Impact on physical function of the +AGIL Barcelona program in community-dwelling older adults with cognitive impairment: an interventional cohort study

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dc.contributor.authorArnal, Cristina
dc.contributor.authorPérez, Mónica L.
dc.contributor.authorSoto, Luis
dc.contributor.authorCasas Herrero, Álvaro
dc.contributor.authorArs, Joan
dc.contributor.authorBaró, Sonia
dc.contributor.authorDíaz, Francisco
dc.contributor.authorAbilla, Araceli
dc.contributor.authorEnfedaque, M. Belén
dc.contributor.authorCesari, Matteo
dc.contributor.authorInzitari, Marco
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-05-08T08:51:30Z
dc.date.available2024-05-08T08:51:30Z
dc.date.issued2023
dc.date.updated2024-05-08T08:35:23Z
dc.description.abstractBackground: Older adults with cognitive impairment (CI) have higher multimorbidity and frailty prevalence, lower functional status and an increased likelihood to develop dementia, non-cognitive deficits, and adverse health-related events. +AGIL, a real-world program for frail older adults in a primary care area of Barcelona, is a pragmatic, multi-component and integrated intervention implemented since 2016. It includes physical activity, nutrition, sleep hygiene, revision and adequacy of pharmacological treatment, detection of undesired loneliness and screening for CI; to improve physical function in community-dwelling older adults. We aimed to assess the + AGIL longitudinal impact on physical function among community-dwelling frail older persons with CI. Methods: An interventional cohort study included data from all the + AGIL consecutive participants from July 2016 until March 2020. Based on the comprehensive geriatric assessment, participants were offered a tailored multi-component community intervention, including a 10-week physical activity program led by an expert physical therapist. Physical performance was measured at baseline, three and six months follow-up. The pre-post impact on physical function was assessed by paired sample t-test for repeated samples. Linear mixed models were applied to analyze the + AGIL longitudinal impact. P-values < 0.05 were considered statistically significant. Results: 194 participants were included (82 with CI, based on previous diagnosis or the Mini-COG screening tool), 68% women, mean age 81.6 (SD = 5.8) yo. Participants were mostly independent in Activities of Daily Living (mean Barthel = 92.4, SD = 11.1). The physical activity program showed high adherence (87.6% attended ≥ 75% sessions). At three months, there was a clinically and statistically significant improvement in the Short Physical Performance Battery (SPPB) and its subcomponents in the whole sample and after stratification for CI [CI group improvements: SPPB = 1.1 (SD = 1.8) points, gait speed (GS) = 0.05 (SD = 0.13) m/s, Chair stand test (CST)=-2.6 (SD = 11.4) s. Non-CI group improvements: SPPB = 1.6 (SD = 1.8) points, GS = 0.08 (SD = 0.13) m/s, CST=-6.4 (SD = 12.1) seg]. SPPB and gait speed remained stable at six months in the study sample and subgroups. CI had no significant impact on SPPB or GS improvements. Conclusion: Our results suggest that older adults with CI can benefit from a multidisciplinary integrated and comprehensive geriatric intervention to improve physical function, a component of frailty.en
dc.description.sponsorshipThis work was supported by the Instituto de Salud Carlos III (FRONT STAGE, PI 19/00734).en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationArnal, C., Pérez, L. M., Soto, L., Casas Herrero, Á., Ars, J., Baró, S., Díaz, F., Abilla, A., Enfedaque, M. B., Cesari, M., Inzitari, M. (2023) Impact on physical function of the +AGIL Barcelona program in community-dwelling older adults with cognitive impairment: an interventional cohort study. BMC Geriatrics, 23(1), 1-10. https://doi.org/10.1186/s12877-023-04292-4.en
dc.identifier.doi10.1186/s12877-023-04292-4
dc.identifier.issn1471-2318
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/48079
dc.language.isoengen
dc.publisherBMCen
dc.relation.ispartofBMC Geriatrics (2023), vol. 23(1)es_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII)/PI19%2F00734/ES/
dc.relation.publisherversionhttps://doi.org/10.1186/s12877-023-04292-4
dc.rights© The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAgeden
dc.subjectCognition disordersen
dc.subjectCommunity-dwellingen
dc.subjectMulticomponent exercise programen
dc.subjectPhysical functional performanceen
dc.titleImpact on physical function of the +AGIL Barcelona program in community-dwelling older adults with cognitive impairment: an interventional cohort studyen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication67dfcd6b-a693-478c-98be-f4b7c5bed42d
relation.isAuthorOfPublication.latestForDiscovery67dfcd6b-a693-478c-98be-f4b7c5bed42d

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