Physical exercise in the obese elderly as a preventive and therapeutic resource for health
Keywords:
Nursing home, Obesity, Older adults, Physical activity, Physical exercise.Abstract
Introduction: sports in people over 60 years of age have a positive impact on the lifestyle and general well-being of these patients.
Objective: describe aspects related to obesity in the elderly and the effects of physical exercise in this population group.
Method: a review was carried out on the characteristics of obese elderly people and physical exercise to improve their quality of life. Articles published in the last five years in the main databases were consulted, selecting 33 articles from the last 5 years to carry out this work.
Results: there are different types of obesity and it has a multifactorial etiology, it is related to many pathologies, being a risk factor for the most part. Physical capacity declines with age and the decline is most pronounced in sedentary adults with sarcopenic obesity. Treatment is based, first, on lifestyle interventions and community prevention actions. There are four main types of exercises and each one is different, but practicing them all will provide the most benefit to the obese senior.
Conclusions: regular physical activity can improve the health of older adults, especially if they suffer from chronic diseases or have certain risks for the development of obesity. It offers physical, mental, social and economic benefits to the obese elderly.Downloads
References
Omaña H, Bezaire K, Brady K, Davies J, Louwagie N, Power S, et al. Functional Reach Test, Single-Leg Stance Test, and Tinetti Performance-Oriented Mobility Assessment for the Prediction of Falls in Older Adults: A Systematic Review. Phys therap. [Internet]. 2021 [citado 2024 Mar 09]; 101(10): [aprox. 18 p.]. Disponible en: https://academic.oup.com/ptj/article/101/10/pzab173/6317705
Carmona Torres JM, Rodríguez Borrego MA, Laredo Aguilera JA, López Soto PJ, Santacruz Salas E, Cobo Cuenca AI. Disability for basic and instrumental activities of daily living in older individuals. PloSone. [Internet]. 2019 [citado 2024 Mar 09]; 14(7): [aprox. 8 p.]. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.022015733.
Vásquez Araneda E, Solís Vivanco RI,Mahecha Matsudo, Zapata Lamada R, Cigarroa I. Characteristics of Physical Exercise Programs for Older Adults in Latin America: A Systematic Review of Randomized Controlled Trials. Int j env res pub health. [Internet]. 2021 [citado 2024 Mar 09]; 18: [aprox. 27 p.]. Disponible en: https://www.mdpi.com/1660-4601/18/6/2812
World Health Organization (WHO). Ageing: Healthy ageing and functional ability. [Internet]. 2020. [citado 2024 Mar 09]; Disponible en: https://www.who.int/westernpacific/news/q-adetail/ageing-healthy-ageing-and-functional-ability
Hadžović M, Jelenković L, Jorgić B, Lilić, A Prvulović N.The effects of physical activity on obesity among the elderly -a systematic review. Sport Mont [Internet]. 2021[citado 2024 Mar 09]; 18(1): [aprox. 18 p.]. Disponible en: https://casopisi.junis.ni.ac.rs/index.php/FUPhysEdSport/article/viewFile/6271/3603
Kong HH, Won CW, Kim W. Effect of sarcopenic obesity on deterioration of physical function in the elderly. Arch geront geriat. [Internet]. 2020 [citado 2024 Mar 09]; 89: [aprox. 7 p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0167494320300595?via%3Dihub
Samper Rivero D, Coll Costa JL, Crispín Castellanos D. Metodología de actividades físicas para adultos mayores obesos con hábitos sedentarios. Podium. [Internet]. [Internet]. 2019 [citado 2024 Mar 09]; 14(3): [aprox. 17 p.]. Disponible en: http://scielo.sld.cu/pdf/rpp/v14n3/1996-2452-rpp-14-03-355.pdf
Şavkın R, Bayrak G, Büker N. The effects of the body mass index on the physical function and the quality of life in the elderly. Balt J Health Phys Act. [Internet]. 2020 [citado 2024 Mar 09];12(6. Suppl 1): [aprox. 10 p.]. https://www.balticsportscience.com/cgi/viewcontent.cgi?article=1185&context=journal
