Efecto del Programa de Ejercicios de Otago en la fragilidad de personas entre 65 y 80 años / Effect of the Otago Exercise Programme on the frailty of people between 65 and 80 years old

Objetivo: Evaluar el efecto del Programa de Ejercicios de Otago en la fragilidad de personas entre 65 y 80 años no institucionalizadas y estudiar factores asociados a la fragilidad. Método: Estudio pre-post test (basal y tras 12 meses) sin grupo control en personas de entre 65-80 años (que viven en la comunidad y con deambulación independiente) tras formarles en el Programa de Ejercicios de Otago en 5 sesiones: semanas 1, 2, 4 y 8, y una sesión de refuerzo a los 6 meses. Los pacientes se seleccionaron en 3 áreas de salud (n=200). La fragilidad se evaluó con la escala FRAIL. Resultados: Las personas que comenzaron el estudio fueron 198 y terminaron el seguimiento de 12 meses 161. La edad promedio de la muestra fue de 72,28 años; predominio del sexo femenino: 64,65%; nivel de estudios bajo 76,50%; personas viviendo solas 24,50%; sobrepeso en el 42% y obesidad grado i en el 32,32%. Se observan diferencias significativas con p=0,023 en el nivel de fragilidad entre el momento basal y a los 12 meses. El análisis exploratorio permitió identificar diferencias significativas antes y después de la intervención por sexo (ser mujer) (p=0,018) y condición de vivir solo (p=0,0468). Conclusiones: El Programa de Ejercicios de Otago presenta resultados positivos en la fragilidad en personas de 65 a 80 años y puede ayudar a mantener la funcionalidad y evitar su deterioro.(AU)

Aim: To evaluate the effect of the Otago Exercise Programme on the frailty of non-institutionalized people between 65 and 80 years of age and study factors associated with frailty. Method: Pre-post test study (baseline and after 12 months) without control group in people aged 65-80 years (living in the community and with independent ambulation) after being trained in the Otago Exercise Programme in 5 sessions: weeks 1, 2, 4 and 8, and a reinforcement session at 6 months. Patients were recruited from 3 health areas (n=200). Frailty was assessed with the FRAIL scale. Results: There were 198 people who started the study and 161 completed the 12-month follow-up. The average age of the sample was 72.28 years; predominance of female sex: 64.65%; low educational level 76.50%; people living alone 24.50%; overweight in 42%, and grade i obesity in 32.32%. Significant differences were observed with a P=.023 in the level of frailty between baseline and 12 months. The exploratory analysis identified significant differences before and after the intervention by sex (being a woman) (P=.018) and condition of living alone (P=.0468). Conclusions: The Otago Exercise Programme shows positive results in frailty in people 65 to 80 years of age and can help maintain function and prevent deterioration.(AU)

Effect of the Otago Exercise Programme on the frailty of people between 65 and 80 years old.

AIM: To evaluate the effect of the Otago Exercise Programme on the frailty of non-institutionalized people between 65 and 80 years of age and study factors associated with frailty. METHOD: Pre-post test study (baseline and after 12 months) without control group in people aged 65-80 years (living in the community and with independent ambulation) after being trained in the Otago Exercise Programme in 5 sessions: weeks 1, 2, 4 and 8, and a reinforcement session at 6 months. Patients were recruited from 3 health areas (n = 200). Frailty was assessed with the FRAIL scale. RESULTS: There were 198 people who started the study and 161 completed the 12-month follow-up. The average age of the sample was 72.28 years; predominance of female sex 64.65%; low educational level 76.50%; people living alone 24.50%; overweight in 42%, and grade I obesity in 32.32%. Significant differences were observed with a P = .023 in the level of frailty between baseline and 12 months. The exploratory analysis identified significant differences before and after the intervention by sex (being a woman) (P = .018) and condition of living alone (P = .0468). CONCLUSIONS: The Otago Exercise Programme prevents positive results in frailty in people 65 to 80 years of age and can help maintain function and prevent deterioration.