Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain
(1) Background: Falls are a significant health problem among older adults, and can result in severe injuries, disability, and even death. In Spain, the prevalence of falls is lower if the person lives in the community than if they are institutionalized. Research has shown that exercise is an effecti...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-03-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/11/7/998 |
| _version_ | 1797607917273219072 |
|---|---|
| author | Ana Covadonga González-Pisano Maria Consuelo Company-Sancho Eva Abad-Corpa Maria Cristina Solé-Agusti Maria Ángeles Cidoncha-Moreno Marta M Pisano González |
| author_facet | Ana Covadonga González-Pisano Maria Consuelo Company-Sancho Eva Abad-Corpa Maria Cristina Solé-Agusti Maria Ángeles Cidoncha-Moreno Marta M Pisano González |
| author_sort | Ana Covadonga González-Pisano |
| collection | DOAJ |
| description | (1) Background: Falls are a significant health problem among older adults, and can result in severe injuries, disability, and even death. In Spain, the prevalence of falls is lower if the person lives in the community than if they are institutionalized. Research has shown that exercise is an effective strategy for reducing the risk of falls among older adults. The objective of this study was to study the influence of a multicomponent exercise intervention on falls in people between 65 and 80 years of age despite the presence of diseases and drug use that are risk factors for falls; (2) Methods: This is a quasi-experimental study that focuses on people aged 65–80 who attended 21 primary healthcare centres. Target: Inclusion criteria were people between 65 and 80 years of age, living in the community with independent ambulation, and who were served by the healthcare centre of their region. Variables analysed: The number and characteristics of falls, sociodemographic, drug use, and previous diseases; (3) Results: The drugs associated with falls are benzodiazepines (OR 2.58), vasodilators (OR = 2.51), and psychotropics (OR = 1.61). For one of the years, a relationship was found between the consumption of antidepressants and falls (OR = 1.83). The associated diseases were mental and behavioural (OR = 2.53); (4) Discussion: The intervention has been related to the reduction in falls in people who consumed benzodiazepines, vasodilators, and psychotropics and in people with mental disorders; (5) Conclusion: This research concludes the importance of the implementation of the Otago Exercise Programme in the prevention of falls in the elderly. |
| first_indexed | 2024-03-11T05:37:17Z |
| format | Article |
| id | doaj.art-e09ae10bffe74faa97e9518ca2d0ac06 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T05:37:17Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-e09ae10bffe74faa97e9518ca2d0ac062023-11-17T16:43:57ZengMDPI AGHealthcare2227-90322023-03-0111799810.3390/healthcare11070998Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in SpainAna Covadonga González-Pisano0Maria Consuelo Company-Sancho1Eva Abad-Corpa2Maria Cristina Solé-Agusti3Maria Ángeles Cidoncha-Moreno4Marta M Pisano González5Research Group “Community Health and Active Aging”, Biosanitary Research Institute of the Principality of Asturias, Primary Care, Ministry of Health, Asturias, 33006 Oviedo, SpainHealth Promotion Service, Directorate General for Public Health, Canary Islands Health Service, 35003 Las Palmas de Gran Canaria, SpainNursing and Healthcare Research Unit (Investén-Isciii), CIBER of Frailty and Healthy Aging (CIBER-FES), 30011 Murcia, SpainMurcia Health Service, Coordinator of the EIR AFYC Murcia East Program, 30100 Murcia, SpainOsakidetza-Basque Health Service, Subdirectorate of Nursing, 01006 Vitoria-Gasteiz, SpainGeneral Direction of Care, Humanization and Social and Health Care, Principado de Asturias, Biosanitary Research Institute of the Principality of Asturias, Ministry of Health, 33006 Oviedo, Spain(1) Background: Falls are a significant health problem among older adults, and can result in severe injuries, disability, and even death. In Spain, the prevalence of falls is lower if the person lives in the community than if they are institutionalized. Research has shown that exercise is an effective strategy for reducing the risk of falls among older adults. The objective of this study was to study the influence of a multicomponent exercise intervention on falls in people between 65 and 80 years of age despite the presence of diseases and drug use that are risk factors for falls; (2) Methods: This is a quasi-experimental study that focuses on people aged 65–80 who attended 21 primary healthcare centres. Target: Inclusion criteria were people between 65 and 80 years of age, living in the community with independent ambulation, and who were served by the healthcare centre of their region. Variables analysed: The number and characteristics of falls, sociodemographic, drug use, and previous diseases; (3) Results: The drugs associated with falls are benzodiazepines (OR 2.58), vasodilators (OR = 2.51), and psychotropics (OR = 1.61). For one of the years, a relationship was found between the consumption of antidepressants and falls (OR = 1.83). The associated diseases were mental and behavioural (OR = 2.53); (4) Discussion: The intervention has been related to the reduction in falls in people who consumed benzodiazepines, vasodilators, and psychotropics and in people with mental disorders; (5) Conclusion: This research concludes the importance of the implementation of the Otago Exercise Programme in the prevention of falls in the elderly.https://www.mdpi.com/2227-9032/11/7/998prevent fallsexerciseprimary healthcare |
| spellingShingle | Ana Covadonga González-Pisano Maria Consuelo Company-Sancho Eva Abad-Corpa Maria Cristina Solé-Agusti Maria Ángeles Cidoncha-Moreno Marta M Pisano González Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain Healthcare prevent falls exercise primary healthcare |
| title | Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain |
| title_full | Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain |
| title_fullStr | Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain |
| title_full_unstemmed | Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain |
| title_short | Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain |
| title_sort | relationship between falls and the use of medications and diseases in an otago exercise programme in old people living in the community in spain |
| topic | prevent falls exercise primary healthcare |
| url | https://www.mdpi.com/2227-9032/11/7/998 |
| work_keys_str_mv | AT anacovadongagonzalezpisano relationshipbetweenfallsandtheuseofmedicationsanddiseasesinanotagoexerciseprogrammeinoldpeoplelivinginthecommunityinspain AT mariaconsuelocompanysancho relationshipbetweenfallsandtheuseofmedicationsanddiseasesinanotagoexerciseprogrammeinoldpeoplelivinginthecommunityinspain AT evaabadcorpa relationshipbetweenfallsandtheuseofmedicationsanddiseasesinanotagoexerciseprogrammeinoldpeoplelivinginthecommunityinspain AT mariacristinasoleagusti relationshipbetweenfallsandtheuseofmedicationsanddiseasesinanotagoexerciseprogrammeinoldpeoplelivinginthecommunityinspain AT mariaangelescidonchamoreno relationshipbetweenfallsandtheuseofmedicationsanddiseasesinanotagoexerciseprogrammeinoldpeoplelivinginthecommunityinspain AT martampisanogonzalez relationshipbetweenfallsandtheuseofmedicationsanddiseasesinanotagoexerciseprogrammeinoldpeoplelivinginthecommunityinspain |