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老年人身体活动计划与卫生系统经济

PHYSICAL ACTIVITY PROGRAM FOR ELDERLY AND ECONOMY FOR THE HEALTH SYSTEM.

作者信息

Daher Samir Salim, Nogueira Monica Paschoal, Ferreira Mauro, Tedeschi Marcia Regina Martinez, Martinez Lilton Rodolfo Castellan, Shirassu Mirian Matsura

机构信息

Health Sciences Graduate Studies Program, Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo (IAMSPE), São Paulo, SP, Brazil.

Municipal Government of São Paulo, Coordenadoria de Gestão das Políticas e Programas de Esporte e Lazer (CGPE), São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2018;26(4):271-274. doi: 10.1590/1413-785220182604194374.

DOI:10.1590/1413-785220182604194374
PMID:30210259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6131283/
Abstract

OBJECTIVE

To evaluate the impact of physical activity on the use of the health system and the quality of life in sedentary elderly.

METHODS

A prospective interventional study was carried out between March 2010 and February 2011 with 100 subjects (60-90 years of age,) divided into active group (AG) and control group (CG). During this period, AG performed physical exercise twice a week in 60-minute sessions and the CG remained sedentary with observation of their activities. Before and after the study, all subjects were clinically evaluated and completed a quality of life questionnaire.

RESULTS

Eighty-nine subjects (AG = 44; CG = 45) were analyzed. AG had fewer visits to emergency room (p = 0.0056), hospitalizations (p = 0.0011), length of hospital stay (p = 0.0012) and fewer subsidiary tests (p = 0.0236) compared to the CG. The quality of life score analyzed before and after physical activity increased in AG compared to CG (p < 0.0001) and among subjects in AG (p < 0.0001), with no change in the CG.

CONCLUSION

The intervention of a physical activity program for sedentary elderly can contribute to reduce the use of the health system and improve the quality of life.

摘要

目的

评估体育活动对久坐不动的老年人卫生系统利用情况及生活质量的影响。

方法

2010年3月至2011年2月进行了一项前瞻性干预研究,100名受试者(60 - 90岁)分为运动组(AG)和对照组(CG)。在此期间,运动组每周进行两次体育锻炼,每次60分钟,对照组保持久坐不动并观察其活动情况。研究前后,对所有受试者进行临床评估并完成一份生活质量问卷。

结果

分析了89名受试者(运动组 = 44;对照组 = 45)。与对照组相比,运动组的急诊就诊次数(p = 0.0056)、住院次数(p = 0.0011)、住院时长(p = 0.0012)及辅助检查次数(p = 0.0236)均较少。与对照组相比,运动组在体育活动前后分析的生活质量得分有所提高(p < 0.0001),运动组内的受试者也是如此(p < 0.0001),而对照组无变化。

结论

针对久坐不动的老年人开展体育活动计划干预,有助于减少卫生系统的利用并提高生活质量。

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