Abstract
Purpose: The purpose of this study was to determine the effects of medication usage on physical fitness, balance and quality of life in elderly individuals.
Methods: A total of 88 elderly individuals were enrolled: 49 were women and 39 were men, with a mean age of 72.13±5.3 years. Of these, 75 individuals had at least one chronic illness. Individuals were studied in 3 groups according to his or her number of daily medication usage: those who do not use medication, those who use 1-3 medications per day and those who use 4 or more medications per day. The Senior Fitness Test (Chair Stand Test, Up And Go Test, 2 Minute Step Test, Biceps Curl Test, Chair Sit And Reach Test, Back Scratch Test, the pulse of the individuals was checked and recorded before and after the 2-Minute Step Test), Berg Balance Test and Nottingham Health Profile were used to evaluate physical fitness, balance and quality of life, respectively. Differences between the groups were analysed with Kruskal Wallis.
Results: In our study, medication routines within the elderly population did not show a statistically significant change in physical fitness, balance, quality of life, flexibility and heart rate (p>0.05).
Conclusion: According to the results of our study, medication usage was not affecting physical fitness, balance and quality of life; with proper prescribing, elderly people who use medications can be kept at the same level of physical fitness, balance and quality of life as their peers who do not use medication.
References
- 1. World Health Organization: Towards age-friendly primary health care. Geneva Switzerland. WHO; 2004. https://apps.who.int/iris/bitstream/handle/10665/43030/9241592184.pdf
- 2. Kerry, Z. Rational drug use in elderly. Ege Journal Of Medicine. 2015;54:62-73.
- 3. Al-Aama T. Falls in the elderly Spectrum and prevention. Can Fam Physician. 2011;57:771-776.
- 4. Beğer T, Yavuzer H. Yaşlılık ve yaşlılık Epidemiyolojisi. Klinik Gelişim Dergisi. 2012;25:1-3.
- 5. Kunst A, Mackenbach J. Measuring Socio-Economic Inequalities in Health. Copenhagen. Regional Office for Europe.WHO.1994.
- 6. Palvanen M, Kannus P, Piirtola M, et al. Effectiveness of the Chaos Falls Clinic in preventing falls and injuries of home-dwelling older adults: a randomised controlled trial. Injury. 2014;45:265-271.
- 7. Hatch J, Gill-Body KM, Portney LG. Determinants of balance confidence in community-dwelling elderly people. Phys Ther. 2003;83:1072-1079.
- 8. Hessert MJ, Gugliucci MR, Pierce HR. Functional fitness: maintaining or improving function for elders with chronic diseases. Fam Med. 2005;37:472.
- 9. Van Heuvelen M, Kempen G, Ormel J, et al. Physical fitness related to age and physical activity in older persons. Med Sci Sport Exer. 1998;30:434-441.
- 10. DeLisa JA, Gans BM, Walsh NE. Physical medicine and rehabilitation: principles and practice: Lippincott Williams & Wilkins; 2005.
- 11. Coşkun Ö. Yaşlılarda Akılcı İlaç Kullanımı. Turkiye Klinikleri J Fam Med-Special Topics. 2012;3:80-86.
- 12. İlhan B, Öztürk GB. Elderly and rational drug use. Turkiye Klinikleri J Geriatr-Special Topics. 2015;1-7
- 13. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310:2191-2194.
- 14. Toraman A, Yildirim NU, The falling risk and physical Fitness in older people. Arch. Gerontol. Geriatr. 2010;51:222-226.
- 15. Chobanian AV, Bakris GL, Black HR, et al. National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560-2572.
- 16. Fujimoto A, Okanishi T, Sato K, et al. Activities of daily living are associated with outcomes of epilepsy treatment in elderly patients. Psychogeriatrics. 2019. doi: 10.1111/psyg.12463
- 17. Wong MMC, Pang PF. Factors Associated with falls in psychogeriatric inpatients and comparison of two fall risk assessment tools. East Asian Arch Psychiatry. 2019;29:10-14.
- 18. Singh S, Bajorek B. Defining 'elderly' in clinical practice guidelines for pharmacotherapy. Pharm Pract (Granada). 2014;12:489.
- 19. Küçükdeveci AA, Kutlay S, Elhan AH, et al. Preliminary study to evaluate the validity of the mini-mental state examination in a normal population in Turkey. Int J Rehabil Res. 2005;28:77-79.
- 20. Rikli RE, Jones CJ. Senior fitness test manual: Human Kinetics; 2013.
- 21. Kücükdeveci A, McKenna S, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23:31-38.
