Fragility is a preventable but also an avoidable syndrome

According to Jose Viña, professor of physiology at the University of Valencia and director of Incliva, after a recent clinical trial developed in collaboration with Francisco José Tarazona, Hospital de la Ribera, in Alzira (Valencia), which has been demonstrated That "a program of physical exercise is capable of reversing the fragility in humans".

The fragility is a syndrome not only preventable, but also reversible, according to José Viña, Professor of Physiology at the University of Valencia and director of the Research Group on Aging and Physical Exercise at the Sanitary Research Institute (Incliva). In fact, in a recent clinical trial developed in collaboration with Francisco José Tarazona, Hospital de la Ribera, in Alzira (Valencia), "we have shown that a physical exercise program is capable of reversing fragility in humans."

This study, with 100 fragil patients, half of them was engaged in a multicomponent physical exercise program, (in sesions of 65 minutes, five days a week for six months). "The intervention consisted in a multicomponent physical exercise program made by a combination of resistence, strength, coordination, flexibility, and balance exercises. Once the program was ended not only the fragilty was reverted, but we found better cognitive, emotional and socials parameters" Viña said.

As an example, to measure cognitive impairment we apply the mini mental scale -a method frequently used to detect cognitive problems and to observe the progress of the elders- "we observed an improve in 11 % in the score of the test of the training group. In addition, the DUKE social support questionnaire was also applied. "In this case we obtained an improvement of 18 percent after the mistress of intervention with exercise. The score obtained in this questionnaire is a reflection of the support received by the patient, not the real. A lower score, is lower support. "Finally, a geriatric depression scale called the Yesavage test - a questionnaire used for the screening of depression in people over 65 - was administered, and in this case" we obtained an Improvement of 28 percent in the group of trained frail subjects. "

Decreasing of visits
Similarly, the number of visits to the primary care center of patients was significantly reduced."We quantified the number of visits of all patients in the study and the fragile patients who followed the training program, decreased their number by 45 percent during the 6 months of the program.This figure is very relevant because of the savings in health expenditure that can represent ", he emphasized. For all this, Viña concludes, "the programmed physical exercise individualized and controlled by experts is a tool with enormous potential in the management of fragility."

Fuente: Diario Médico

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