Percepción de adultos mayores chilenos en relación a la salud y el ejercicio físico en pandemia Covid-19 (Perception of Chilean older adults in relation to health and physical exercise in pandemic Covid-19)

  • Aquiles Alejandro Almonacid-Fierro Universidad Católica del Maule, Chile http://orcid.org/0000-0002-8328-017X
  • Manuel Alberto Almonacid Fierro Universidad Autónoma de Chile
Palabras clave: Adultos mayores, Covid-19; ejercicio físico, calidad de vida., (Elderly adults, Covid-19; physical exercise, quality of life)

Resumen

 

El propósito de este artículo es comprender el significado que le otorgan adultos mayores de la zona central de Chile al periodo de la pandemia Covid-19 respecto a la salud y al ejercicio físico. Desde el punto de vista metodológico, la investigación se inscribe en la perspectiva del paradigma interpretativo-comprensivo, a través de metodología cualitativa. Se entrevistó a 17 adultos mayores en dos ocasiones, año 2020 año 2021, las entrevistas se realizaron vía Skipe o video llamada producto de las restricciones impuestas por la autoridad sanitaria, para evitar el contacto físico con los entrevistados. Los hallazgos del estudio dicen relación con los efectos adversos en términos psicosociales, que ha experimentado la población de adultos mayores producto del confinamiento, por otro lado, a pesar de la pandemia, los adultos mayores han mantenido hábitos saludables. En conclusión, se propone profundizar en estudios que permitan mostrar el impacto negativo del encierro en los adultos mayores y de esta manera influir para que el Estado asuma una mejor dirección en las políticas públicas dirigidas a este grupo etario.

Abstract. The purpose of this article is to understand the meaning given by elderly adults in central Chile to the period of the Covid-19 pandemic concerning health and physical exercise. From the methodological perspective, the research is inscribed in the perspective of the interpretative-comprehensive paradigm, through the qualitative methodology. Seventeen seniors were interviewed on two occasions; the year 2020, the year 2021, the interviews were performed via Skype or video call due to the restrictions imposed by the sanitary authority, to avoid physical contact with the interviewees. The results of the study are related to the adverse effects in psychosocial terms that the elderly population has experienced as a result of the confinement, oppositely, despite the pandemic, the seniors have maintained healthy lifestyles. In conclusion, this study proposes further studies to show the negative impact of confinement on elderly adults and, as follows, influence the State to assume a better direction in public policies aimed at this age group.

Biografía del autor/a

Aquiles Alejandro Almonacid-Fierro, Universidad Católica del Maule, Chile

Dr. en Actividad Física por la Universidad de Extremadura, España

Profesor Adjunto Universidad Católica del Maule, Chile 

Manuel Alberto Almonacid Fierro, Universidad Autónoma de Chile

Profesor de Educación Física

Magister en Gerencia Pública 

Citas

Alcañiz, R. N., & González-Moro, I. M. (2020). Valoración del grado de deterioro funcional y fragilidad en adultos mayores activos. Retos: nuevas tendencias en educación física, deporte y recreación, (38), 576-581. https://doi.org/10.47197/retos.v38i38.78252

Anton, S. D., Woods, A. J., Ashizawa, T., Barb, D., Buford, T. W., Carter, C. & Pahor, M. (2015). Successful aging: advancing the science of physical independence in older adults. Ageing Research Reviews, 24, 304-327. https://doi.org/10.1016/j.arr.2015.09.005

Applegate, W. B., & Ouslander, J. G. (2020). COVID‐19 presents high risk to older persons. Journal of the American Geriatrics Society, 68(4), 681. doi: 10.1111/jgs.16426

Ayalon, L., Chasteen, A., Diehl, M., Levy, B., Neupert, S. D., Rothermund, K., & Wahl, H. W. (2020). Aging in times of the COVID-19 pandemic: Avoiding ageism and fostering intergenerational solidarity. The Journals of Gerontology: Series B. https://doi.org/10.1093/geronb/gbaa051

Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5(5), e256. https://doi.org/10.1016/S2468-2667(20)30061-X

