Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study

Ruben Viegas; Filipa Alves da Costa; Romeu Mendes; Manuela Deidda; Emma McIntosh; Oriol Sansano-Nadal; Juan Carlos Magaña; Dietrich Rothenbacher; Michael Denkinger; Paolo Caserotti; Mark A Tully; Marta Roqué-Figuls; Maria Giné-Garriga

doi:10.3389/fpubh.2023.1238842

Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study

Ruben Viegas, Filipa Alves da Costa, Romeu Mendes, Manuela Deidda, Emma McIntosh, Oriol Sansano-Nadal, Juan Carlos Magaña, Dietrich Rothenbacher, Michael Denkinger, Paolo Caserotti, Mark A Tully, Marta Roqué-Figuls, Maria Giné-Garriga

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Abstract

BACKGROUND: Sedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.

METHOD: This manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.

RESULT: A sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group ( p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time.

CONCLUSION: The findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.

Original language	English
Article number	1238842
Pages (from-to)	1-8
Number of pages	8
Journal	Frontiers in public health
Volume	11
Early online date	16 Nov 2023
DOIs	https://doi.org/10.3389/fpubh.2023.1238842
Publication status	Published online - 16 Nov 2023

Bibliographical note

Funding Information:
The SITLESS project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement number 634270. RV is a PhD scholar of Fundação para a Ciência e Tecnologia, I.P. (FCT), Ministério da Ciência e Tecnologia, Portugal (Grant number: SFRH/BD/13164/2022).

Publisher Copyright:
Copyright © 2023 Viegas, Alves da Costa, Mendes, Deidda, McIntosh, Sansano-Nadal, Magaña, Rothenbacher, Denkinger, Caserotti, Tully, Roqué-Figuls and Giné-Garriga.

Keywords

physical activity
older adults
medication use
intervention
sedentary behavior
primary health care

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3389/fpubh.2023.1238842

fpubh-11-1238842Final published version, 349 KBLicence: CC BY

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Viegas, R., Alves da Costa, F., Mendes, R., Deidda, M., McIntosh, E., Sansano-Nadal, O., Magaña, J. C., Rothenbacher, D., Denkinger, M., Caserotti, P., Tully, M. A., Roqué-Figuls, M., & Giné-Garriga, M. (2023). Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study. Frontiers in public health, 11, 1-8. Article 1238842. Advance online publication. https://doi.org/10.3389/fpubh.2023.1238842

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abstract = "BACKGROUND: Sedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.METHOD: This manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.RESULT: A sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group ( p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time. CONCLUSION: The findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.",

keywords = "physical activity, older adults, medication use, intervention, sedentary behavior, primary health care",

author = "Ruben Viegas and {Alves da Costa}, Filipa and Romeu Mendes and Manuela Deidda and Emma McIntosh and Oriol Sansano-Nadal and Maga{\~n}a, {Juan Carlos} and Dietrich Rothenbacher and Michael Denkinger and Paolo Caserotti and Tully, {Mark A} and Marta Roqu{\'e}-Figuls and Maria Gin{\'e}-Garriga",

note = "Funding Information: The SITLESS project has received funding from the European Union{\textquoteright}s Horizon 2020 research and innovation program under grant agreement number 634270. RV is a PhD scholar of Funda{\c c}{\~a}o para a Ci{\^e}ncia e Tecnologia, I.P. (FCT), Minist{\'e}rio da Ci{\^e}ncia e Tecnologia, Portugal (Grant number: SFRH/BD/13164/2022). Publisher Copyright: Copyright {\textcopyright} 2023 Viegas, Alves da Costa, Mendes, Deidda, McIntosh, Sansano-Nadal, Maga{\~n}a, Rothenbacher, Denkinger, Caserotti, Tully, Roqu{\'e}-Figuls and Gin{\'e}-Garriga.",

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Viegas, R, Alves da Costa, F, Mendes, R, Deidda, M, McIntosh, E, Sansano-Nadal, O, Magaña, JC, Rothenbacher, D, Denkinger, M, Caserotti, P, Tully, MA, Roqué-Figuls, M & Giné-Garriga, M 2023, 'Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study', Frontiers in public health, vol. 11, 1238842, pp. 1-8. https://doi.org/10.3389/fpubh.2023.1238842

TY - JOUR

T1 - Relationship of the SITLESS intervention on medication use in community-dwelling older adults

T2 - an exploratory study

AU - Viegas, Ruben

AU - Alves da Costa, Filipa

AU - Mendes, Romeu

AU - Deidda, Manuela

AU - McIntosh, Emma

AU - Sansano-Nadal, Oriol

AU - Magaña, Juan Carlos

AU - Rothenbacher, Dietrich

AU - Denkinger, Michael

AU - Caserotti, Paolo

AU - Tully, Mark A

AU - Roqué-Figuls, Marta

AU - Giné-Garriga, Maria

N1 - Funding Information: The SITLESS project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement number 634270. RV is a PhD scholar of Fundação para a Ciência e Tecnologia, I.P. (FCT), Ministério da Ciência e Tecnologia, Portugal (Grant number: SFRH/BD/13164/2022). Publisher Copyright: Copyright © 2023 Viegas, Alves da Costa, Mendes, Deidda, McIntosh, Sansano-Nadal, Magaña, Rothenbacher, Denkinger, Caserotti, Tully, Roqué-Figuls and Giné-Garriga.

PY - 2023/11/16

Y1 - 2023/11/16

N2 - BACKGROUND: Sedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.METHOD: This manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.RESULT: A sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group ( p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time. CONCLUSION: The findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.

AB - BACKGROUND: Sedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns.METHOD: This manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use.RESULT: A sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group ( p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time. CONCLUSION: The findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.

KW - physical activity

KW - older adults

KW - medication use

KW - intervention

KW - sedentary behavior

KW - primary health care

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Relationship of the SITLESS intervention on medication use in community-dwelling older adults: an exploratory study

Abstract

Bibliographical note

Keywords

UN SDGs

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