Los efectos del deporte y la actividad física en la calidad de vida de los ancianos que toman medicación con regularidad
Barra lateral del artículo
Contenido principal del artículo
- Ali Serdar Yücel+−
- Murat Korkmaz+−
- Perihan Abay+−
- Saliha Özpınar+−
- Dilek Öztaş+−
- Ümran Sevil+−
- Mihalis Michael Kuyucu+−
DOI:
https://doi.org/10.17979/sportis.2025.11.4.11608Resumen
En este estudio aplicado, se examinaron los efectos del uso de medicación y de la práctica regular de deporte y actividad física sobre la calidad de vida en personas mayores que toman medicación regularmente. En este estudio participaron 4972 personas con diferentes características demográficas y los datos se recogieron con un método de cuestionario consistente en una escala Likert de 5 puntos. Los datos obtenidos tenían por objeto conocer los efectos de las variables demográficas sobre el consumo de medicamentos y la calidad de vida. En el marco del estudio, se analizó detalladamente la relación entre factores demográficos como la edad, el sexo, el nivel educativo, el estado civil y el consumo de drogas, la recomendación de drogas y el número de drogas consumidas. Tras los análisis estadísticos realizados mediante ANOVA y análisis Chi-cuadrado, se constató que el consumo de drogas difería especialmente en función de la edad y el estado civil, mientras que la recomendación de drogas estaba significativamente relacionada con el sexo, el nivel educativo y el estado civil. En cuanto a otros resultados, además de los factores demográficos, la actividad física regular y el deporte tuvieron efectos positivos sobre el consumo de drogas. También se determinó que el número de medicamentos utilizados estaba significativamente relacionado con la soledad y el sentimiento de impotencia. También se comprobó que el sentimiento de soledad y el patrón de uso de medicación tenían una relación significativa en los individuos que practicaban deporte y actividad física. Además, se descubrió que existía una relación significativa entre el consumo de medicación y la calidad de vida en individuos que practicaban deporte y actividad física. Después de este estudio, se ha revelado que es una fuente muy importante para comprender la relación entre el uso de medicamentos y la calidad de vida en los individuos de edad avanzada que hacen deporte y actividad física y la importancia de animar a los individuos de edad avanzada a hacer más actividad física.
Palabras clave:
Detalles del artículo
Referencias
Ahmad, S. M., Syam, Y., & Saleh, A. (2023). A systematic review of the impact of physical activity on elderly mental health. Journal of Psychiatric Nursing, 14(3), 248-255. https://doi.org/10.14744/phd.2023.43179
Akıcı, A., Kalaça, S., Uğurlu, Ü. M., Çalı, Ş., & Oktay, Ş. (2001). Pratisyen hekimlerin yaşlılarda akılcı ilaç kullanımı alışkanlıklarının değerlendirilmesi. Türk Geriatri Dergisi, 4(3), 100-105.
Arslan, M., Keskin Arslan, E., Koç, E. M., Sözmen, M. K., & Kaplan, Y. C. (2020). Altmış beş yaş ve üzeri kişilerde kırılganlık ile ilaç kullanımı ve polifarmasi arasındaki ilişki. Med Bull Haseki, 58, 33-41. https://doi.org/10.4274/haseki.galenos.2019.5409
Baldelli, G., De Santi, M., De Felice, F., & Brandi, G. (2021). Physical activity interventions to improve the quality of life of older adults living in residential care facilities: A systematic review. Geriatric Nursing, 42(4), 806-815. https://doi.org/10.1016/j.gerinurse.2021.04.011
Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 380(9836), 37-43. https://doi.org/10.1016/S0140-6736(12)60240-2
Bertoldi, A. D., Hallal, P. C., & Barros, A. J. (2006). Physical activity and medication use: Evidence from a population-based study, BMC Public Health, 6(6), 224. https://doi.org/10.1186/1471-2458-6-224
Beşikçi, T. (2023). 65 yaş ve üstü bireylerin yaşam kalitesini etkileyen değişkenlerin çoklu regresyon analizi ile belirlenmesi. Avrasya Spor Bilimleri ve Eğitim Dergisi, 5(2), 341-362. https://doi.org/10.47778/ejsse.1343294
Boris, P., Kovács, K. E., & Nagy, B. E. (2024). The comparative study of chronically ill and healthy children and adolescents in the light of their general mental health. Scientific Reports, 14(1), 6754. https://doi.org/10.1038/s41598-024-57442-y
Bozdemir, E., & Filiz, M. (2021). Rational medication use in Turkey with the knowledge and attitudes towards systematic review of studies determination of behavior. DÜSBED, 13, 92-104.
