Description of Participants in the “Atout Age Mobility” Prevention Workshops at the University Hospital Center of La Reunion: A Prospective Study

Abstract

Introduction

As the population ages, loss of autonomy is becoming a priority public health issue. “Atout Age Mobility” prevention interventions for seniors aim to limit frailty, which is a predictive and reversible factor in the loss of autonomy and disability.

Objectives

The objective of this study is to describe the impact of these interventions on the physical performance and quality of life of a pilot sample of participants.

Design

We conducted a prospective study named 5P PILOT with 3 months of follow up.

Settings

Subjects were recruited by convenience sampling from participants in the “Atout Age Mobility” workshops at Saint Joseph from 04/09/2017 to 29/01/2019.

Participants

Retired people over 55 years old with no contraindications to physical activity recruited from participants in the “Atout Age Mobility” workshops in Saint Joseph. Intervention(s) (for clinical trials) or Exposure(s) (for observational studies): All participants completed 12 weeks of physical exercise called the “Atout Age Mobility” workshop, which lasted 60 minutes each week and was supervised by physical activity coaches.

Main Outcome(s) and Measure(s)

Physical performance was assessed by Short physical performance battery (SPPB), 10-m gait speed and grip strength measurement. Quality of life through the SF-36 test.

Results

Ninety-six patients were included and 55 (57.3%) completed the study. There was a significant improvement in gait speed (1.35±0.26m/s vs. 1.27±0.24m/s; p=0.008). There was no significant change in SF-36, grip strength dominant arm and SPPB at the 0.01 significance level.

Conclusion

The “Atout Ages Mobility” workshops seem to significantly improve gait speed but not other aspects of physical performance or quality of life.

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References

  1. 1.

    United Nations, Department of Economic and Social Affairs, 2019. World population prospects 2019 Volume II: demographic profiles. New York, United Nations.

    Google Scholar 

  2. 2.

    Rolland Y, Benetos A, Gentric A, Ankri J, Blanchard F, Bonnefoy M, Decker L de, Ferry M, Gonthier R, Hanon O, Jeandel C, Nourhashemi F, Perret-Guillaume C, Retornaz F, Bouvier H, Ruault G, Berrut G. La fragilité de la personne âgée: un consensus bref de la Société française de gériatrie et gérontologie. Gériatrie Psychol Neuropsychiatr Vieil 2011;9:387–390.

    Google Scholar 

  3. 3.

    Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA. Frailty in Older Adults Evidence for a Phenotype. J Gerontol Ser A 2001;56:M146–M157.

    CAS  Article  Google Scholar 

  4. 4.

    Romero-Ortuno R. The Frailty Instrument of the Survey of Health, Ageing and Retirement in Europe (SHARE-FI) predicts mortality beyond age, comorbidities, disability, self-rated health, education and depression. Eur Geriatr Med 2011;2:323–326.

    Article  Google Scholar 

  5. 5.

    Gill TM, Gahbauer EA, Allore HG, Han L. Transitions Between Frailty States Among Community-Living Older Persons. Arch Intern Med 2006;166:418–423.

    Article  Google Scholar 

  6. 6.

    Colvez A, Castex A, Carriere I. Recovery from disability in an older population. Results of long-term follow-up in Upper-Normandy (France). Rev Epidemiol Sante Publique 2003;51:565–573.

    CAS  PubMed  Google Scholar 

  7. 7.

    Sirven N, 2014. Mesurer la fragilité des personnes âgées en population générale: une comparaison entre ESPS et SHARE. Institut de recherche et documentation en économie de la santé Available at: https://www.irdes.fr/recherche/documents-de-travail/060-mesurer-la-fragilite-des-personnes-agees-en-population-generale-comparaison-esps-share.pdf. Accessed November 19, 2020.

  8. 8.

    Rockwood K, Mitnitski A. Frailty in Relation to the Accumulation of Deficits. J Gerontol Ser A 2007;62:722–727.

    Article  Google Scholar 

  9. 9.

    Theou O, Stathokostas L, Roland KP, Jakobi JM, Patterson C, Vandervoort AA, Jones GR. The Effectiveness of Exercise Interventions for the Management of Frailty: A Systematic Review. J Aging Res 2011:1–19.

  10. 10.

    Stuck AE, Siu AL, Wieland GD, Rubenstein LZ, Adams J. Comprehensive geriatric assessment: a meta-analysis of controlled trials. The Lancet 1993;342:1032–1036.

    CAS  Article  Google Scholar 

  11. 11.