- 22. Thorbahn LDB, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996;76:576-583.
- 23. Iyigun G, Kirmizigil B, Angin E, et al. The reliability and validity of The Turkish version of Fullerton Advanced Balance (FAB-T) scale. Arch Gerontol Geriat. 2018;78:38-44
- 24. Sertel M, Şimşek TT, Yümin ET. Yaşlılarda kognitif durum, depresyon düzeyi ve denge arasındaki ilişkinin incelenmesi. J Exerc Ther Rehabil. 2016;3:90-95.
- 25. Soyuer F, Şenol V, Elmalı F. Huzurevinde kalan 65 yaş ve üstündeki bireylerin, fiziksel aktivite, denge ve mobilite fonksiyonları. Cep. 2012;542:40-62.
- 26. Karlsson MK, Vonschewelov T, Karlsson C, et al. Prevention of falls in the elderly: a review. Scand J Public Healt. 2013;41:442-454.
- 27. Mhatre SK, Sansgiry SS. Assessing a conceptual model of over‐the‐counter medication misuse, adverse drug events and health‐related quality of life in an elderly population. Geriatr Gerontol Int. 2016;16:103-110.
- 28. Olsson IN, Runnamo R, Engfeldt P. Medication quality and quality of life in the elderly, a cohort study. Health Qual Life Out. 2011;9:1.
- 29. Anderson RT, Hogan P, Appel L, et al. Baseline correlates with quality of life among men and women with medication‐controlled hypertension. The Trial of Nonpharmacologic Interventions in the Elderly (TONE). J Am Geriatr Soc. 1997;45:1080-1085.
- 30. Fatouros IG, Kambas A, Katrabasas I, et al. Resistance training and detraining effects on flexibility performance in the elderly are intensity-dependent. J Strength Cond Res. 2006;20:634-642.
- 31. Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1094-1105.
Abstract
Amaç: Bu çalışmanın amacı, yaşlı bireylerde ilaç kullanımının fiziksel uygunluk, denge ve yaşam kalitesine etkisini araştırmaktır.
Yöntem: Çalışmamıza, yaş ortalamaları 72.13±5.3 yıl olan 49 kadın 39 erkek olmak üzere, toplam 88 yaşlı birey dahil edildi. Bunlardan 75 bireyin en az bir kronik hastalığı bulunmaktaydı. Bireyler günlük ilaç kullanma sayılarına göre; ilaç kullanmayanlar, 1-3 adet arası ilaç kullananlar ve 4 adet ve üstü ilaç kullananlar olarak 3 grupta incelendi. Bireylerin fiziksel uygunluğunu değerlendirmek için; Senior Fitness Testi (sandalyeye oturup kalkma testi, kalk yürü testi, iki dakika adımlama testi ve ağırlık kaldırma testi, sandalyeye otur uzan testi ve sırt kaşıma testi, iki dakika adım alma testinden önce ve sonra bireylerin nabızları kontrol edildi); dengeyi değerlendirmek için Berg Denge Testi, yaşam kalitesini değerlendirmek için Nottingham Sağlık Profili kullanıldı. Kruskal Wallis testi ile gruplar arası farklılıklar analiz edildi.
Bulgular: Çalışmamızda yaşlı popülasyonda ilaç kullanımının fiziksel uygunluk, denge, yaşam kalitesi, esneklik ve kalp hızı üzerinde anlamlı bir değişiklik yaratmadığı gösterildi (p>0.05).
Sonuç: Araştırmamızın sonuçlarına göre, ilaç kullanımı fiziksel uygunluk, denge ve yaşam kalitesini etkilemediğinden; doğru reçetelendirme ile ilaç kullanan yaşlı bireylerin fiziksel uygunluk, denge ve yaşam kalitesi bakımından ilaç kullanmayan yaşıtları ile aynı düzeyde kalmaları sağlanabilir.
References
- 1. World Health Organization: Towards age-friendly primary health care. Geneva Switzerland. WHO; 2004. https://apps.who.int/iris/bitstream/handle/10665/43030/9241592184.pdf
- 2. Kerry, Z. Rational drug use in elderly. Ege Journal Of Medicine. 2015;54:62-73.
- 3. Al-Aama T. Falls in the elderly Spectrum and prevention. Can Fam Physician. 2011;57:771-776.
- 4. Beğer T, Yavuzer H. Yaşlılık ve yaşlılık Epidemiyolojisi. Klinik Gelişim Dergisi. 2012;25:1-3.
- 5. Kunst A, Mackenbach J. Measuring Socio-Economic Inequalities in Health. Copenhagen. Regional Office for Europe.WHO.1994.