Çankaya, T., Sevim, S., Yıldırım, N. Ü., Özer, Ö., & Karacan, M. (2019). Physical fitness, balance and quality of life in the elderly with and without medication usage. Journal of Exercise Therapy and Rehabilitation, 6(3), 180-187.
Ceylan, H., & Çatalbaş, Z. (2018). Evaluation of dietary, exercise and medication-use habits of the elderly in the city of Yalova with respect to their sociodemographic characteristics. MANAS Sosyal Araştırmalar Dergisi, 7(1), 601-609.
Chodzko-Zajko, W., Schwingel, A., & Park, C. H. (2009). Successful aging: The role of physical activity. American journal of lifestyle medicine, 3(1), 20-28. https://doi.org/10.1177/1559827608325456
Christopher, C., Kc, B., Shrestha, S., Blebil, A. Q., Alex, D., Mohamed Ibrahim, M. I., & Ismail, N. (2022). Medication use problems among older adults at a primary care: A narrative of literature review. Aging Medicine, 5(2), 126-137. https://doi.org/10.1002/agm2.12203
Cleary, K. K., & Howell, D. M. (2007). Reçeteli ilaç kullanımı ve kırsal yaşlılarda sağlıkla ilgili yaşam kalitesi. Geriatride Fiziksel ve Mesleki Terapi, 26(2), 63-81. https://doi.org/10.1080/J148v26n02_04
de Oliveira, L. D. S. S. C. B., Souza, E. C., Rodrigues, R. A. S., Fett, C. A., & Piva, A. B. (2019). The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends in psychiatry and psychotherapy, 41(01), 36-42. http://doi.org/10.1590/2237-6089-2017-0129
de Siqueira Rodrigues, B. G., Cader, S. A., Torres, N. V. O. B., de Oliveira, E. M., & Dantas, E. H. M. (2010). Pilates method in personal autonomy, static balance and quality of life of elderly females. Journal of bodywork and movement therapies, 14(2), 195-202. https://doi.org/10.1016/j.jbmt.2009.12.005
de Souza, I. K. C., Rosa-Souza, F. J., de Lucena Alves, C. P., Duhamel, T. A., Waters, D. L., Martins, R. R., & Costa, E. C. (2023). Polypharmacy, physical activity, and sedentary time in older adults: a scoping review. Experimental gerontology, 183, 112317. https://doi.org/10.1016/j.exger.2023.112317
Denche-Zamorano, Á., Garcia-Gordillo, M. Á., Pastor-Cisneros, R., Contreras-Barraza, N., Carlos-Vivas, J., Colmenarez-Mendoza, A., & Adsuar-Sala, J. C. (2022). Relationship between physical activity and medication use in the Spanish population. Sustainability, 14, 13615. https://doi.org/10.3390/su142013615
Duran, M., Keklik, S. S., & Çobanoğlu, G. (2022). The comparison of physical activity, fatigue and quality of life in different age groups. Clinical and Experimental Health Sciences, 12(1), 150-154. https://doi.org/10.33808/clinexphealthsci.858588
Fernqvist, F., Spendrup, S., & Tellström, R. (2024). Understanding food choice: A systematic review of reviews. Heliyon, 10(12), e32492. https://doi.org/10.1016/j.heliyon.2024.e32492
Gray, M., Gills, J. L., Glenn, J. M., Vincenzo, J. L., Walter, C. S., Madero, E. N., ... & Bott, N. T. (2021). Cognitive decline negatively impacts physical function. Experimental gerontology, 143, 111164. https://doi.org/10.1016/j.exger.2020.111164
Guallar-Castillón, P., Santa-Olalla, Peralta, P., Banegas, J. R., López, E., & Rodríguez-Artalejo, F. (2004). Physical activity and quality of life of the elderly population in Spain. Med Clin, 123(16), 606-610. https://doi.org/10.1157/13068435
