This study, the first one of the +AGIL-COVID19 program, assesses the effect of the lockdown due to the COVID-19 on physical activity levels and emotional wellbeing on frail older adults
Keywords: COVID-19; frailty; ageing; physical activity; mental health; social relationships
A Project Funded By:
Description of the Study:
- Title: Multifactorial contribution to changes in frail older adults’ physical activity during the COVID-19 pandemic.
- Principal Investigator: Marco Inzitari.
- Co-investigators: Laura M Pérez, Carmina Castellano-Tejedor, Matteo Cesari, Luis Soto-Bagaria, Joan Ars, Fabricio Zambom-Ferraresi, Sonia Baró, Francisco Díaz, Jordi Vilaró, María B Enfedaque, Paula Espí and Daniel Salvador.
- Center of Implementation: CAP Bordeta-Magòria.
- Study Population: Individuals aged ≥65 years, presenting at least one sign of frailty (i.e., slow gait speed, weakness, memory complaints, involuntary weight loss, poor social support) and not previously diagnosed with SARS-CoV-2 (n=98).
- Study Type: Interventional cohort study.
- Methods: Community-dwelling participants from the +ÀGIL Barcelona program, underwent a phone-assessment during the lockdown if a previous 12-months comprehensive geriatric assessment was available. Physical activity (PA) was measured before and after the lockdown using the Brief Physical Activity Assessment Tool (BPAAT). Other tools were used to measure Emotional Wellbeing and autonomy in daily living activities (Barthel index).
Objectives of the Study:
Principal Objective: To assess the effect of the lockdown on physical activity levels and to identify predictors of sufficient/insufficient physical activity in frail older community-dwellers. Besides, this project will also measure the impact of the lockdown on emotional welfare and functional autonomy.
More about this Study:
+AGIL Barcelona (“Atenció primària i Geriatria Integrades amb visió Longitudinal” in Catalan), is an implemented, ongoing, “real-life” multidimensional intervention program, based on integrating primary care, geriatrics, and other community resources.
The program, enrolling non-disabled frail older adults, is based on the comprehensive geriatric assessment (CGA), performed by a geriatric multidisciplinary team in collaboration with primary care professionals for designing a person-tailored community intervention. Pillars of the intervention include a 10-weeks “boost” of multicomponent physical exercise, aiming to empower participants to perform PA, complemented with home sessions based on the validated ViviFrail platform; after the boost, a continuation of PA in existing resources in the community is pursued. Promotion of the Mediterranean diet, health education, and optimization of pharmacological therapies are also part of the intervention. After the initial CGA, the geriatrician repeats an assessment at 3 months (and occasionally 6 months) to revise and adapt the intervention.
+AGIL-COVID19 is a spin-off of the +AGIL Barcelona program.
In this program, the multi-component intervention to reverse frailty in fragile but still autonomous people in the community is carried out within the context of COVID-19. And it takes into account, above all, the effects of confinement on elderly people who did not suffer from the disease.
Added value: As the participants of this study where derived from the +AGIL Barcelona program, they have a complete and in-person comprehensive geriatric evaluation prior to the physical activity assessment, which serves as an objective starting point previous to the COVID-19 lockdown. Moreover, in the telephone interview, we used some rating scales that repeat those we had previously used, so we can see trends or changes with respect to objective pre-post lockdown evaluations.