Scott D, Blyth F, Naganathan V, Le Couteur DG, Handelsman DJ, Waite, LM, et al. Sarcopenia prevalence and functional outcomes in older men with obesity: Comparing the use of the EWGSOP2 sarcopenia versus ESPEN-EASO sarcopenic obesity consensus definitions. Clin Nutr. [Internet]. 2023 [citado 2024 Mar 09]; 42(9): [aprox. 9 p.]. Disponible en: https://www.clinicalnutritionjournal.com/article/S0261-5614(23)00241-8/fulltext
Donini LM, Busetto L, Bauer JM, Bischoff S, Boirie Y, Cederholm T. Critical appraisal of definitions and diagnostic criteria for sarcopenic obesity based on a systematic review. Clin Nutr. [Internet]. 2020 [citado 2024 Mar 09]; 39(8): [aprox. 14 p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0261561419331516
Taylor J, Walsh S, Kwok W. A scoping review of physical activity interventions for older adults. Int J Behav Nutr Phys Act. [Internet]. 2021 [citado 2024 Mar 09]; 18: [aprox. 14 p.]. Disponible en: https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01140-9
Wang S, Ren J. Obesity Paradox in Aging: From Prevalence to Pathophysiology. Prog Cardiov Dis. [Internet]. 2018 [citado 2024 Mar 09]; 61(2): [aprox. 7 p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0033062018301397
Angulo J, El Assar M, Álvarez Bustos A, Rodríguez Mañas L. Physical activity and exercise: Strategies to manage frailty. Redox Biol. [Internet]. 2020 [citado 2024 Mar 09]; 35: [aprox. 21 p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S2213231720301178
Cunningham C, O’ Sullivan R. Why physical activity matters for older adults in a time of pandemic. Eur Rev Aging Phys Act [Internet]. 2020 [citado 2024 Mar 09]; 17: [aprox. 4 p.]. Disponible en: https://eurapa.biomedcentral.com/articles/10.1186/s11556-020-00249-3
Guadamuz Hernández SH, Suárez Brenes G. Generalidades de la obesidad sarcopénica en adultos mayores. Med leg Cost Ric [Internet]. 2020 [citado 2024 Mar 09]; 37(1): [aprox. 7 p.]. Disponible en: https://www.scielo.sa.cr/pdf/mlcr/v37n1/2215-5287-mlcr-37-01-114.pdf
Hsu KJ, Liao CD, Tsai MW, Chen CN. Effects of Exercise and Nutritional Intervention on Body Composition, Metabolic Health, and Physical Performance in Adults with Sarcopenic Obesity: A Meta-Analysis. Nutrients. [Internet]. 2019 [citado 2024 Mar 09]; 11(9): [aprox. 15 p.]. Disponible en: https://www.mdpi.com/2072-6643/11/9/2163
Pillatt AP, Berlezi EM, De Jesus LB, et al. Influence of obesity on criteria for classification of sarcopenia in old people. Rev bras. geriatr Gerontol. [Internet]. 2020 [citado 2024 Mar 09];23(3):1–12. Disponible en: https://doi.org/10.1590/1981-22562020023.200083
Ghiotto L, Muollo V, Tatangelo T, Schena F, Rossi AP. Exercise and physical performance in older adults with sarcopenic obesity: A systematic review. Frontiers in endocrinology. [Internet]. 2022 [citado 2024 Mar 09]; 13: [aprox. 13 p.]. Disponible en: https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2022.913953/full
Obara Gołebiowska M, Brycz, H, Lipowska M, Lipowski M. The Role of Motivation to Reduce Obesity among Elderly People: Response to Priming Temptation in Obese Individuals. Int J Environ Res Public Health. [Internet]. 2018 [citado 2024 Mar 09] 15(2): [aprox. 13 p.]. Disponible en: https://www.mdpi.com/1660-4601/15/2/244
Kim, T. Elderly Obesity: Is It Harmful or Beneficial? J Obest Metab Syndr. [Internet]. 2018 [citado 2024 Mar 09] 27: [aprox. 9 p.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6489455/pdf/jomes-27-084.pdf
Watts EL, Matthews CE, Freeman JR, et al. Association of Leisure Time Physical Activity Types and Risks of All-Cause, Cardiovascular, and Cancer Mortality Among Older Adults. JAMA Netw Open. [Internet]. 2022 [citado 2024 Mar 09]; 5(8): [aprox. 14 p.]. Disponible en: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2795598?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamanetworkopen.2022.28510
