Akademik Veri Yönetim Sistemi
Uluslararası Akademik Geriatri Kongresi 2017, Antalya, Türkiye, 12 - 16 Nisan 2017, ss.35-36
Objective: Physical activity(PA) is defined as any bodily movement produced by skeletal muscles that requires energy expenditure such as occupational, sports, conditioning, household, other daily living activities and walking, cycling, or participating in sports activity. The aim of this study is to determine the PA levels of our outpatient elderly to investigate the related factors.
Materials and Methods: We retrospectively reviewed the geriatric outpatient elderly of our medical faculty in 2013-16. A total of 1064 patients aged ≥65 years with no acute disease were been enrolled into the study. PA status and comprehensive geriatric assessment (CGA) were been queried and the objects were independent or assisted walking. As the CGA; demographic data, hand grip strength, falling and falling risk in the last 1 year, activities of daily living (ADL), instrumental activities of daily living (IADL), nutrition, frailty, chronic pain, sleeping problem, urinary incontinence, constipation, depressive mood, cognitive status, number of illness and medication were questioned. There were PAs who walked out of the house for any reason in last week. Those objects who did not walk out of the house or walked when they did not go out were accepted as PAs. There were who walked out of the house for any reason within last week, and those who did not walk out of the house or who did not walk were accepted as a non PAs.
Results: The mean age of the elderly was 78.5 ± 5.7(65-99). 88(33.7%) were male and 173 (66.3%) were female. The CGA parameters of the elderly with PA and non PA are shown in table.
Conclusion: In the non-PA group: The mean age (80→77), female (36%→20.2%), non-illiterate(40→10.5%), unmarried (52.5→38.8%) and those living alone(22.7%→11.3%). According to CGA in non PA group: Loss of appetite (36.3%→12.2%), nutritional problems(38.8%→15.5%), low muscle strength (66.3→39.8%), risk of falling(65%→18.8%), falling within the last 1 year (45%→32%) were found higher. In the non-PA group, dependency were (7.5%→0.6%), (45%→9.4%) in ADL and IADL respectively, and fragility rate (27.5→2% 8%), depressive mood (45.5%→16.6%), cognitive impairment (48.8%→25.3%), chronic pain (63.8%→43.6%), urinary incontinence (56.3%→35.9%), constipation (51.3% →23.8%) were higher. In logistic regression analysis: to be educated (OR 0.23, % 95CI 0.6-0.76 p=0.017), being independent in IADL (OR 0.26, %95CI 0.09-0.79 p= 0.017) and normal appetite (OR 3.90, %95CI 1.29-11.76 p=0.015) were found as independent factors associated with PA (model r² value 0.45).
Discussion: Findings in our study about physical activity in elderly suggests that education, functional status and nutritional status are
important factors.