Cuevas Lara, César
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Cuevas Lara
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César
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Ciencias de la Salud
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Publication Open Access Effects of game-based interventions on functional capacity in acutely hospitalised older adults: results of an open-label non-randomised clinical trial(Oxford University Press, 2022-01-23) Cuevas Lara, César; López Sáez de Asteasu, Mikel; Ramírez Vélez, Robinson; Izquierdo Redín, Mikel; Zambom Ferraresi, Fabíola; Antoñanzas Valencia, Cristina; Galbete Jiménez, Arkaitz; Zambom Ferraresi, Fabrício; Martínez Velilla, Nicolás; Ciencias de la Salud; Osasun Zientziak; Estadística, Informática y Matemáticas; Estatistika, Informatika eta Matematika; Gobierno de Navarra / Nafarroako GobernuaBackground: Hospitalisation-associated disability due to reduced physical activity levels and prolonged bedrest episodes are highly prevalent in older adults. Objective: To assess the effect of gamified interventions on functional capacity in hospitalised older adults. Methods: A three-armed non-randomised controlled trial with two experimental intervention groups and a control group was conducted in a tertiary public hospital in Navarre, Spain. Participants were allocated to a simple gamification group (SGG) (n = 21), a technology-based gamification group (TGG) (n = 23) or a control group (CG) (n = 26). The end points were changes in functional capacity, muscle strength, cognition, mood status and quality of life. Results: Seventy patients (mean age 86.01 ± 4.27 years old) were included in the study; 29 (41.4%) were women. At discharge, compared to CG, a mean increase of 1.47 points (95%CI, 0.15–2.80 points) and 2.69 points (95%CI, 1.32–4.06 points) was observed (SGG and TGG, respectively) in the SPPB test; as well as an increase of 5.28 points (95%CI, 0.70–9.76 points) in the Barthel Index and 2.03 kg (95%CI, 0.33–3.72 kg) in handgrip strength in the TGG. Regression mediation analyses demonstrated that muscle strength changes (β = 1.30; 95%CI, 0.45–2.14; indirect effect 0.864; 95%CI, 0.09–1.90) significantly mediated the TGG effect on the SPPB score. Conclusions: The TGG intervention programme may provide significant benefits in physical and muscle function over usual care and seems to reverse the functional decline frequently associated with acute hospitalisation in older adults.Publication Open Access Reply to Inzitari et al. comment on "Blancafort Alias et al. a multi-domain group-based intervention to promote physical activity, healthy nutrition, and psychological wellbeing in older people with losses in intrinsic capacity: AMICOPE development study. Int. J. Environ. Res. Public Health 2021, 18, 5979"(MDPI, 2022-01-14) Blancafort Alias, Sergi; Cuevas Lara, César; Martínez Velilla, Nicolás; Zambom Ferraresi, Fabrício; Soto Martín, María Eugenia; Tavassoli, Neda; Mathieu, Céline; Heras Muxella, Eva; Garibaldi, Pablo; Anglada, María; Amblàs Novellas, Jordi; Santaeugènia, Sebastiá; Contel, Joan Carles; Domingo, Àlex; Salvà Casanovas, Antoni; Ciencias de la Salud; Osasun ZientziakThis is a reply to the comment by Inzitari et al. on our recently published work about the development of AMICOPE multi-domain group-based intervention. In this comment, the authors report the characteristics of +AGIL Barcelona, a multifactorial intervention program for older community-dwellers based on the integration of primary care, geriatric medicine, and community services.