Programa de Intervención Multidominio Healthy-Age. Recomendaciones para un envejecimiento saludable: por la red Healthy-Age (Multidomain Healthy-Age Programme. Recomendations for Healthy Ageing: On Behalf of the Healthy-Age Network)
DOI:
https://doi.org/10.12800/ccd.v16i48.1743Palabras clave:
Multicomponente, ejercicio, actividad física, mayores, salud, calidad de vida (Multi-component, exercise, physical activity, older adults, health, quality of life)Resumen
El envejecimiento es un proceso natural asociado a un declive que repercute en un mayor riesgo de padecer discapacidad física y cognitiva, y/o afección emocional y social. En consecuencia, diversos estudios muestran los múltiples beneficios de los programas de entrenamiento multicomponente. Además, las directrices actuales amplían este enfoque hacia los programas multidominio. Por ello, el objetivo de este trabajo es presentar el programa de intervención multidominio Healthy-Age que sigue las recomendaciones de las principales instituciones y literatura científica e incluye los principales dominios (físico, social, cognitivo y motivacional) en las personas mayores. Su finalidad es la de prevenir, mantener o mejorar la salud integral (física, psíquica, emocional y social) y educarles para un envejecimiento saludable. Además de incluir unas recomendaciones generales de actividad física, se muestran recomendaciones para el entrenamiento de la resistencia aeróbica, el equilibrio, la coordinación, la fuerza y resistencia muscular, la flexibilidad y el entrenamiento cognitivo; y se presentan dos modalidades; un plan de 5 días supervisado y un plan de 3 días supervisado más 2 días autónomo.
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Ageing is a natural process associated with a decline that results in an increased risk of physical and cognitive disability and/or emotional and sentimental impairment. Consequently, several studies show the multiple benefits of multi-component training programmes. The current guidelines extend this approach to multi-domain programmes. For this reason, the objective of this paper is to present the Healthy-Age multi-domain intervention programme that follows the recommendations of the main institutions and scientific literature and includes the main domains (physical, social, cognitive and motivational) in older people. Its purpose is to prevent, maintain or improve the overall health (physical, psychological, emotional and social level) for a healthy ageing. In addition to including general recommendations of physical activity, recommendations are shown for aerobic resistance, balance, coordination, muscular strength and resistance, flexibility and cognitive training; and two modalities are presented; a 5-day supervised plan and a 3-day supervised plan plus 2 autonomous days.
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Amaro Gahete, F. J., De La O, A., Jurado Fasoli, L., Castillo, M. J., & Gutierrez, A. (2017). Fitness Assessment as an Anti-Aging Marker: A Narrative Review. Journal of Gerontology & Geriatric Research, 06(06). https://doi.org/10.4172/2167-7182.1000455
American College of Sports Medicine (ACSM). (2017). ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
Baker, M. K., Atlantis, E., & Fiatarone Singh, M. A. (2007). Multi-modal exercise programs for older adults. Age and Ageing, 36(4), 375–381.
Booth, F. W., Roberts, C. K., & Laye, M. J. (2011). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211.
Borbón-Castro, N. A., Castro-Zamora, A. A., CRUZ-CASTRUITA, R., TAKAHIRO, S., BANDA-SAUCEDA, N. C., & DE LA CRUZ-ORTEGA, M. F. (2019). The effects of a multidimensional exercise program on health behavior and biopsychological factors in Mexican older adults. Frontiers in Psychology, 10, 2668.
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
Cadore, E. L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gómez, M., … Izquierdo, M. (2014). Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age, 36(2), 773–785. https://doi.org/10.1007/s11357-013-9586-z
Cadore, E. L., Moneo, A. B. B., Mensat, M. M., Muñoz, A. R., Casas-Herrero, A., Rodriguez-Mañas, L., & Izquierdo, M. (2014). Positive effects of resistance training in frail elderly patients with dementia after long-term physical restraint. Age, 36(2), 801–811.