    Zeynep O, Damien B, Nelly LG, Anne P, 2018. Évaluation d’impact de l’expérimentation Parcours santé des aînés (Paerpa). Premiers résultats et Annexes. Rapp Irdes. Available at: https://www.irdes.fr/recherche/2018/rapport-567-evaluationd-impact-de-l-experimentation-parcours-sante-des-aines-paerpa.html. Accessed November 19, 2020.

  12. 12.

    Blanc N, Courbet D, Déplaude M-O, Droulers O, Garde A, Girandola F, Gurviez P, Loheac Y, Werle COC, 2017. Agir sur les comportements nutritionnels: Réglementation, marketing et influence des communications de santé. Paris, Institut national de la santé et de la recherche médicale (INSERM) Available at: https://www.hal.inserm.fr/inserm-02102478/document. Accessed November 19, 2020.

  13. 13.

    Engel GL. The clinical application of the biopsychosocial model. Am J Psychiatry 1980;137:535–544.

    CAS  Article  Google Scholar 

  14. 14.

    Klein A. Technologies de la santé et de l’autonomie et vécus du vieillissement. Gerontol Soc 2019;41/nº160:33–45.

    Google Scholar 

  15. 15.

    Klein A. Vieillissement, innovation et territoire: le cas de l’île de La Réunion. Editions L’Harmattan, 2018.

  16. 16.

    Coutton V. Évaluer la dépendance à l’aide de groupes iso-ressources (GIR):une tentative en France avec la grille aggir. Gérontologie Société 2001;24:111–129.

    Article  Google Scholar 

  17. 17.

    Ainsworth BE, Haskell WL, Leon AS, Jacobs JD, Montoye HJ, Sallis JF, Paffenbarger JR. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 1993;5:71–80.

    Article  Google Scholar 

  18. 18.

    Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988;319:1701–1707.

    CAS  Article  Google Scholar 

  19. 19.

    Shumway-Cook A, Brauer S, Woollacott M. Predicting the Probability for Falls in Community-Dwelling Older Adults Using the Timed Up & Go Test. Phys Ther 2000;80:896–903.

    CAS  Article  Google Scholar 

  20. 20.

    Instrument Ware Jr J, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992;30:473–483.

    Article  Google Scholar 

  21. 21.

    Leplège A, Ecosse E, Verdier A, Perneger TV. The French SF-36 Health Survey: translation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol 1998;51:1013–1023.

    Article  Google Scholar 

  22. 22.

    Baratto L, Morasso PG, Re C, Spada G. A New Look at Posturographic Analysis in the Clinical Context: Sway-Density versus Other Parameterization Techniques. Motor Control 2002;6:246–270.

    Article  Google Scholar 

  23. 23.

    Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 1996;54:S59–S65.

    CAS  Article  Google Scholar 

  24. 24.

    Clément JP, Nassif RF, Léger JM, Marchan F. Development and contribution to the validation of a brief French version of the Yesavage Geriatric Depression Scale. L’Encephale 1997;23:91–99.

    PubMed  Google Scholar 

  25. 25.

    Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. J Psychiatr Res 1975;12:189–198.

    CAS  Article  Google Scholar 

  26. 26.

    Shulman KI. Clock-drawing: is it the ideal cognitive screening test. Int J Geriatr Psychiatry 2000;15:548–561.

    CAS  Article  Google Scholar 

  27. 27.

    Dubois B, Touchon J, Portet F, Ousset P-J, Vellas B, Michel B. Les 5 mots, épreuve simple et sensible pour le diagnostic de la maladie d’Alzheimer. Presse Médicale 2002;31:1696–1699.

    CAS  Google Scholar 

  28. 28.

    Servidoni AB, Conterno L de O. Hearing Loss in the Elderly: Is the Hearing Handicap Inventory for the Elderly — Screening Version Effective in Diagnosis When Compared to the Audiometric Test. Int Arch Otorhinolaryngol 2018;22:1–8.

    Article  Google Scholar 

  29. 29.

    Ventry IM, Weinstein BE. The Hearing Handicap Inventory for the Elderly: a New Tool. Ear Hear 1982;3:128–134.

    CAS  Article  Google Scholar 

  30. 30.

    Noelker LS, Browdie R, Sidney Katz, MD: A New Paradigm for Chronic Illness and Long-Term Care. The Gerontologist 2014;54:13–20.

    Article  Google Scholar 

  31. 31.

    Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist 1969;9:179–186.