Gustafsson, T., & Ulfhake, B. (2024). Aging skeletal muscles: what are the mechanisms of age-related loss of strength and muscle mass, and can we impede its development and progression?. International Journal of Molecular Sciences, 25(20), 10932. https://doi.org/10.3390/ijms252010932
Herbert, P. (2022). Promoting exercise in older people to support healthy ageing. Nurs Stand, 37, 46-50. https://doi.org/10.7748/ns.2022.e11787
Herd, P., Goesling, B., & House, J. S. (2007). Socioeconomic position and health: the differential effects of education versus income on the onset versus progression of health problems. Journal of health and social behavior, 48(3), 223-238. https://doi.org/10.1177/002214650704800302
İlhanlı Yaramış, M., & Ulupınar, S. (2021). Rational medication use behaviors of individuals registered with a family health center. Ordu University Journal of Nursing Studies, 4, 10-20. https://doi.org/10.38108/ouhcd.804379
İncealtın, O. (n.d.). Yaşlı hastada ilaç kullanımı. http://file.atuder.org.tr/_atuder.org/fileUpload/bh3ds8eQge8Z.pdf/
Islas-Cruz, E. L. (2021). Benefits of physical activity on elderly. Mexican Journal of Medical Research ICSA, 9(18), 25-33. https://doi.org/10.29057/mjmr.v9i18.5714
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., ... & Singh, M. F. (2021). International exercise recommendations in older adults (ICFSR): Expert consensus guidelines. The journal of nutrition, health & aging, 25(7), 824-853. https://doi.org/10.1007/s12603-021-1665-8
Kerry, Z. (2015). Rational medication use in elderly. Ege Journal Of Medication, 54, 62-73. https://doi.org/10.19161/etd.344151
Khalid, A., Umar, M., Mushtaq, H., Altaf, S., & Ahmad, J. (2020). Effect of physical activity on quality of life in older adults of: Effect of physical activity on quality of life. Pakistan Journal of Health Sciences, 1(2). https://doi.org/10.54393/pjhs.v1i2.58
Kızmaz, M., Kumtepe Kurt, B., Çetin Kargin, N., & Döner, E. (2020). Investigation of polypharmacy prevalence and affecting factors in patients over 65 years presenting to family medication polyclinic of rural district hospital. Ankara Medical Journal, 20(1), 123-134. https://doi.org/10.5505/amj.2020.46548
Lai, K. L., Tzeng, R. J., Wang, B. L., Lee, H. S., Amidon, R. L., & Kao, S. (2005). Health-related quality of life and health utility for the institutional elderly in Taiwan. Quality of Life Research, 14, 1169-1180. https://doi.org/10.1007/s11136-004-3061-3
Li, G., & Li, K. (2022). Turning point of cognitive decline for Chinese older adults from a longitudinal analysis: Protective factors and risk factors. Healthcare, 10(11), 2304. https://doi.org/10.3390/healthcare10112304
Liu, R., Menhas, R., & Saqib, Z. A. (2024). Does physical activity influence health behavior, mental health, and psychological resilience under the moderating role of quality of life?. Frontiers in Psychology, 15, 1349880. https://doi.org/10.3389/fpsyg.2024.1349880
López-Ortega, M., & Konigsberg, M. (2020). Health-related quality of life among Jewish older persons in Mexico and its determinants. Health and Quality of Life Outcomes, 18(1), 152. https://doi.org/10.1186/s12955-020-01401-4
Matthews, K., Demakakos, P., Nazroo, J., Shankar, A. (2014). The evolution of lifestyles in older age in England. In J. Banks, J. Nazroo, A. Steptoe (Eds.), The dynamics of ageing: evidence from the English longitudinal study of ageing 2002-2012 (pp. 51-93). The Institute for Fiscal Studies, London.