Beard, J. R., Officer, A., De Carvalho, I. A., Sadana, R., Pot, A. M., Michel, J. P., & Thiyagarajan, J. A. (2016). The World report on ageing and health: a policy framework for healthy ageing. The Lancet, 387(10033), 2145-2154. https://doi.org/10.1016/S0140-6736(15)00516-4

Berg-Weger, M., & Morley, J. E. (2020). Loneliness and social isolation in older adults during the Covid-19 pandemic: Implications for gerontological social work. J Nutr Health Aging. 24(5):456-458. https://doi.org/10.1007/s12603-020-1366-8

Bengtsson M. (2016) How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2: 8-14. https://doi.org/10.1016/j.npls.2016.01.001

Bonanad, C., García-Blas, S., Tarazona-Santabalbina, F. J., Díez-Villanueva, P., Ayesta, A., Forés, J. S., & Martínez-Sellés, M. (2020). Coronavirus: la emergencia geriátrica de 2020. Documento conjunto de la Sección de Cardiología Geriátrica de la Sociedad Española de Cardiología y la Sociedad Española de Geriatría y Gerontología. Revista Española de Cardiología. 73(7) 569-576. https://doi.org/10.1016/j.recesp.2020.03.027

Bonsdorff M, & Rantanen T. (2011). Progression of functional limitations in relation to physical activity: a life course approach. European Review of Aging and Physical Activity, 8:23–30. https://doi.org/10.1007/s11556-010-0070-9

Brooke, J., & Jackson, D. (2020). Older people and COVID‐19: Isolation, risk and ageism. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.15274

Chou, C. H., Hwang, C. L., & Wu, Y. T. (2012). Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: A meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(2), 237–244. https://doi.org/10.1016/j.apmr.2011.08.042

Cuello-Carballo, M. B., Díaz-Alfonso, H., Cruz-Quesada, J. E., Carbó-Rodríquez, H. L., & Dopico-Ravelo, D. (2020). Caracterización clínico-epidemiológica de los pacientes confirmados con la COVID-19 en Pinar del Río. Revista de Ciencias Médicas de Pinar del Río, 24(5). http://scielo.sld.cu/scielo.php?pid=S1561-31942020000500005&script=sci_arttext&tlng=pt

Crespo, R. M., & Crespo, M. M. (2020). Pandemia COVID-19, la nueva emergencia sanitaria de preocupación internacional: una revisión. Medicina de Familia. SEMERGEN. https://doi.org/10.1016/j.semerg.2020.05.010

Conde-Sala, J. L., Portellano-Ortiz, C., Calvó-Perxas, L., & Garre-Olmo, J. (2017). Quality of life in people aged 65+ in Europe: associated factors and models of social welfare—analysis of data from the SHARE project (Wave 5). Quality of life Research, 26(4), 1059-1070. https://doi.org/10.1007/s11136-016-1436-x

Condeza, A. R., Bastías, G., Valdivia, G., Cheix, C., Barrios, X., Rojas, R., & Fernández, F. (2016). Adultos mayores en Chile: descripción de sus necesidades en comunicación en salud preventiva. Cuadernos. info, (38), 85-104. http://dx.doi.org/10.7764/cdi.38.964

De Carvalho, D. A., Brito, A. F., Dos Santos, M. A. P., de Siqueira Nogueira, F. R., de Moura Sá, G. G., de Oliveira Neto, J. G., & dos Santos, E. P. (2017). Prevalence of physical exercise in the elderly and its relationship with difficulties and lack of specific professional advice. Revista Brasileira de Ciência e Movimento, 25(1), 29-40. http://dx.doi.org/10.18511/rbcm.v25i1.6467

De Oliveira, J. C., Vinhas, W., & Rabello, L. G. (2020). Benefícios do exercício físico regular para idosos. Brazilian Journal of Development, 6(3), 15496-15504. DOI:10.34117/bjdv6n3-429

De Souto Barreto, P., Morley, J. E., Chodzko-Zajko, W., Pitkala, K. H., Weening-Djiksterhuis, E., Rodriguez-Manas, L., & Network, G. (2016). Recommendations on physical activity and exercise for older adults living in long-term care facilities: a taskforce report. Journal of the American Medical Directors Association, 17(5), 381-392. https://doi.org/10.1016/j.jamda.2016.01.021

