Sustained improvement of intrinsic capacity in community-dwelling older adults: The +AGIL Barcelona multidomain program.
J Intern Med
; 294(6): 730-742, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-37574781
ABSTRACT
BACKGROUND:
Different programs promote healthy ageing through the optimization of intrinsic capacity. However, a major challenge is to assess their sustained effects over time. +AGIL Barcelona, a consolidated multidomain program, aims to optimize older adults' intrinsic capacity through a coordinated approach among primary care, geriatrics and community resources, in agreement with the integrated care for older people (ICOPE) guidelines. We aimed to evaluate the +AGIL Barcelona longitudinal effect on older adults' physical performance.METHODS:
All +AGIL Barcelona consecutive participants since 2016 were enrolled. After a comprehensive geriatric assessment, a tailored, multidisciplinary intervention aligned with the ICOPE guidelines is offered. It includes a 10-week boost multicomponent exercise program, nutritional and sleep-hygiene counselling, revision and optimization of pharmacological treatments and screening for cognitive impairment, depression and loneliness. Changes in physical performance after 3 and 6 months were assessed using mixed models including baseline frailty degree, time and all potential significant confounders.RESULTS:
We included 194 participants in the analysis (mean age = 81.6 [standard deviation = 5.8], 68% women). An independent, clinically and statistically significant improvement in physical performance (Short Physical Performance Battery [SPPB] test, combining gait speed, strength and balance) was found at 3 months (SPPB mean change 1.4; 95% CI 1.1-1.6) and 6 months (SPPB mean change 1.1; 95% CI 0.8-1.5). Equivalent results were observed for all the SPPB sub-tests.CONCLUSIONS:
A coordinated, multidisciplinary and integrated program can benefit older adults' intrinsic capacity. The participants' empowerment and the connection with the available community resources are critical points for a successful intervention.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Vida Independente
/
Fragilidade
Tipo de estudo:
Guideline
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article