Politécnico de Coimbra, ESTESC, Ciências Biomédicas Laboratoriais, Rua 5 de Outubro, 3046-854 Coimbra, Portugal.
LABINSAÚDE - Laboratório de Investigação em Ciências Aplicadas à Saúde, Instituto Politécnico de Coimbra, ESTeSC, Rua 5 de Outubro, 3046-854 Coimbra, Portugal.
Int J Environ Res Public Health. 2020 Jan 22;17(3):718. doi: 10.3390/ijerph17030718.
Aging is a social and economic challenge of the highest importance and a multidisciplinary intervention seems to be a promising approach for improving the quality of life of elderly individuals. This project was designed aimed at promoting an active and healthy aging through the implementation of an intervention program based on the comprehensive geriatric assessment model (AGA@4life), focused on promoting health and wellbeing, independence and autonomy, mobility, and social inclusion. A non-randomized interventional study was designed to evaluate the effect of only a dietetic and nutritional approach (control group (CG)) and the combination of a tailored exercise program and a dietetic and nutritional approach (intervention group (IG)) in the biochemical and hematological profile of older adults in the framework of AGA@4life. The 34 participants enrolled, aged 65 years or over, were subject to a thorough baseline (T0) multidisciplinary diagnostic evaluation, including the gathering of clinical information and a battery of biochemical and hematological determinations, and reevaluated after eight weeks of intervention (T1). Between T0 and T1, an increase in albumin and total proteins serum levels were observed in both groups ( < 0.01); the hematological profile in CG and IG showed an increase in red cell count and hemoglobin ( < 0.05). In IG, an increase of HDL cholesterol ( < 0.001) and a decrease of triglycerides ( = 0.001) were still observed. The AGA@4life multidisciplinary intervention improved the hematological and biochemical profile of old adults, potentially contributing to delay the development of several aging comorbidities and increase the quality of life of participants.
衰老是一个具有重要社会和经济意义的挑战,多学科干预似乎是改善老年人生活质量的一种有前途的方法。本项目旨在通过实施基于综合老年评估模型(AGA@4life)的干预计划来促进积极健康的老龄化,该计划侧重于促进健康和幸福、独立性和自主性、流动性和社会包容。本研究设计了一项非随机干预研究,旨在评估仅采用饮食和营养方法(对照组(CG))和结合个性化运动计划和饮食营养方法(干预组(IG))对 AGA@4life 框架下老年人群生物化学和血液学特征的影响。34 名年龄在 65 岁及以上的参与者接受了彻底的基线(T0)多学科诊断评估,包括收集临床信息和一系列生物化学和血液学测定,并在干预 8 周后(T1)重新评估。在 T0 和 T1 之间,两组的血清白蛋白和总蛋白水平均升高(<0.01);CG 和 IG 的血液学特征显示红细胞计数和血红蛋白增加(<0.05)。在 IG 中,还观察到 HDL 胆固醇增加(<0.001)和甘油三酯减少(=0.001)。AGA@4life 多学科干预改善了老年人的血液学和生物化学特征,可能有助于延缓多种衰老合并症的发展并提高参与者的生活质量。