1. The impact of loneliness and social isolation on the benefits of an exercise program with hospitalised older adults.
- Author
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Martínez-Velilla N, Sáez de Asteasu ML, Zambom-Ferraresi F, Galbete A, Marín-Epelde I, Ferrara MC, Yanguas-Lezaún J, and Izquierdo M
- Subjects
- Humans, Male, Female, Aged, 80 and over, Aged, Spain, Exercise Therapy methods, Geriatric Assessment, Exercise psychology, Depression epidemiology, Prevalence, Loneliness psychology, Social Isolation psychology, Quality of Life, Hospitalization statistics & numerical data
- Abstract
Objectives: This study aimed to assess the prevalence and impact of loneliness (De Jong Gierveld scale) and isolation (Lubben scale) on the effects of a hospital-based exercise programme., Design: Secondary analysis of a randomised clinical trial., Setting: Acute Geriatric Unit of a tertiary hospital in Spain., Participants: 103 hospitalised older adults., Intervention: Individualised multicomponent exercise program (20-minute sessions twice a day for 3 consecutive days)., Results: Among the 103 randomised patients included in the analysis (both arms included), 58.3% were male, and their mean age was 87.3 (4.5) years. According to the Lubben scale, 15.8% of patients were at risk of isolation, while 62.7% were in a situation of severe or moderate loneliness according to the De Jong Gierveld scale. In the non-isolated group, training showed a substantial positive impact on Geriatric Depression Scale (B = -1.25, 95% CI = -0.24 to -0.27). In the isolated group, all outcomes improved, but only the Quality of Life showed significant changes (B = 35, 95% CI = 4.96-35.8). The SPPB test (B = 1.62, 95% CI = 0.19-3.04) and Quality of Life, (B = 17.1, 95% CI = 1.84-32.3) showed a significant improvement in the non-loneliness exercise group while no differences were found in the loneliness group., Conclusion: Despite the high prevalence of loneliness and social isolation, individualised exercise programs provide significant benefits to hospitalised patients, especially in quality of life., (Copyright © 2024. Published by Elsevier Masson SAS.)
- Published
- 2024
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