Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study

BackgroundSedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship bet...

Ausführliche Beschreibung

Bibliographische Detailangaben
Hauptverfasser: Ruben Viegas, Filipa Alves da Costa, Romeu Mendes, Manuela Deidda, Emma McIntosh, Oriol Sansano-Nadal, Juan Carlos Magaña, Dietrich Rothenbacher, Michael Denkinger, Paolo Caserotti, Mark A. Tully, Marta Roqué-Figuls, Maria Giné-Garriga
Format: Artikel
Sprache:English
Veröffentlicht: Frontiers Media S.A. 2023-11-01
Schriftenreihe:Frontiers in Public Health
Schlagworte:
Online Zugang:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1238842/full
_version_ 1827759254986031104
author Ruben Viegas
Filipa Alves da Costa
Filipa Alves da Costa
Romeu Mendes
Romeu Mendes
Manuela Deidda
Emma McIntosh
Oriol Sansano-Nadal
Oriol Sansano-Nadal
Juan Carlos Magaña
Dietrich Rothenbacher
Michael Denkinger
Paolo Caserotti
Mark A. Tully
Marta Roqué-Figuls
Maria Giné-Garriga
Maria Giné-Garriga
author_facet Ruben Viegas
Filipa Alves da Costa
Filipa Alves da Costa
Romeu Mendes
Romeu Mendes
Manuela Deidda
Emma McIntosh
Oriol Sansano-Nadal
Oriol Sansano-Nadal
Juan Carlos Magaña
Dietrich Rothenbacher
Michael Denkinger
Paolo Caserotti
Mark A. Tully
Marta Roqué-Figuls
Maria Giné-Garriga
Maria Giné-Garriga
author_sort Ruben Viegas
collection DOAJ
description BackgroundSedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.MethodThis manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.ResultA sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group (p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time.ConclusionThe findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.
first_indexed 2024-03-11T09:18:30Z
format Article
id doaj.art-021b19a51a6d4e12be5b43b0111b43fb
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-11T09:18:30Z
publishDate 2023-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-021b19a51a6d4e12be5b43b0111b43fb2023-11-16T18:27:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.12388421238842Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory studyRuben Viegas0Filipa Alves da Costa1Filipa Alves da Costa2Romeu Mendes3Romeu Mendes4Manuela Deidda5Emma McIntosh6Oriol Sansano-Nadal7Oriol Sansano-Nadal8Juan Carlos Magaña9Dietrich Rothenbacher10Michael Denkinger11Paolo Caserotti12Mark A. Tully13Marta Roqué-Figuls14Maria Giné-Garriga15Maria Giné-Garriga16Faculty of Pharmacy, iMED, Research Institute for Medicines, University of Lisbon, Lisbon, PortugalFaculty of Pharmacy, iMED, Research Institute for Medicines, University of Lisbon, Lisbon, PortugalEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, PortugalEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, PortugalACES Douro I – Marão e Douro Norte, Administração Regional de Saúde do Norte, Vila Real, PortugalHealth Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing (IHW), University of Glasgow, Glasgow, United KingdomHealth Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing (IHW), University of Glasgow, Glasgow, United KingdomFaculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, SpainSchool of Health and Sport Sciences (EUSES), Rovira i Virgili University, Tarragona, SpainFaculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, SpainInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, GermanyInstitute for Geriatric Research at Agaplesion Bethesda Clinic and Geriatric Centre, Ulm University Medical Centre, Ulm, Germany0Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing, University of Southern Denmark, Odense, Denmark1School of Medicine, University of Ulster, Londonderry, United Kingdom2Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, SpainFaculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain3Faculty of Health Sciences Blanquerna, Universitat Ramon Llull, Barcelona, SpainBackgroundSedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.MethodThis manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.ResultA sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group (p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time.ConclusionThe findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1238842/fullphysical activityolder adultsmedication useinterventionsedentary behaviorprimary health care
spellingShingle Ruben Viegas
Filipa Alves da Costa
Filipa Alves da Costa
Romeu Mendes
Romeu Mendes
Manuela Deidda
Emma McIntosh
Oriol Sansano-Nadal
Oriol Sansano-Nadal
Juan Carlos Magaña
Dietrich Rothenbacher
Michael Denkinger
Paolo Caserotti
Mark A. Tully
Marta Roqué-Figuls
Maria Giné-Garriga
Maria Giné-Garriga
Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
Frontiers in Public Health
physical activity
older adults
medication use
intervention
sedentary behavior
primary health care
title Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
title_full Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
title_fullStr Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
title_full_unstemmed Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
title_short Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study
title_sort relationship of the sitless intervention on medication use in community dwelling older adults an exploratory study
topic physical activity
older adults
medication use
intervention
sedentary behavior
primary health care
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1238842/full
work_keys_str_mv AT rubenviegas relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT filipaalvesdacosta relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT filipaalvesdacosta relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT romeumendes relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT romeumendes relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT manueladeidda relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT emmamcintosh relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT oriolsansanonadal relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT oriolsansanonadal relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT juancarlosmagana relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT dietrichrothenbacher relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT michaeldenkinger relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT paolocaserotti relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT markatully relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT martaroquefiguls relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT mariaginegarriga relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy
AT mariaginegarriga relationshipofthesitlessinterventiononmedicationuseincommunitydwellingolderadultsanexploratorystudy