"I am active": effects of a program to promote active aging

Neyda Ma Mendoza-Ruvalcaba, Elva Dolores Arias-Merino, Neyda Ma Mendoza-Ruvalcaba, Elva Dolores Arias-Merino

Abstract

Background: Active aging involves a general lifestyle strategy that allows preservation of both physical and mental health during the aging process. "I am Active" is a program designed to promote active aging by increased physical activity, healthy nutritional habits, and cognitive functioning. The purpose of this study was to assess the effectiveness of this program.

Methods: Sixty-four healthy adults aged 60 years or older were recruited from senior centers and randomly allocated to an experimental group (n=31) or a control group (n=33). Baseline, post-test, and 6-month follow-up assessments were performed after the theoretical-practical intervention. Effect sizes were calculated.

Results: At the conclusion of the program, the experimental group showed significant improvement compared with the control group in the following domains: physical activity (falls risk, balance, flexibility, self-efficacy), nutrition (self-efficacy and nutritional status), cognitive performance (processing speed and self-efficacy), and quality of life (general, health and functionality, social and economic status). Although some declines were reported, improvements at follow-up remained in self-efficacy for physical activity, self-efficacy for nutrition, and processing speed, and participants had better nutritional status and quality of life overall.

Conclusion: Our findings show that this program promotes improvements in domains of active aging, mainly in self-efficacy beliefs as well as in quality of life in healthy elders.

Keywords: active aging; intervention program; randomized controlled trial; successful aging.