- 6. Palvanen M, Kannus P, Piirtola M, et al. Effectiveness of the Chaos Falls Clinic in preventing falls and injuries of home-dwelling older adults: a randomised controlled trial. Injury. 2014;45:265-271.
- 7. Hatch J, Gill-Body KM, Portney LG. Determinants of balance confidence in community-dwelling elderly people. Phys Ther. 2003;83:1072-1079.
- 8. Hessert MJ, Gugliucci MR, Pierce HR. Functional fitness: maintaining or improving function for elders with chronic diseases. Fam Med. 2005;37:472.
- 9. Van Heuvelen M, Kempen G, Ormel J, et al. Physical fitness related to age and physical activity in older persons. Med Sci Sport Exer. 1998;30:434-441.
- 10. DeLisa JA, Gans BM, Walsh NE. Physical medicine and rehabilitation: principles and practice: Lippincott Williams & Wilkins; 2005.
- 11. Coşkun Ö. Yaşlılarda Akılcı İlaç Kullanımı. Turkiye Klinikleri J Fam Med-Special Topics. 2012;3:80-86.
- 12. İlhan B, Öztürk GB. Elderly and rational drug use. Turkiye Klinikleri J Geriatr-Special Topics. 2015;1-7
- 13. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310:2191-2194.
- 14. Toraman A, Yildirim NU, The falling risk and physical Fitness in older people. Arch. Gerontol. Geriatr. 2010;51:222-226.
- 15. Chobanian AV, Bakris GL, Black HR, et al. National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560-2572.
- 16. Fujimoto A, Okanishi T, Sato K, et al. Activities of daily living are associated with outcomes of epilepsy treatment in elderly patients. Psychogeriatrics. 2019. doi: 10.1111/psyg.12463
- 17. Wong MMC, Pang PF. Factors Associated with falls in psychogeriatric inpatients and comparison of two fall risk assessment tools. East Asian Arch Psychiatry. 2019;29:10-14.
- 18. Singh S, Bajorek B. Defining 'elderly' in clinical practice guidelines for pharmacotherapy. Pharm Pract (Granada). 2014;12:489.
- 19. Küçükdeveci AA, Kutlay S, Elhan AH, et al. Preliminary study to evaluate the validity of the mini-mental state examination in a normal population in Turkey. Int J Rehabil Res. 2005;28:77-79.
- 20. Rikli RE, Jones CJ. Senior fitness test manual: Human Kinetics; 2013.
- 21. Kücükdeveci A, McKenna S, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23:31-38.
- 22. Thorbahn LDB, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996;76:576-583.
- 23. Iyigun G, Kirmizigil B, Angin E, et al. The reliability and validity of The Turkish version of Fullerton Advanced Balance (FAB-T) scale. Arch Gerontol Geriat. 2018;78:38-44
- 24. Sertel M, Şimşek TT, Yümin ET. Yaşlılarda kognitif durum, depresyon düzeyi ve denge arasındaki ilişkinin incelenmesi. J Exerc Ther Rehabil. 2016;3:90-95.
- 25. Soyuer F, Şenol V, Elmalı F. Huzurevinde kalan 65 yaş ve üstündeki bireylerin, fiziksel aktivite, denge ve mobilite fonksiyonları. Cep. 2012;542:40-62.
- 26. Karlsson MK, Vonschewelov T, Karlsson C, et al. Prevention of falls in the elderly: a review. Scand J Public Healt. 2013;41:442-454.
- 27. Mhatre SK, Sansgiry SS. Assessing a conceptual model of over‐the‐counter medication misuse, adverse drug events and health‐related quality of life in an elderly population. Geriatr Gerontol Int. 2016;16:103-110.
- 28. Olsson IN, Runnamo R, Engfeldt P. Medication quality and quality of life in the elderly, a cohort study. Health Qual Life Out. 2011;9:1.
- 29. Anderson RT, Hogan P, Appel L, et al. Baseline correlates with quality of life among men and women with medication‐controlled hypertension. The Trial of Nonpharmacologic Interventions in the Elderly (TONE). J Am Geriatr Soc. 1997;45:1080-1085.
- 30. Fatouros IG, Kambas A, Katrabasas I, et al. Resistance training and detraining effects on flexibility performance in the elderly are intensity-dependent. J Strength Cond Res. 2006;20:634-642.
- 31. Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1094-1105.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | January 10, 2020 |
| Submission Date | April 19, 2019 |
| Published in Issue | Year 2019 Volume: 6 Issue: 3 |