Meredith, S. J., Cox, N. J., Ibrahim, K., Higson, J., McNiff, J., Mitchell, S., ... & Lim, S. E. (2023). Factors that influence older adults’ participation in physical activity: A systematic review of qualitative studies. Age and ageing, 52(8), afad145. https://doi.org/10.1093/ageing/afad145
Mhatre, S. K., & Sansgiry, S. S. (2016). Assessing a conceptual model of over‐the‐counter medication misuse, adverse medication events and health‐related quality of life in an elderly population. Geriatr Gerontol Int, 16, 103-110. https://doi.org/10.1111/ggi.12443
Navaneetham, K., & Arunachalam, D. (2023). Global population aging, 1950–2050. In Handbook of aging, health and public policy: perspectives from Asia (pp. 1-18). Singapore: Springer Nature Singapore. https://doi.org/10.1007/978-981-16-1914-4_154-1
Olsson, I. N., Runnamo, R., & Engfeldt, P. (2011). Medication quality and quality of life in the elderly, a cohort study. Health Qual Life Out, 9, 1. http://doi.org/10.1186/1477-7525-9-95
Özer, E., & Özdemir, L. (2009). Yaşlı bireyde akılcı ilaç kullanımı ve hemşirenin sorumlulukları. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 42-51.
Özerdoğan, Ö., Yüksel, B., Çeli̇k, M., Oymak, S., & Bakar, C. (2018). Yaşlılarda yaşam kalitesini etkileyen faktörler. Türkiye Halk Sağlığı Dergisi, 16(2), 90-105. https://doi.org/10.20518/tjph.458209
Pavlova, L., Vovkanych, L., & Vynogradskyi, B. (2014). Physical activity of elderly people. Fizjoterapia, 22(2), 33-39. https://doi.org/10.1515/physio-2014-0012
Prince, S. A., Lancione, S., Lang, J. J., Amankwah, N., de Groh, M., Garcia, A. J., ... & Geneau, R. (2022). Are people who use active modes of transportation more physically active? An overview of reviews across the life course. Transport reviews, 42(5), 645-671. https://doi.org/10.1080/01441647.2021.2004262
Rathore, S. S., Mehta, S. S., Boyko, W. L., & Schulman, K. A. (1998). Prescription medication use in older Americans: A national report card on prescribing. Family Medication Journal, 30, 733-739.
Roberts, C. E., Phillips, L. H., Cooper, C. L., Gray, S., & Allan, J. L. (2017). Effect of different types of physical activity on activities of daily living in older adults: Systematic review and meta-analysis. Journal of Aging and Physical Activity, 25(4), 653-670. https://doi.org/10.1123/japa.2016-0201
Şahin, D. S., Özer, Ö., & Yanardağ, M. Z. (2018). Yaşlı bireylerin ilaç kullanımına ilişkin davranışlarının sosyodemografik değişkenler açısından incelenmesi. MAKÜ Sag. Bil. Enst. Derg, 6(1), 15-25. https://doi.org/10.24998/maeusabed.420301
Şen Gündoğan, N. E., & Eser, E. (2022). Manisa’da yarıkentsel bir bölgede yaşayan 65 yaş üstü bireylerde, fiziksel bağımlılık, ruhsal iyilik hali ve sosyal etkileşimin, yaşam kalitesi üzerine etkisinin değerlendirilmesi. Sağlık ve Toplum, 32(2), 106-116.
Silva, L. J., Azevedo, M. R., Matsudo, S., & Lopes, G. S. (2012). Association between levels of physical activity and use of medication among older women. Cad Saude Publica, 28(3), 463-471. https://doi.org/10.1590/s0102-311x2012000300006
Solmaz, T., & Akın, B. (2009). Evde yaşayan yaşlılarda ilaç kullanımı ve kendi kendine ilaç kullanım yetisi. Turkish Journal of Geriatrics, 12(2), 72-81.
Soyuer, F., & Soyuer, A. (2008). Old age and physical activity. Inonu University Medical Faculty Journal, 15(3), 21924.
