Implementing regular physical activity for older individuals in the family strategy program using the RE-AIM framework to ensure feasibility and sustainability: EISI study protocol.

The EISI study protocol aims to address the low participation rate in physical exercise programs among older individuals, emphasizing its significance as a non-pharmacological therapeutic approach for overall health and increased physical activity. The objectives include implementing physical activity (PA) and educational health programs in Jequié, Bahia, Brazil, targeting the Family Health Strategy population to enhance local physical activity levels among older individuals. The study also seeks to evaluate the program's feasibility, safety, and sustainability for large-scale implementation, along with assessing its impact on immune and inflammatory response biomarkers to the SARS-CoV virus, as well as physical-functional and brain health. Participants, aged 60 or above, will be divided into two groups: multicomponent exercise (MCE) and behavioral change interventions (BCI). The study employs a mixed-method approach, utilizing a non-randomized controlled short-term pathway model for a 4-8 weeks of pilot study and 16-week intervention impact assessment. Data collection encompasses various aspects such as sociodemographic information, mental health, physical fitness, fall risk, functional capacity, anthropometric measurements, hemodynamic assessment, habitual physical activity, and health-related quality of life. Blood and saliva samples are collected for cytokine and antibody biomarker analysis related to SARS-CoV immunity. Pre- and post-intervention evaluations for both groups will be conducted, with the hypothesis that MCE will yield more favorable responses compared to BCI. The study's holistic approach, including the assessment of feasibility, safety, and sustainability, aims to contribute to achieving Sustainable Development Goals (SDG) 3 and SDG 9 b y promoting accessible and sustainable healthcare initiatives for older individuals. This research aligns with global efforts to enhance health and well-being, emphasizing the importance of regular exercise in the aging population.

Strength and ability to implement the activities of daily living in elderly resident in rural areas.

OBJECTIVE: To examine the association between muscle strength and the ability to perform basic and instrumental activities of daily living in elderly resident in rural areas of Jequie, Brazil. METHODS: We performed a cross-sectional design study with a population of 104 individuals aged sixty or older, registered in the Family Health Unit of the district of Itajuru, Jequie-Brazil. Data collection was performed using a standardized instrument used as an interview, followed by the application of tests (bending arm with dumbbell and rising from a chair 30 sec). The basic and instrumental activities of daily living were investigated through the Katz and Lawton scales, respectively. The chi-square test with p ≤0.05 was used as a measure of statistical significance for bivariate analyzes between muscle strength and ability to perform daily activities. RESULTS: The results showed a significant association between muscle strength and dynamic ability to perform activities of daily living. CONCLUSION: Reduced muscle strength is an important predictor of the functional ability of the elderly. Accordingly, it is recommended to observe muscle strength in actions directed at the elderly. OBJETIVO: Analizar la asociación entre la fuerza muscular y la capacidad para la realización de las actividades básicas e instrumentales de la vida diaria en ancianos residentes de la zona rural del municipio de Jequie, Brasil. MÉTODOS: Estudio de corte transversal, en una población de 104 individuos mayores a sesenta años, registrados en la Unidad de Salud de Familia del Distrito Itajurú, Jequié, Brasil. La recolección de los datos se realizó mediante una entrevista usando un instrumento estandarizado, después de la aplicación del test (brazo doblado con una pesa y levantarse de una silla en 30 seg. Las actividades básicas e instrumentales de la vida diaria fueron investigadas usando las escalas de Katz y Lawton, respectivamente. La significancia estadística para los análisis bivariados entre la fuerza muscular y la habilidad para realizar las actividades diarias se determinó usando la prueba de chi-cuadrado. RESULTADOS: Se encontró una asociación significante entre la fuerza muscular y la habilidad dinámica para realizar las actividades de la vida diaria. CONCLUSIÓN: La reducción de la fuerza muscular es un importante predictor de la habilidad funcional en los ancianos. De acuerdo a esto es importante se recomienda observar la fuerza muscular en las acciones dirigidas en los ancianos.

Strength and ability to implement the activities of daily living in elderly resident in rural areas / Fuerza y capacidad de realizar actividades de la vida diaria en ancianos residentes en la zona rural

Abstract Objective: To examine the association between muscle strength and the ability to perform basic and instrumental activities of daily living in elderly resident in rural areas of Jequie, Brazil. Methods: We performed a cross-sectional design study with a population of 104 individuals aged sixty or older, registered in the Family Health Unit of the district of Itajuru, Jequie-Brazil. Data collection was performed using a standardized instrument used as an interview, followed by the application of tests (bending arm with dumbbell and rising from a chair 30 sec). The basic and instrumental activities of daily living were investigated through the Katz and Lawton scales, respectively. The chi-square test with p ≤0.05 was used as a measure of statistical significance for bivariate analyzes between muscle strength and ability to perform daily activities. Results: The results showed a significant association between muscle strength and dynamic ability to perform activities of daily living. Conclusion: Reduced muscle strength is an important predictor of the functional ability of the elderly. Accordingly, it is recommended to observe muscle strength in actions directed at the elderly.

Resumen Objetivo: Analizar la asociación entre la fuerza muscular y la capacidad para la realización de las actividades básicas e instrumentales de la vida diaria en ancianos residentes de la zona rural del municipio de Jequie, Brasil. Métodos: Estudio de corte transversal, en una población de 104 individuos mayores a sesenta años, registrados en la Unidad de Salud de Familia del Distrito Itajurú, Jequié, Brasil. La recolección de los datos se realizó mediante una entrevista usando un instrumento estandarizado, después de la aplicación del test (brazo doblado con una pesa y levantarse de una silla en 30 seg. Las actividades básicas e instrumentales de la vida diaria fueron investigadas usando las escalas de Katz y Lawton, respectivamente. La significancia estadística para los análisis bivariados entre la fuerza muscular y la habilidad para realizar las actividades diarias se determinó usando la prueba de chi-cuadrado. Resultados: Se encontró una asociación significante entre la fuerza muscular y la habilidad dinámica para realizar las actividades de la vida diaria. Conclusión: La reducción de la fuerza muscular es un importante predictor de la habilidad funcional en los ancianos. De acuerdo a esto es importante se recomienda observar la fuerza muscular en las acciones dirigidas en los ancianos.