Dunsky, A. (2019). The effect of balance and coordination exercises on quality of life in older adults: a mini-review. Frontiers in Aging Neuroscience, 11, 318. doi: 10.3389/fnagi.2019.00318

Farajzadeh M, Gheshlagh R, Sayehmiri K. (2017). Health related quality of life in Iranian elderly citizens: a systematic review and meta-analysis. International Journal of Community Based Nursing and Midwifery, 5(2): 100-111. PMC5385233

Faustino, A. M., & Neves, R. (2020). Benefícios da prática de atividade física em pessoas idosas: revisão de literatura. Revista Eletrônica Acervo Saúde, 12(5), e3012-e3012. https://doi.org/10.25248/reas.e3012.2020

Fernández-Ballesteros, R. (2011). Quality of Life in old age. Problematic issues. Applied Research Quality of Life, 10:21-40. https://doi.org/10.1007/s11482-010-9110-x

Flett, G. L., & Heisel, M. J. (2020). Aging and feeling valued versus expendable during the COVID-19 pandemic and beyond: A review and commentary of why mattering is fundamental to the health and well-being of older adults. International Journal of Mental Health and Addiction, 1-27. https://doi.org/10.1007/s11469-020-00339-4

Flick, U. (2018). An introduction to qualitative research. Sage Publications Limited.

Flores R. (2009). Observando observadores: una introducción a las técnicas cualitativas de investigación social. Santiago: Ediciones UC.

Forte, R., Boreham, C. A., De Vito, G., & Pesce, C. (2015). Health and quality of life perception in older adults: the joint role of cognitive efficiency and functional mobility. International Journal of Environmental Research and Public Health, 12(9), 11328-11344. https://doi.org/10.3390/ijerph120911328

Froment, F., & González, A. J. G. (2018). Beneficios de la actividad física sobre la autoestima y la calidad de vida de personas mayores. Retos: nuevas tendencias en educación física, deporte y recreación, (33), 3-9.

Garcia-Molina, A. Carbonell-Baeza, A., & Delgado-Fernández, M. (2010). Health benefits of physical activity in older people. Revista Internacional de Medicina y Ciencias de La Actividad Fisica y Del Deporte, 10(40), 556–576. http://cdeporte.rediris.es/revista/re.

Gibbs, G. (2007). Analyzing qualitative data. Los Angeles, CA: SAGE Publications. http://dx.doi.org/10.4135/9781849208574

Given, L. M. (Ed.). (2008). The Sage encyclopedia of qualitative research methods. Thousand Oaks, CA: SAGE Publications

Graneheim, U. H., Lindgren, B. M., & Lundman, B. (2017). Methodological challenges in qualitative content analysis: A discussion paper. Nurse Education Today, 56, 29-34. https://doi.org/10.1016/j.nedt.2017.06.002

Grossman, E. S., Hoffman, Y. S., Palgi, Y., & Shrira, A. (2020). COVID-19 related loneliness and sleep problems in older adults: Worries and resilience as potential moderators. Personality and individual differences, 168, 110371. https://doi.org/10.1016/j.paid.2020.110371

Hale D, Marshall K. (2017). Physical activity for older adults. Home Healthcare Now, 35(3):172-173. doi: 10.1097/NHH.0000000000000496.

Heredia, N. M., Rodríguez, E. S., & García, A. M. R. (2021). Beneficios de la actividad física para la promoción de un envejecimiento activo en personas mayores: revisión bibliográfica. Retos: nuevas tendencias en educación física, deporte y recreación, (39), 12. http://hdl.handle.net/10481/64030

Huxhold O, Miche M, Schüz B. (2013). Benefits of having friends in older ages: differential effects of informal social activities on well-being in middle-aged and older adults. J Gerontol B Psychol Sci Soc Sci, 69(3):366-75. https://doi.org/10.1093/geronb/gbt029

INE (2018). Censo población y vivienda. Instituto Nacional de Estadística, Chile.