    CAS  Article  Google Scholar 

  32. 32.

    Bargiotas I, Audiffren J, Vayatis N, Vidal P-P, Buffat S, Yelnik AP, Ricard D. On the importance of local dynamics in statokinesigram: A multivariate approach for postural control evaluation in elderly. PlOS One 2018;13:e0192868.

    Article  Google Scholar 

  33. 33.

    Audiffren J, Bargiotas I, Vayatis N, Vidal P-P, Ricard D. A Non Linear Scoring Approach for Evaluating Balance: Classification of Elderly as Fallers and Non-Fallers. PLOS ONE 2016;11:e0167456.

    Article  Google Scholar 

  34. 34.

    Audiffren J, Contal E. Preprocessing the Nintendo Wii Board Signal to Derive More Accurate Descriptors of Statokinesigrams. Sensors 2016;16:1208.

    Article  Google Scholar 

  35. 35.

    Winter DA, Patla AE, Prince F, Ishac M, Gielo-Perczak K. Stiffness control of balance in quiet standing. J Neurophysiol 1998;80:1211–1221.

    CAS  Article  Google Scholar 

  36. 36.

    de Vries NM, van Ravensberg CD, Hobbelen JSM, Olde Rikkert MGM, Staal JB, Nijhuis-van der Sanden MWG. Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: A metaanalysis. Ageing Res Rev 2012;11:136–149.

    CAS  Article  Google Scholar 

  37. 37.

    Bouaziz W, Lang PO, Schmitt E, Kaltenbach G, Geny B, Vogel T. Health benefits of multicomponent training programmes in seniors: a systematic review. Int J Clin Pract 2016;70:520–536.

    CAS  Article  Google Scholar 

  38. 38.

    Giné-Garriga M, Roqué-Fíguls M, Coll-Planas L, Sitjà-Rabert M, Salvà A. Physical Exercise Interventions for Improving Performance-Based Measures of Physical Function in Community-Dwelling, Frail Older Adults: A Systematic Review and Meta-Analysis. Arch Phys Med Rehabil 2014;95:753–769.e3.

    Article  Google Scholar 

  39. 39.

    Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev, 2011. doi:https://doi.org/10.1002/14651858.CD004963.pub3.

  40. 40.

    Cherubini A, Demougeot L, Cruz Jentoft A, Curgunlu A, Michel J-P, Roberts H, Aihie Sayer A, Strandberg T, Topinkova E, Trotta FM, van Asselt DZB, Vellas B, Zekry D, Cesari M. Relationship between the Gérontopôle Frailty Screening Tool and the frailty phenotype in primary care. Eur Geriatr Med 2015;6:518–522.

    Article  Google Scholar 

  41. 41.

    Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, Nieman DC, Swain DP, American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011;43:1334–1359.

    Article  Google Scholar 

  42. 42.

    Guery R. Les personnes âgées à La Réunion. La Réunion, Observatoire Régional de La Santé Available at: https://www.ors-ocean-indien.org/IMG/file/tableaux_bord/TB_ORSOI_Personnes_agees_Reunion_2017.pdf.

  43. 43.

    Larras B, Praznoczy C. Etat des lieux de l’activité physique et de la sédentarité en France — Edition 2018 — Personnes avançant en âge. Clermont Ferrand, Observatoire national de l’activité physique et de la sédentarité Available at: http://www.onaps.fr/data/documents/Onaps_TABPA_pdf.pdf.

  44. 44.

    Burricand C, Gleizes F. Trente ans de vie associative — Insee première. Available at: https://www.insee.fr/fr/statistiques/1908144#titre-bloc-9. Accessed June 19, 2020.

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Correspondence to Dr Florian Legrand.

Ethics declarations

Funding/Support: This work was supported by the Caisse générale de sécurité sociale (CGSS) Réunion, the Caisse nationale d’assurance vieillesse (CNAV), the Agence régionale de santé (ARS) Océan Indien, the Fonds MUTA Réunion, the IDEX Sorbonne Paris cité, programme dynamique du vieillir.

Conflicts of interest: The authors stated that there was no conflict of interest

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Legrand, F., Eychene, JM., Audiffren, J. et al. Description of Participants in the “Atout Age Mobility” Prevention Workshops at the University Hospital Center of La Reunion: A Prospective Study. J Nutr Health Aging (2021). https://doi.org/10.1007/s12603-021-1604-8

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Key words

  • Comprehensive geriatric assessment
  • disability
  • frail elderly
  • physical exercises
  • prevention