Ariketa fisikoko interbentzio batek egoitzetan bizi diren adinekoengan dituen onuretan eragiten duten faktoreen azterketa.

231 p.Tesi honetan alde batetik, egoitzetan bizi diren adineko pertsonetan Functional Ageing On programaren eraginkortasuna baldintzatzen duten faktoreak aztertu dira. Bestetik, arlo ezberdinetan erantzule edo ez erantzule direnean, arlo guztietan erantzule edo ez erantzule ote diren aztertu da. Honetarako,Gipuzkoako 16 egoitzetako 148 adineko pertsonen egoera funtzionala, egoera fisikoa, egoera kognitiboa eta egoera psikoafektiboa kontuan hartu dira.Azterlan honetan, laginaren ezaugarrien araberako banaketak (sexuka eta medianaren arabera) eta SPPBn, MoCan, bizi-kalitatean eta zoriontasunean ez-erantzule eta erantzuleen banaketa, Student-en ttest erlazionatuaren proba, bi noranzkoko (taldea eta denbora) neurri errepikatutako ANOVA eta taldeen arteko elkar eragitearen magnitudea partial .2 erabiliz kalkulatu da. Erantzule izateko zein faktoreek eragiten duten aztertzeko erregresio logistiko anizkoitzak egin dira.Nahiz eta adineko egoitzetan bizi diren adinekoen ezaugarrien arabera Functional Ageing On ariketa fisikoko interbentzioarekiko sentikortasuna ezberdina izan, aztertutako talde guztiek izan zituzten ariketa fisikoaren onurak. Adin baxuagoa, GMI baxuagoa eta TUG burutzeko denbora gutxiago behar izateak SPPBn erantzule izateko aukera gehiagorekin lotu zen. GMI altuagoa eta Tilburg-en araberako hauskortasun maila altuagoa MoCan erantzule izatearekin eta bizi-kalitatearen testean eta zoriontasunean puntuazio baxuagoa izatea, test horietan erantzule lotu ziren. SPPBn ez-erantzuleek, Rockwood-en hauskortasun eskalan eta zoriontasunean; MoCan ez-erantzuleek Fried-en fenotipoan eta SPPBn; bizi kalitatearen testean ez-erantzuleek Rockwood-en eskalan eta SPPBn eta zoriontasunean ez-erantzule enk Rockwood-en eta Tilburg-en hauskortasun irizpideetan eta ibilera abiadura eta SPPBn hobetu zuten.Beraz, edozein dela ere sexua, adina, menpekotasun edo hauskortasun maila, egoera fisiko edo neuropsikologikoa, adinekoen egoitzetan bizi diren adinekoak ariketa fisikoko interbentzioez baliatu daitezke. Gainera, aldagai batean ez-erantzule izan arren, beste aldagaietan onurak izan dezakete parte hartzaileek

Sex Differences in Frailty Factors and Their Capacity to Identify Frailty in Older Adults Living in Long-Term Nursing Homes

Frailty is a phenomenon that precedes adverse health events in older people. However, there is currently no consensus for how to best measure frailty. Several studies report that women have a higher prevalence of frailty than men, but there is a gap in studies of the high rates of frailty in older people living in long-term nursing homes (LTNHs) stratified by sex. Therefore, we analyzed health parameters related to frailty and measured their capacity to identify frailty stratified by sex in older people living in LTNHs. According to the Fried Frailty Phenotype (FFP), anxiety increased the risk of frailty in women, while for men functionality protected against the risk of frailty. Regarding the Tilburg Frailty Indicator (TFI), functionality had a protective effect in men, while for women worse dynamic balance indicated a higher risk of frailty. The analyzed parameters had a similar capacity for detecting frailty measured by the TFI in both sexes, while the parameters differed in frailty measured by the FFP. Our study suggests that assessment of frailty in older adults should incorporate a broad definition of frailty that includes not only physical parameters but also psycho-affective aspects as measured by instruments such as the TFI.This research was funded by Gipuzkoako Foru Aldundia-Diputación Foral de Gipuzkoa (ADINBERRI DG18/25) and the Professional Association of Nurses of Gipuzkoa (COEGI Nursing Research Grants 2019–2020)

The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

[EN] Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of lifeSIThis research was funded by Diputación Foral de Gipuzkoa (ADINBERRI DG18/25) and the Professional Association of Nurses of Gipuzkoa (COEGI Nursing Research Grants 2019