Determinants of participation in a post-hospitalization physical exercise program for older adults

Urquiza, Miriam; Echeverría, Iñaki; Besga, Ariadna; Amasene, María; Labayen Goñi, Idoia; Rodríguez Larrad, Ana; Barroso, Julia; Aldamiz, Mikel; Irazusta, Jon

Publication:
Determinants of participation in a post-hospitalization physical exercise program for older adults

dc.contributor.author	Urquiza, Miriam
dc.contributor.author	Echeverría, Iñaki
dc.contributor.author	Besga, Ariadna
dc.contributor.author	Amasene, María
dc.contributor.author	Labayen Goñi, Idoia
dc.contributor.author	Rodríguez Larrad, Ana
dc.contributor.author	Barroso, Julia
dc.contributor.author	Aldamiz, Mikel
dc.contributor.author	Irazusta, Jon
dc.contributor.department	Ciencias de la Salud	es_ES
dc.contributor.department	Osasun Zientziak	eu
dc.date.accessioned	2021-06-14T11:17:37Z
dc.date.available	2021-06-14T11:17:37Z
dc.date.issued	2020
dc.description.abstract	Background: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients. Methods: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model. Results: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07–1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69–0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08–0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. Conclusions: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12619000093189, (date: January 22, 2019, retrospectively registered).	en
dc.description.sponsorship	The study was funded by the Department of Education, Language Policy and Culture (2016111138) and a Programme Contract of the Department of Health, both departments of the Government of the Basque Country, which provided financial support during the research.	en
dc.format.extent	9 p.
dc.format.mimetype	application/pdf	en
dc.identifier.doi	10.1186/s12877-020-01821-3
dc.identifier.issn	1471-2318
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/39911
dc.language.iso	eng	en
dc.publisher	BioMed Central	en
dc.relation.ispartof	BMC Geriatrics, (2020) 20:408	en
dc.relation.publisherversion	https://doi.org/10.1186/s12877-020-01821-3
dc.rights	© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.	en
dc.rights.accessRights	info:eu-repo/semantics/openAccess	en
dc.rights.accessRights	Acceso abierto / Sarbide irekia	es
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject	Older people	en
dc.subject	Participation	en
dc.subject	Physical exercise	en
dc.subject	Post-hospitalization	en
dc.title	Determinants of participation in a post-hospitalization physical exercise program for older adults	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion	en
dc.type.version	Versión publicada / Argitaratu den bertsioa	es
dspace.entity.type	Publication
relation.isAuthorOfPublication	b36e2b1d-3088-4089-806e-fd3040e9583a
relation.isAuthorOfPublication	d40ed62a-b31b-48d5-bd5e-8c535a3b8fe4
relation.isAuthorOfPublication.latestForDiscovery	b36e2b1d-3088-4089-806e-fd3040e9583a