N. Martínez-Velilla , ML. Sáez de Asteasu , F. Zambom-Ferraresi , A. Galbete , I. Marín-Epelde , MC. Ferrara , J. Yanguas-Lezaún , M. Izquierdo
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Izquierdo","doi":"10.1016/j.jnha.2024.100282","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>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.</p></div><div><h3>Design</h3><p>Secondary analysis of a randomised clinical trial.</p></div><div><h3>Setting</h3><p>Acute Geriatric Unit of a tertiary hospital in Spain.</p></div><div><h3>Participants</h3><p>103 hospitalised older adults.</p></div><div><h3>Intervention</h3><p>Individualised multicomponent exercise program (20-minute sessions twice a day for 3 consecutive days).</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>Despite the high prevalence of loneliness and social isolation, individualised exercise programs provide significant benefits to hospitalised patients, especially in quality of life.</p></div>","PeriodicalId":54778,"journal":{"name":"Journal of Nutrition Health & Aging","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1279770724003695/pdfft?md5=c1e2ef957eb74ce033cd33d81c2ce4a9&pid=1-s2.0-S1279770724003695-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The impact of loneliness and social isolation on the benefits of an exercise program with hospitalised older adults\",\"authors\":\"N. 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引用次数: 0
摘要
目的本研究旨在评估孤独感(De Jong Gierveld量表)和孤立感(Lubben量表)的普遍程度及其对医院运动计划效果的影响。干预个体化多成分运动计划(连续3天,每天两次,每次20分钟)。结果在103名随机纳入分析的患者中(两组均包括在内),58.3%为男性,平均年龄为87.3 (4.5)岁。根据卢本量表,15.8%的患者面临孤独风险,而根据 De Jong Gierveld 量表,62.7%的患者处于严重或中度孤独状态。在非孤独组中,培训对老年抑郁量表(B = -1.25, 95% CI = -0.24至-0.27)产生了显著的积极影响。在隔离组,所有结果都有所改善,但只有生活质量有显著变化(B = 35,95% CI = 4.96-35.8)。SPPB测试(B = 1.62,95% CI = 0.19-3.04)和生活质量(B = 17.1,95% CI = 1.84-32.3)显示,非孤独锻炼组有明显改善,而孤独锻炼组没有发现差异。
The impact of loneliness and social isolation on the benefits of an exercise program with hospitalised older adults
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.
期刊介绍:
There is increasing scientific and clinical interest in the interactions of nutrition and health as part of the aging process. This interest is due to the important role that nutrition plays throughout the life span. This role affects the growth and development of the body during childhood, affects the risk of acute and chronic diseases, the maintenance of physiological processes and the biological process of aging. A major aim of "The Journal of Nutrition, Health & Aging" is to contribute to the improvement of knowledge regarding the relationships between nutrition and the aging process from birth to old age.