Issa R, Kilpi F, Webber L. (2016). Physical activity and public health: Updated recommendation for adults from the American college of sports medicine and the American heart association. Pakistan Journal of Nutrition, 17(2):1078-1086. doi: 10.1249/mss.0b013e3180616b27

Li, C. I., Lin, C. H., Lin, W. Y., Liu, C. S., Chang, C. K., Meng, N. H., & Lin, C. C. (2014). Successful aging defined by health-related quality of life and its determinants in community- dwelling elders. BMC Public Health, 14(1), 1013. https://doi.org/10.1186/1471-2458-14-1013

Losada-Baltar, A., Jiménez-Gonzalo, L., Gallego-Alberto, L., Pedroso-Chaparro, M. D. S., Fernandes-Pires, J., & Márquez-González, M. (2020). “We’re staying at home”. Association of self-perceptions of aging, personal and family resources and loneliness with psychological distress during the lock-down period of COVID-19. The Journals of Gerontology: Series B. https://doi.org/10.1093/geronb/gbaa048

Machón, M., Larrañaga, I., Dorronsoro, M., Vrotsou, K., & Vergara, I. (2017). Health-related quality of life and associated factors in functionally independent older people. BMC Geriatrics, 17(1), 19. https://doi.org/10.1186/s12877-016-0410-3

Maguiña-Vargas, C., Gastelo Acosta, R., & Tequen Bernilla, A. (2020). El nuevo Coronavirus y la pandemia del Covid-19. Revista Médica Herediana, 31(2), 125-131. http://dx.doi.org/10.20453/rmh.v31i2.3776

Moreira, A., & Costa, A. P. (2016). Introduction: Qualitative Analysis: Quantifying Quality and Qualifying Quantity. The Qualitative Report,21(13), 1-5. fromhttps://nsuworks.nova.edu/tqr/vol21/iss13/1

Morse J. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25(9):1212-1222. https://doi.org/10.1177/1049732315588501

Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85(1), 113-126. https://doi.org/10.1093/bmb/ldn003

Ornell, F. Schuch, J. B., Sordi, A. O., & Kessler, F. H. (2020). Pandemia de medo e Covid-19: impacto na saúde mental e possíveis estratégias. Revista Debates in Psychiatry, 2-7.

Pinazo-Hernandis, S. (2020). Impacto psicosocial de la COVID-19 en las personas mayores: problemas y retos. Revista Española de Geriatría y Gerontología, 55(5), 249-252. https://doi.org/10.1016/j.regg.2020.05.006

Ping, W., Zheng, J., Niu, X., Guo, C., Zhang, J., Yang, H., & Shi, Y. (2020). Evaluation of health-related quality of life using EQ-5D in China during the COVID-19 pandemic. PloS one, 15(6), e0234850. https://doi.org/10.1371/journal.pone.0234850

Pérez Abreu, M. R., Gómez Tejeda, J. J., & Dieguez Guach, R. A. (2020). Características clínico-epidemiológicas de la COVID-19. Revista Habanera de Ciencias Médicas, 19(2). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2020000200005

Rahman, A., & Jahan, Y. (2020). Defining a ‘Risk Group’and Ageism in the Era of COVID-19. Journal of Loss and Trauma, 1-4. https://doi.org/10.1080/15325024.2020.1757993

Ruaro, M. F., Santana, J. O., Gusmão, N., De França, E., Carvalho, B. N., Farinazo, K. B., & Caperuto, É. C. (2019). Effects of strength training with and without blood flow restriction on quality of life in the elderly. Journal of Physical Education and Sport, 19, 787-794. DOI:10.7752/jpes.2019.s3112

Russo, M. J., Kañevsky, A., Leis, A., Iturry, M., Roncoroni, M., Serrano, C., ... & Zuin, D. (2020). Papel de la actividad física en la prevención de deterioro cognitivo y demencia en adultos mayores: una revisión sistemática. Neurología Argentina, 12(2), 124-137. https://doi.org/10.1016/j.neuarg.2020.01.003

Sannicandro, I., Cofano, G., Rosa, R. A., & Colella, D. (2020). The sedentary contrast strategies in the older people during the spread of Covid 19: The Italian experience. Sport Science, 14 (1): 60-64. http://sposci.com/PDFS/BR1401/04%20CL%2010%20IS.pdf

Silverman, D. (2014). Interpreting qualitative data (5th ed.). Los Angeles, CA: SAGE Publications.