di Fronso S, Tamburrino L, Bertollo M. The Effects of Hatha Yoga and Specific Balance Exercises in Older Adults Living in Nursing Homes. Sport Mont. [Internet]. 2021 [citado 2024 Mar 09]; 19(2): [aprox. 7 p.]. Disponible en: http://www.sportmont.ucg.ac.me/clanci/SM_June_2021_di%20Fronso.pdf
Jiang B, Villareal D. Therapeutic and lifestyle approaches to obesity in older persons. Curr Opin Clin Nutr Metab Care. [Internet]. 2019 [citado 2024 Mar 09]; 22(1): [aprox. 13 p.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6265116/pdf/nihms-1511357.pdf
Sawada S, Ozaki H, Natsume T, Deng P, Yoshihara T, Nakagata T, et al. The 30-s chair stand test can be a useful tool for screening sarcopenia in elderly Japanese participants. BMC Musculoskelet Disord. [Internet]. 2021 [citado 2024 Mar 09]; 639: [aprox. 6 p.]. Disponible en: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-021-04524-x
Orellana JN, Álvarez Medina J, Blasco Lafarga C, Gaztañaga Aurrekoetxea T. Obesidad y ejercicio físico en adultos. Arch Med Dep [Internet]. 2020 [citado 2024 Mar 09]; 37(5): [aprox. 13 p.]. Disponible en: https://archivosdemedicinadeldeporte.com/articulos/upload/or06_Documento_Consenso_ingles.pdf
Alcazar J, Aagaard P, Haddock B, Kamper RS, Hansen SK, Prescott E, et al. Assessment of functional sit-to-stand muscle power: Cross-sectional trajectories across the lifespan. Exp gerontol. [Internet]. 2021 [citado 2024 Mar 09]; 152: [aprox. 8 p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S0531556521002308?via%3Dihub
Li F, Harmer P, Eckstrom E, Ainsworth BE, Fitzgerald K, Voit J, et al. Efficacy of exercise-based interventions in preventing falls among community-dwelling older persons with cognitive impairment: is there enough evidence? An updated systematic review and meta-analysis. Age and Ageing. [Internet]. 2021 [citado 2024 Mar 09]; 50(5): [aprox. 12 p.]. Disponible en: https://academic.oup.com/ageing/article/50/5/1557/6296931
Curilem Gatica C, Bahamondes Ávila C, Bruneau Chávez J, Berral de la Rosa FJ. Effect of Nutritional Intervention and Exercise Patterns on the Functionality of Obese Elderly People: A Review. Univ Med. [Internet]. 2021 [citado 2024 Mar 21]; 62(2): [aprox. 12 p.]. Disponible en: https://www.redalyc.org/journal/2310/231074805020/html/
Hamer O, Larkin D, Relph N, Dey P. Fear-related barriers to physical activity among adults with overweight and obesity: A narrative synthesis scoping review. Obesity Reviews. [Internet]. 2021 [citado 2024 Mar 09]; 22(11): [aprox. 12 p.]. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13307
Rodrigues F, Domingos C, Monteiro D, Morouço P.A Review on Aging, Sarcopenia, Falls, and Resistance Training in Community-Dwelling Older Adults. Int J Environ Res Public Health. [Internet]. 2022 [citado 2024 Mar 09]; 19: [aprox. 11 p.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8775372/pdf/ijerph-19-00874.pdf
Rismayanthi, C, Sugiyanto A, Kristiyanto A, Doewes, M. Psychological-based physical exercise education model for improving elderly physical fitness. IJEMST. [Internet]. 2022 [citado 2024 Mar 09]; 10(1): [aprox. 14 p.]. Disponible en: https://ijemst.net/index.php/ijemst/article/view/2182/283
Vaux-Bjerke A, John DH, Piercy KL. Systematic Review Protocol to Evaluate the Evidence Informing the Physical Activity Guidelines for Americans Midcourse Report: Implementation Strategies for Older Adults. J Healthy Eat Act Living. [Internet]. 2023 [citado 2024 Mar 09]; 3(1): [aprox. 10 p.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10546940/pdf/jheal-3-1-36.pdf
Izquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, et al. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J nutr health aging. [Internet]. 2021 [citado 2024 Mar 09]; 25(7): [aprox. 30 p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S1279770723007881
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