References

    1. United Nations, Department of Economic and Social Affairs, Population Division . World Population Ageing 2013. New York, NY, USA: United Nations; 2013.
    1. World Health Population . Active Ageing. Geneva, Switzerland: World Health Organization; 2002.
    1. Walker A. A strategy of active ageing. Int Soc Secur Rev. 2002;55:121–139.
    1. Active Ageing Australia [home page on the Internet] Adelaide, Australia: Government of South Australia; [Accessed October 25, 2014]. [updated 2014 March]. Available from: .
    1. Wilcox S, Dowda M, Leviton LC, et al. Active for Life. Final results from translation of two physical activity programs. Am J Prev Med. 2008;35:340–351.
    1. Building Healthy Communities for Active Aging National Recognition Program [home page on the Internet] Durham, NC, USA: United States Environmental Protection Agency; [Accessed October 20, 2014]. [updated 2013 November]. Available from: .
    1. Ory M, Liles C, Lawer K. Building healthy communities for active aging: a national recognition program. Generations. 2009;33:82–84.
    1. International Council on Active Aging. [home page on the Internet] Vancouver, BC, USA: International Council on Active Aging; 2014. [Accessed October 22, 2014]. Available from: .
    1. European Year for Active Ageing and Solidarity between Generations 2012. [home page on the Internet] Brussels, Belgium: European Union; 2012. [Accessed October 25, 2014]. Available from: .
    1. Fernández Ballesteros R, Robine MA, Walker A, Kalache A. Active aging: a global goal. Curr Gerontol Geriatr Res. 2013;2013:298012.
    1. Fernández-Ballesteros R, Mendoza-Ruvalcaba NM. Toward a definition of successful aging. In: Kruse A, editor. Life in Old Age. Heidelberg, Germany: Akademische Verlagsgesellschaft AKA; 2010. German.
    1. Deep CA, Jaste DV. Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. Am J Geriatr Psychiatry. 2006;14:6–20.
    1. Rowe JW, Kahn RL. Human aging: usual and successful. Science. 1987;237:143–149.
    1. Rowe JW, Kahn RL. Successful Aging. New York, NY, USA: Pantheon; 1998.
    1. Caprara MG, Molina MA, Schettini R, et al. Active aging promotion: results from the Vital Aging Program. Curr Gerontol Geriatr Res. 2013;2013:817813.
    1. Estebsari F, Taghdisi MH, Foroushani AR, Ardebili EA, Shojaeizadeh D. An educational program based on the successful aging approach on health-promotion behaviors in the elderly: a clinical trial study. Iran Red Crescent Med J. 2014;16:16314.
    1. Hooker SP, Seavey W, Weidmer CE, et al. The California active aging community grant program: translating science into practice to promote physical activity in older adults. Ann Behav Med. 2005;29:155–165.
    1. Foy CG, Vitolins MZ, Case L, et al. Incorporating prosocial behavior to promote physical activity in older adults: rationale design of the Program for Active Aging and Community Engagement (PACE) Contemp Clin Trials. 2013;36:284–297.
    1. Latorre JM, Serrano JP, Ricarte J, Bonete B, Ros B, Sitges E. Life review based on remembering specific positive events in active aging. J Aging Health. 2015;27:140–157.
    1. Boyes M. Outdoor adventure and successful ageing. Ageing Soc. 2013;33:644–665.
    1. Sikora SA. The University of Arizona College of Medicine optimal aging program: stepping in the shadows of successful aging. Gerontol Geriatr Educ. 2006;27:59–67.
    1. Paúl C, Ribeiro O, Teixeira L. Active ageing: an empirical approach to the WHO model. Curr Gerontol Geriatr Res. 2012;2012:382972.
    1. Nelson ME, Rejesky WJ, Blair SN, et al. Physical activity and public health in older adults: Recomendation from the American College of Sports Medicine and the American Heart Association. Med Aci Sports Exerc. 2007;39:1435–1445.
    1. Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging. 2010;5:207–216.
    1. Fernández-Ballesteros R, Botella J, Zamarrón MD, et al. Cognitive plasticity in normal and pathological aging. Clin Interv Aging. 2012;7:15–25.
    1. Kim EY, Kim KW. A theoretical framework for cognitive and non-cognitive interventions for older adults: stimulation versus compensation. Aging Ment Health. 2014;18:304–315.
    1. Ritchie K, Artero S, Touchton J. Classification criteria for mild-cognitive impairment: a population-based validation study. Neurology. 2001;56:37–42.
    1. Flicker C, Ferris SH, Reisberg B. Mild cognitive impairment in the elderly: predictors of dementia. Neurology. 1991;41:1006–1009.
    1. Leicht H, König HH, Stuhldreher N, et al. Predictors of costs in dementia in a longitudinal perspective. PLoS One. 2013;8:1–10.
    1. Yesavage JA, Brink TL, Rose T, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1983;17:37–49.
    1. Folstein M, Folstein S, McHugh P. “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–198.
    1. Arias-Merino ED, Ortiz GG, Mendoza-Ruvalcaba NM, et al. El Mini-mental State Examination el efecto de la edad, género y nivel educativo en una población Mexicana. In: Gutiérrez-Robledo LM, editor. Tópicos de Actualización en neurobiología envejecimiento y neurodegeneración. Guadalajara, México: Universidad de Guadalajara; 2011. Spanish.
    1. Bandura A. Guide for constructing self-efficacy scales. In: Urdan T, Pajares F, editors. Self-Efficacy Beliefs of Adolescents. New York, NY, USA: Information Age Publishing; 2006.
    1. Vellas B, Guigoz Y, Garry P, et al. The Mini-Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999;15:116–122.
    1. Global Database on Body Mass Index . BMI Classification [home page on the Internet] Geneva, Switzerland: World Health Organization; [Accessed October 30, 2014]. [updated 2014 December]. Available from: .
    1. Wechsler D. Wechsler Adult Intelligence Scale. Cuauhtémoc, México: Manual Moderno; 1997.
    1. Ferrans CE, Powers M. Psychometric assessment of the Quality of Life Index. Res Nurs Health. 1992;15:29–38.
    1. Sullivan GM, Feinn R. Using effect size – or why the P-value is not enough. J Grad Med Educ. 2012;4:279–282.
    1. Carson C. The effective use of effect size indices in institutional research. [Accessed October 25, 2014]. Available from: .
    1. Sniehotta FF, Schwarzer R, Scholz U, Schüz B. Action planning and coping planning for long-term lifestyle change: theory and assessment. Eur J Soc Psychol. 2005;35:565–576.
    1. Armitage CJ, Conner M. Social cognition models and health behavior: a structured review. Psychol Health. 2000;15:173–189.
    1. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1997;84:191–215.
    1. Bandura A. Exercise of personal and collective efficacy in changing societies. In: Bandura A, editor. Self-Efficacy in Changing Societies. 2nd ed. Cambridge, UK: Cambridge University Press; 1999.
    1. Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37:122–147.
    1. Park DC. The basic mechanisms accounting for age-related decline in cognitive function. In: Park D, editor. Cognitive Aging: A Primer. New York, NY, USA: Psychology Press; 2012.
    1. Salthouse TA. The processing-speed theory of adult age differences in cognition. Psychol Rev. 1996;103:403–428.
    1. Desjaardins-Crépeau L, Berryman N, Vu TT, et al. Physical functioning is associated with processing speed and executive functions in community-dwelling older adults. J Gerontol B Psychol Sci Soc Sci. 2014;69:837–844.
    1. Fernández-Ballesteros R, Arias-Merino ED, Santacreu M, Mendoza-Ruvalcaba NM. Quality of life in Mexico and in Spain. In: Powell JL, editor. The Global Dynamics of Aging. UK: Nova Science Publishers; 2011.
    1. Thanakwang K, Isaramalai S, Hatthakit U. Development and psychometric testing of the active aging scale for Thai adults. Clin Interv Aging. 2014;9:1211–1221.
    1. Barker C, Pistrang N, Elliott R. Self-report methods. In: Barker C, editor. Research Methods in Clinical Psychology. 2nd ed. Wiley; Online Library: 2002.

Source: PubMed

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