Características de la adherencia y motivos del abandono de las intervenciones basadas en el ejercicio físico en adultos mayores en América Latina: una revisión de alcance (Adherence characteristics and reasons for abandonment of physical exercise-based in
Una revisión de alcance
DOI:
https://doi.org/10.47197/retos.v44i0.89359Palabras clave:
Envejecido, Ejercicio, Adherencia y Cumplimiento del Tratamiento, América Latina, Revisión de Alcance, (Aged; Exercise; Treatment Adherence and Compliance; Latin America; Scoping Review)Resumen
Esta revisión describe las características de adherencia y motivos de abandono de las intervenciones basadas en ejercicio físico en adultos mayores en América Latina. Esta revisión de alcance se realizó de acuerdo con la declaración PRISMA. Los artículos fueron buscados en MEDLINE por PubMed, ELSEVIER por SCOPUS y SciELO. Los términos MeSH "Ejercicio", Terapia de ejercicio "y" Anciano "se utilizaron entre 2015 y 2020. Se buscaron artículos en español, inglés y portugués realizados en personas de 65 años o más. Se incluyeron 101 de 4.642 ensayos aleatorizados controlados (ECA), en una muestra total de 5.013 adultos mayores (79% mujeres), con una edad promedio de 68,2 años, que iniciaron sus estudios finalizando 4.312, presentando una adherencia a las intervenciones del 86%. La mayoría de los estudios fueron realizado en adultos mayores sanos, en lugares habilitados para la práctica de actividad física, a cargo de un profesional de actividad física, y las intervenciones se realizaron a través de ejercicio terapéutico grupal. Ningún artículo reportó información sobre el tiempo mínimo de participación a la sesión Sólo el 30% de los artículos informaron la participación mínima de los adultos mayores en la intervención para incluirlos en el análisis del estudio, y el 21% informó el número medio de sesiones. atendidos a la intervención. Los principales motivos de abandono fueron causas personales ajenas a la intervención. Solo el 5% de los artículos reportaron lesión de uno de los participantes (en dos de ellos la lesión estuvo relacionada con la intervención aplicada). Esta revisión caracterizó los programas de ejercicio físico en adultos mayores en América Latina, así como las características de adherencia y los principales motivos de abandono a las intervenciones basadas en ejercicio físico, al resumir la evidencia disponible derivada de ECA.
Abstract. This review describes the adherence characteristics and reasons for abandonment physical exercise-based interventions in older adults in Latin America. This scoping review was conducted in accordance with the PRISMA statement. Articles were searched in MEDLINE by PubMed, ELSEVIER by SCOPUS and SciELO. The MeSH terms "Exercise", Exercise Therapy" and "Aged" were used between 2015 and 2020. We searched for articles in Spanish, English, and Portuguese carried out in people aged 65 years and over.101 out of 4,642 randomized controlled trials (RCT) were included. A total sample of 5,013 older adults (79% women), with an average age of 68.2 years started their studies and 4,312 finished it, presenting an adherence to the interventions of 86%. Most of the studies were carried out in healthy older adults, in places enabled for the practice of physical activity, in charge of a physical activity professional, and the interventions were performed carried out through group therapeutic exercise. No article reported information on the minimum time of participation to the session to be considered as carried out. Only 30% of the articles reported the minimum participation of older adults in the intervention to include them in the study analysis, and 21% reported the average number of sessions attended to the intervention. The main reasons for abandonment were personal causes unrelated to the intervention. Only 5% of the articles reported injury of one of the participants (in two of them the injury was related to the intervention applied). This review characterized the physical exercise programs in older adults in Latin America, as well the adherence characteristics and the main reasons for abandonment to physical exercise-based interventions, by summarizing available evidence derived from RCTs.
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Derechos de autor 2021 Igor Cigarroa, Rafael Zapata-Lamana, Gonzalo Leiva-Gajardo, Eduardo Vasquez, Eva Parrado-Romero, Jaime Vásquez-Gomez, Cristian Alvarez, Fanny Petermann-Rocha, Daniel Reyes-Molina
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