Tavares, R. E., Jesus, M. C. P., Machado, D. R., Braga, V. A. S., Tocantins, F. R., & Merighi, M. A. B. (2017). Envelhecimento saudável na perspectiva de idosos: Uma revisão integrativa. Rev Bras Geriatr Gerontol, 20(6), 878-889. DOI: 10.1590/1981-22562017020.170091

Teixeira-Salmela L. (2016). Effects of physical and therapeutic activities on mature and elderly adults. Fisioterapia Brasil, 2(2):99-106. http://dx.doi.org/10.33233/fb.v2i2.628

Torres, Á. F. R., Gaibor, J. A. G., & Pozo, D. I. L. (2020). Los beneficios de la actividad física en la calidad de vida de los adultos mayores. EmásF: Revista Digital de Educación Física, (63), 22-35. file:///C:/Users/10870516/Downloads/Dialnet- -7279808.pdf

Tyndall A, Clark C, Anderson T. (2018). Protective effects of exercise on cognition and brain health in older adults. Exercise and Sport Sciences Reviews, 46(4): 215-223. doi: 10.1249/JES.0000000000000161

Vaismoradi M, Turunen H, Bondas T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3): 398-405. https://doi.org/10.1111/nhs.12048

Van Tilburg, T. G., Steinmetz, S., Stolte, E., van der Roest, H., & de Vries, D. H. (2020). Loneliness and mental health during the COVID-19 pandemic: A study among Dutch older adults. The Journals of Gerontology: Series B. https://doi.org/10.1093/geronb/gbaa111

Vanleerberghe, P., De Witte, N., Claes, C., Schalock, R. L., & Verté, D. (2017). The quality of life of older people aging in place: a literature review. Quality of Life Research, 26(11), 2899-2907. https://doi.org/10.1007/s11136-017-1651-0

Viana, S. A. A., de Lima Silva, M., & de Lima, P. T. (2020). Impacto na saúde mental do idoso durante o período de isolamento social em virtude da disseminação da doença COVID-19: uma revisão literária. Diálogos Em Saúde, 3(1). https://periodicos.iesp.edu.br/index.php/dialogosemsaude/article/view/272/232

Vicentini de Oliveira, D., Magnani Branco, B. H., Costa de Jesus, M., Sepúlveda-Loyola, W., Gonzáles-Caro, H., Morais Freire, G. L., ... & Nascimento Júnior, J. R. (2021). Relación entre la actividad física vigorosa y la composición corporal en adultos mayores. Nutrición Hospitalaria, 38(1), 60-66. https://dx.doi.org/10.20960/nh.03254.

Viladrosa, M., Casanova, C., Ghiorghies, A. C., & Jürschik, P. (2017). El ejercicio físico y su efectividad sobre la condición física en personas mayores frágiles. Revisión sistemática de ensayos clínicos aleatorizados. Revista Española de Geriatría y Gerontología, 52(6), 332-341. https://doi.org/10.1016/j.regg.2017.05.009

Villarreal-Angeles, M. A., Moncada-Jimenez, J., & Ruiz-Juan, F. (2021). Mejora de variables psicológicas en Adultos Mayores mediante Pilates. Retos: nuevas tendencias en educación física, deporte y recreación, (40), 47-52. https://doi.org/10.47197/retos.v1i40.74307

Whitehead B, & Blaxton J. (2017). Daily Well-Being Benefits of Physical Activity in Older Adults: Does Time or Type Matter? Gerontologist, 57(6):1062–1071. https://doi.org/10.1093/geront/gnw250

Williams, G., & Cañon-Montañez, W. (2020). COVID-19: What we’ve learned so far. Revista Cuidarte, 11(2). https://doi.org/10.15649/cuidarte.1225

World Health Organization. (2020). Novel Coronavirus (2019-nCoV) technical guidance.

World Health Organization. (2015). World report on ageing and health.

Publicado
2021-09-24
Cómo citar
Almonacid-Fierro, A., & Almonacid Fierro, M. (2021). Percepción de adultos mayores chilenos en relación a la salud y el ejercicio físico en pandemia Covid-19 (Perception of Chilean older adults in relation to health and physical exercise in pandemic Covid-19). Retos, 42, 947-957. https://doi.org/10.47197/retos.v42i0.89678
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Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas