diplomsko delo
Maja Kojanec (Author), Darja Rugelj (Reviewer), Miroljub Jakovljević (Mentor), Nina Hiti (Co-mentor)

Abstract

Uvod: Svetovna populacija se nenehno povečuje in postopoma stara. Čedalje daljša življenjska doba je primarni razlog za povečanje števila starejših odraslih s funkcijskimi omejitvami pri opravljanju vsakodnevnih dejavnosti. Testiranje telesne pripravljenosti starejših oseb je eno izmed najboljših in najbolj preprostih orodij za ocenjevanje funkcijske telesne pripravljenosti starejših. Krhkost je geriatrični sindrom, ki predstavlja visoko tveganje za padce, povečanje odvisnosti in smrt. Namen: Namen diplomskega dela je bil ovrednotiti povezanost med funkcijsko telesno pripravljenostjo in njenimi komponentami in stopnjo krhkosti starejših odraslih, ki živijo v domu starejših občanov. Metode dela: Raziskave se je prostovoljno udeležilo 27 (19 žensk in 8 moških) stanovalcev doma starejših občanov, ki so bili samostojni pri opravljanju osnovnih dnevnih opravil. Za ocenjevanje funkcijske telesne pripravljenosti smo uporabili Testiranje telesne pripravljenosti starejših oseb, za ocenjevanje krhkosti pa vprašalnik, sestavljen iz petih vprašanj, ki ocenjuje fenotip krhkosti. Rezultati: Sodelujoči stanovalci so bili v povprečju stari 87,7 (4,8) let, težki 71,4 (12,3) kg, visoki 161,8 (7,2) cm in imeli obseg pasu 95,9 (11,0) cm. Moški so v primerjavi z ženskami imeli pomembno višjo telesno maso, telesno višino in obseg pasu. Med njimi so bili trije krhki in 24 predkrhkih, predvsem zaradi zmanjšane zmogljivosti prijema roke in zmanjšane hitrosti hoje. Med spoloma ni bilo pomembnih razlik. Obstajala je zmerna pozitivna povezanost med stopnjo krhkosti in pogostnostjo izvajanja zmerno intenzivne telesne dejavnosti (R=0,44) in seštevkom točk samoocene telesne dejavnosti (R=0,43). Prav tako je obstajala negativna zmerna povezanost med stopnjo krhkosti in vstani in pojdi testom (R=-53) in pozitivna zmerna povezanost z dosegom sede na stolu (R=0,47). Pri kategoriziranih rezultatih je obstajala pomembna zmerna pozitivna povezanost med stopnjo krhkosti in časovno merjenim vstani in pojdi testom (R=0,43), dosegom sede na stolu (R=0,43), 2-minutnim testom stopanja na mestu (R=0,53) in vsoto doseženih kategoriziranih izidov (R=0,46). Razprava in zaključek: S pridobljenimi podatki smo ugotovili obstoj zmerne povezanosti med predkrhkostjo in krhkostjo s posameznimi funkcijskimi testi, še posebno, če so kategorizirani. Testiranje telesne pripravljenosti starejših odraslih je obetavno orodje za ugotavljanje tveganja krhkosti pri institucionaliziranih starejših odraslih.

Keywords

diplomska dela;fizioterapija;telesna pripravljenost;testi;starostniki;fenotip krhkosti;staranje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [M. Kojanec]
UDC: 615.8
COBISS: 33454851 Link will open in a new window
Views: 411
Downloads: 159
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Other data

Secondary language: English
Secondary title: Correlation of physical fitness and physical frailty in older adults nursing home residents
Secondary abstract: Introduction: The world population is constantly growing and gradually aging. The rising of life expectancy is the primary reason for the increasing number of older adults with functional limitations in their daily activities. The Senior Fitness Test is one of the best and easiest tools for assessing older adults’ functional ability. Fragility is a geriatric syndrome and a good indicator of an individual's risk of falls, functional ability and mortality. Purpose: The purpose of the study was to evaluate the association between functional physical fitness and its components and the frailty level of older adult residents of a nursing home. Methods: 27 (19 women and 8 men) volunteer home residents attended the research who were independent in performing basic daily tasks. We used the Senior Fitness Test to assess functional fitness, and the fragility questionnaire, consisting of five questions, to assess frailty phenotype. Results: Participants were on average 87.7 (4.8) years old, weighing 71.4 (12.3) kg, 161.8 (7.2) cm high and had a waist circumference of 95.9 (11.0) cm. The comparison between genders showed that men had significantly higher body weight, height and waist circumference compared to women. Among the participants, three were frail and 24 pre-frail, mainly due to reduced hand grip capacity and reduced walking speed. No significant difference was found between genders. A moderate positive correlation was found between the degree of fragility and the frequency of performing moderately intense physical activity (R = 0.44) and the sum of the points of self-assessment of physical activity (R = 0.43). There was also a negative moderate correlation between the degree of fragility and the 8 foot up and go test (R = -53) and a positive moderate correlation with the chair sit-and-reach test (R = 0.47). For categorized results, there was a significant moderate positive association between the degree of fragility and the 8 foot up and go test ( R = 0.43), the chair sit-and-reach test (R = 0.43), the 2-minute step test (R = 0.53) and the sum of the achieved categorized outcomes (R = 0.46). Discussion and conclusion: The obtained data showed the existence of a moderate correlation between pre-fragility and fragility with individual functional tests, especially if categorized. The Senior fitness test is a promising tool for determining the risk of fragility in institutionalized older adults.
Secondary keywords: diploma theses;physiotherapy;fitness;tests;elderly;frailty phenotype;ageing;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 35 str., [3] str. pril.
ID: 12091637