Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study.

Autor: Viegas R; Faculty of Pharmacy, iMED, Research Institute for Medicines, University of Lisbon, Lisbon, Portugal., Alves da Costa F; Faculty of Pharmacy, iMED, Research Institute for Medicines, University of Lisbon, Lisbon, Portugal.; Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal., Mendes R; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.; ACES Douro I - Marão e Douro Norte, Administração Regional de Saúde do Norte, Vila Real, Portugal., Deidda M; Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing (IHW), University of Glasgow, Glasgow, United Kingdom., McIntosh E; Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing (IHW), University of Glasgow, Glasgow, United Kingdom., Sansano-Nadal O; Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain.; School of Health and Sport Sciences (EUSES), Rovira i Virgili University, Tarragona, Spain., Magaña JC; Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain., Rothenbacher D; Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany., Denkinger M; Institute for Geriatric Research at Agaplesion Bethesda Clinic and Geriatric Centre, Ulm University Medical Centre, Ulm, Germany., Caserotti P; Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing, University of Southern Denmark, Odense, Denmark., Tully MA; School of Medicine, University of Ulster, Londonderry, United Kingdom., Roqué-Figuls M; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain., Giné-Garriga M; Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain.; Faculty of Health Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Frontiers in public health [Front Public Health] 2023 Nov 16; Vol. 11, pp. 1238842. Date of Electronic Publication: 2023 Nov 16 (Print Publication: 2023).
DOI: 10.3389/fpubh.2023.1238842
Abstrakt: Background: 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.
Method: 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.
Result: 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.
Conclusion: 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.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Viegas, Alves da Costa, Mendes, Deidda, McIntosh, Sansano-Nadal, Magaña, Rothenbacher, Denkinger, Caserotti, Tully, Roqué-Figuls and Giné-Garriga.)
Databáze: MEDLINE