Relationship of the SITLESS intervention on medication use in community-dwelling older adults : an exploratory study
Viegas, R. (University of Lisbon)
Alves da Costa, F. (Egas Moniz School of Health and Science)
Mendes, R. (Administração Regional de Saúde do Norte)
Deidda, Manuela (University of Glasgow)
McIntosh, E. (University of Glasgow)
Sansano-Nadal, O. (Universitat Rovira i Virgili)
Magaña, J.C. (Universitat Ramon Llull)
Rothenbacher, D. (Ulm University)
Denkinger, Michael (Ulm University Medical Centre)
Caserotti, P. (University of Southern Denmark)
Tully, M.A. (University of Ulster)
Roqué i Figuls, Marta (Institut d'Investigació Biomèdica Sant Pau)
Giné-Garriga, M. (Universitat Ramon Llull)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Sedentary 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. This 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. A 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. The 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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Intervention ; Medication use ; Older adults ; Physical activity ; Primary health care ; Sedentary behavior
Publicat a:	Frontiers in Public Health, Vol. 11 (2023) , p. 1238842, ISSN 2296-2565

DOI: 10.3389/fpubh.2023.1238842
PMID: 38035303

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