Stewart, S. J. F., Moon, Z., & Horne, R. (2023). Medication nonadherence: Health impact, prevalence, correlates and interventions. Psychology & health, 38(6), 726-765. https://doi.org/10.1080/08870446.2022.2144923
Szychowska, A., & Drygas, W. (2022). Physical activity as a determinant of successful aging: a narrative review article. Aging clinical and experimental research, 34(6), 1209-1214. https://doi.org/10.1007/s40520-021-02037-0
Tanrıöver, Ö. (2017). Yaşlılarda çoklu ilaç kullanımı. Klinik Tıp Aile Hekimliği Dergisi, 9(6), 31-33. https://doi.org/10.17944/mkutfd.318329
Tanrıverdi, Ö. (2024). The relationship between medication adherence and health literacy in geriatric patients. Ebelik ve Sağlık Bilimleri Dergisi, 7(4), 618-624. https://doi.org/10.62425/esbder.1491727
Taşkın Şayir, Ç., Aslan Karaoğlu, S., & Evcik Toprak, D. (2014). Şişli Etfal Eğitim ve Araştırma Hastanesi Aile Hekimliği Polikliniği’ne başvuran 65 yaş üstü hastalarda polifarmasi ve tamamlayıcı tedavi kullanımlarının değerlendirilmesi. Türk Aile Hek Derg, 18(1), 35-41. https://doi.org/10.2399/tahd.14.35220
Tavşanlı Güngör, M., Özçelik, H., & Karadakovan, A. (2013). Ağrısı olan yaşlı bireylerde yaşam kalitesinin incelenmesi. Ağrı, 25, 93-100.
Teraž, K., Pišot, S., Šimunic, B., & Pišot, R. (2022). Does an active lifestyle matter? A longitudinal study of physical activity and health-related determinants in older adults. Frontiers in public health, 10, 975608. https://doi.org/10.3389/fpubh.2022.975608
Thompson, W., & McDonald, E. G. (2024). Polypharmacy and deprescribing in older adults. Annual Review of Medication, 75(1), 113-127. https://doi.org/10.1146/annurev-med-070822-101947
Thummasorn, S., Puntawong, P., Suksaby, R., Kanjanabat, K., Chaiwong, P., & Khamhom, T. (2022). The comparison of physical activity, cognitive function, and depression between older and middle-aged adults. The Open Public Health Journal, 15(1). https://doi.org/10.2174/18749445-v15-e2207140
Tokem, Y., & Karadakovan, A. (2004). Yaşlı bireylerde verilen bireyselleştirilmiş ilaç eğitim programının ilaç yönetimleri üzerine etkisinin incelenmesi. Sağlık ve Toplum, 14(3), 79-87.
Vina, J., Sanchis-Gomar, F., Martinez-Bello, V., & Gomez-Cabrera, M. C. (2012). Exercise acts as a medication; the pharmacological benefits of exercise. Br J Pharmacol, 167(1), 1-12. https://doi.org/10.1111/j.1476-5381.2012.01970.x
Wei, L., Hu, Y., Tao, Y., Hu, R., & Zhang, L. (2022). The effects of physical exercise on the quality of life of healthy older adults in China: A systematic review. Front. Psychol., 13, 895373. https://doi.org/10.3389/fpsyg.2022.895373
Westman, A. W., Combs-Miller, S. A., Moore, J. L., & Ehrlich-Jones, L. (2019). Measurement characteristics and clinical utility of the short physical performance battery among community-dwelling older adults. Archives of Physical Medication and Rehabilitation, 100(1), 185-187. https://doi.org/10.1016/j.apmr.2018.06.003
Yayın, E., & Yayın, H. E. (2023). 65 yaş ve üzeri çoklu ilaç kullanımı olan bireylerin akılcı ilaç kullanımı bilgi düzeyleri. Türk Aile Hek Derg, 27(2), 29-35. https://doi.org/10.54308/tahd.2023.50455
Zincir, H., Taşçı, S., Erten Kaya, Z., & Başer, M. (2008). Huzurevinde yaşayan bireylerin yaşam kalitesi, depresyon düzeyleri ve etkileyen faktörler. Sağlık Bilimleri Dergisi, 17, 168-174.