Coley, N., Ngandu, T., Lehtisalo, J., Soininen, H., Vellas, B., Richard, E., … Olivier-Abbal, P. (2019). Adherence to multidomain interventions for dementia prevention: Data from the FINGER and MAPT trials. Alzheimer’s and Dementia, 15(6), 729–741. https://doi.org/10.1016/j.jalz.2019.03.005
Dedeyne, L., Deschodt, M., Verschueren, S., Tournoy, J., & Gielen, E. (2017, May 24). Effects of multi-domain interventions in (pre)frail elderly on frailty, functional, and cognitive status: A systematic review. Clinical Interventions in Aging. Dove Medical Press Ltd. https://doi.org/10.2147/CIA.S130794
Edmunds, J., Ntoumanis, N., & Duda, J. L. (2006). A test of self-determination theory in the exercise domain. Journal of Applied Social Psychology, 36(9), 2240–2265. https://doi.org/10.1111/j.0021-9029.2006.00102.x
Etxeberria, I., Etxebarria, I., & Urdaneta, E. (2018). Profiles in emotional aging: does age matter? Aging & Mental Health, 22(10), 1304–1312.
Ferrand, C., Nasarre, S., Hautier, C., & Bonnefoy, M. (2012). Aging and well-being in French older adults regularly practicing physical activity: A self-determination perspective. Journal of Aging and Physical Activity, 20(2), 215–230. https://doi.org/10.1123/japa.20.2.215
Ferrucci, L., Gonzalez-Freire, M., Fabbri, E., Simonsick, E., Tanaka, T., Moore, Z., … de Cabo, R. (2020). Measuring biological aging in humans: A quest. Aging Cell, 19(2), e13080. https://doi.org/10.1111/acel.13080
García-Hermoso, A., Ramírez-Vélez, R., Celis-Morales, C. A., Olloquequi, J., & Izquierdo, M. (2018). Can physical activity attenuate the negative association between sitting time and cognitive function among older adults? A mediation analysis. Experimental Gerontology, 106, 173–177.
Gianoudis, J., Bailey, C. A., Ebeling, P. R., Nowson, C. A., Sanders, K. M., Hill, K., & Daly, R. M. (2014). Effects of a targeted multimodal exercise program incorporating high‐speed power training on falls and fracture risk factors in older adults: a community‐based randomized controlled trial. Journal of Bone and Mineral Research, 29(1), 182–191.
Hardman, A. E., & Stensel, D. J. (2009). Physical activity and health : the evidence explained. Routledge.
Izquierdo, M. (2019). Multicomponent physical exercise program: Vivifrail. Nutricion Hospitalaria, 36(Spec No2), 50–56.
Lau, M. Y., Chau, K. F., Lee, M. P., Tam, K. F., Chau, M. W., Chan, C. M., … Chao, Y. L. (2015). Multimodal exercise program for promoting physical and cognitive health in people with mild to moderate dementia: a feasibility study. Physiotherapy, 101, e913–e914.
Loyen, A., Van Hecke, L., Verloigne, M., Hendriksen, I., Lakerveld, J., Steene-Johannessen, J., … Ekelund, U. (2016). Variation in population levels of physical activity in European adults according to cross-European studies: a systematic literature review within DEDIPAC. International Journal of Behavioral Nutrition and Physical Activity, 13(1), 72.
Lu, Y., Niti, M., Yap, K. B., Tan, C. T. Y., Zin Nyunt, M. S., Feng, L., … Ng, T. P. (2019). Assessment of Sarcopenia Among Community-Dwelling At-Risk Frail Adults Aged 65 Years and Older Who Received Multidomain Lifestyle Interventions: A Secondary Analysis of a Randomized Clinical Trial. JAMA Network Open, 2(10), e1913346. https://doi.org/10.1001/jamanetworkopen.2019.13346
Lübcke, A., Martin, C., & Hellström, K. (2012). Older Adults’ Perceptions of Exercising in a Senior Gym. Activities, Adaptation and Aging, 36(2), 131–146. https://doi.org/10.1080/01924788.2012.673157
Lunenfeld, B. (2008). An Aging World - Demographics and challenges. Gynecological Endocrinology, 24(1), 1–3. https://doi.org/10.1080/09513590701718364
Marcos-Pardo, P. J., Martínez-Rodríguez, A., & Gil-Arias, A. (2018). Impact of a motivational resistance-training programme on adherence and body composition in the elderly. Scientific Reports, 8(1), 1370. https://doi.org/10.1038/s41598-018-19764-6
Marcos Pardo, P. J., Castrillón, F. J. O., Pedreño, N. B., & Moreno-Murcia, J. A. (2014). Motivación autodeterminada en adultos mayores practicantes de ejercicio físico. Cuadernos de Psicología Del Deporte. https://doi.org/10.4321/s1578-84232014000300016
Molina, G. C., Vallejos, F. C., Quiroz, N. S., & Cisternas, Y. C. (2017). Efectos de un programa de estimulación físico-cognitiva sobre la autopercepción de la funcionalidad en adultos mayores. Ciencias de La Actividad Física UCM, 18(2), 1–12.
