Stathi A, Mckenna J, Fox KR. Processes associated with
participation and adherence to a 12-month exercise
programme for adults aged 70 and older. J Health Psychol.
;15(6):836-47.
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