Mulasso, A., Roppolo, M., Liubicich, M. E., Settanni, M., & Rabaglietti, E. (2015). A multicomponent exercise program for older adults living in residential care facilities: direct and indirect effects on physical functioning. Journal of Aging and Physical Activity, 23(3), 409–416.
Navaratnarajah, A., & Jackson, S. H. D. (2013). The physiology of ageing. Medicine, 41(1), 5–8.
Ngandu, T., Lehtisalo, J., Solomon, A., Levälahti, E., Ahtiluoto, S., Antikainen, R., … Laatikainen, T. (2015). A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. The Lancet, 385(9984), 2255–2263.
Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine - Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine and Science in Sports. https://doi.org/10.1111/sms.12581
Pereira, M. P., Ferreira, M. D. T. de O., Caetano, M. J. D., Vitório, R., Lirani-Silva, E., Barbieri, F. A., … Gobbi, L. T. B. (2012). Long-term multimodal exercise program enhances mobility of patients with Parkinson’s disease. ISRN Rehabilitation, 2012.
Pinheiro, M. B., Oliveira, J., Bauman, A., Fairhall, N., Kwok, W., & Sherrington, C. (2020). Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 150. https://doi.org/10.1186/s12966-020-01040-4
Rosenberg, A., Ngandu, T., Rusanen, M., Antikainen, R., Bäckman, L., Havulinna, S., … Levälahti, E. (2018). Multidomain lifestyle intervention benefits a large elderly population at risk for cognitive decline and dementia regardless of baseline characteristics: The FINGER trial. Alzheimer’s & Dementia, 14(3), 263–270.
Salthouse, T. (2012). Consequences of age-related cognitive declines. Annual Review of Psychology, 63, 201–226.
Sayers, S. P. (2008). High Velocity Power Training in Older Adults. Current Aging Sciencee, 1(1), 62–67. https://doi.org/10.2174/1874609810801010062
Sherrington, C., Fairhall, N., Kwok, W., Wallbank, G., Tiedemann, A., Michaleff, Z. A., … Bauman, A. (2020). Evidence on physical activity and falls prevention for people aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. The International Journal of Behavioral Nutrition and Physical Activity, 17(1), 144. https://doi.org/10.1186/s12966-020-01041-3
Thiel, A., Seiberth, K., & Mayer, J. (2017). Ageing societies and physical activity. Taylor & Francis.
Trautwein, S., Barisch-Fritz, B., Scharpf, A., Ringhof, S., Stein, T., Krell-Roesch, J., & Woll, A. (2020). Effects of a 16-week multimodal exercise program on gait performance in individuals with dementia: a multicenter randomized controlled trial. BMC Geriatrics, 20(1), 1–19.
Trautwein, S., Scharpf, A., Barisch-Fritz, B., Niermann, C., & Woll, A. (2017). Effectiveness of a 16-week multimodal exercise program on individuals with dementia: study protocol for a multicenter randomized controlled trial. JMIR Research Protocols, 6(3), e35.
United Nations. Department of Economic and Social Affairs Population Division. (2019). World Population Prospects 2019: Highlights.
Vance, D. E., Wadley, V. G., Ball, K. K., Roenker, D. L., & Rizzo, M. (2005). The effects of physical activity and sedentary behavior on cognitive health in older adults. Journal of Aging and Physical Activity, 13(3), 294–313.
Whitney, S. L., Ellis, J., Otis, L., & Marchetti, G. (2019). A Multidimensional Exercise Program in the Home for Older Adults Designed to Improve Function. Home Health Care Management & Practice, 31(3), 147–154.
World Health Organization. (2010). Recomendaciones Mundiales sobre Actividad Física para la Salud. Geneva: WHO Library Cataloguing-in-Publication. Retrieved from http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Recomendaciones+Mundiales+sobre+activ
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