Yoga for Healthy Aging (YHA) Study: A Mind-Body Intervention to Reduce Multimorbidity In the Elderly

瑜伽促进健康老龄化 (YHA) 研究：减少老年人多种疾病的身心干预

• 批准号: 10093414
• 负责人: Purnima Madhivanan
• 金额: $ 7.73万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10093414
• 关键词: Address; Age; Age-Years; Aging; Awareness; Breathing; Chronic; Clinical Trials; Communities; Consult; Country; Data; Developed Countries; Developing Countries; Dimensions; Educational workshop; Elderly; Emotional; Ensure; Environment; Equilibrium; Evaluation; Face; Family Caregiver; Financial Hardship; Gait; Gait abnormality; Goals; Government; Grant; Health; Health Services; Health system; Healthcare; Healthcare Systems; Impaired cognition; Income; Incontinence; India; Individual; Intervention; Intervention Studies; Life; Low income; Manuals; Medical Care Costs; Meditation; Mental Depression; Mind-Body Intervention; Modeling; Morbidity - disease rate; National Institute on Aging; Outcome; Outcome Assessment; Personal Satisfaction; Philosophy; Physical activity; Policies; Population; Posture; Primary Care Physician; Primary Health Care; Protocols documentation; Psyche structure; Qualitative Methods; Randomized Controlled Trials; Relaxation; Reporting; Research; Research Project Grants; Resources; Sampling; Scheme; Services; Slum; Social Interaction; Structure; Syndrome; System; Techniques; Theory of Change; Thinking; Training; United States National Institutes of Health; Well in self; Wellness Center; Yoga; age related; aged; base; body-mind; burden of illness; cardiometabolism; care recipients; community involvement; design; diet and exercise; effective intervention; efficacy testing; equilibration disorder; evidence base; family burden; frailty; health related quality of life; healthy aging; holistic approach; improved; instructor; life time cost; lifestyle intervention; low and middle-income countries; member; multiple chronic conditions; older patient; physical conditioning; pressure; primary care setting; programs; systematic review; therapy design; tool

Project Summary/Abstract Abstract: The world's population is rapidly aging, putting intense pressure on healthcare systems in both developed and developing countries. The number of people aged 60 years or older is estimated to increase from 900 million in 2015, to 2.1 billion by 2050. Almost a fourth of the global burden of disease arises in in older people; and chronic conditions are increasingly concentrated in the elderly in low- and middle-income countries. Since almost half of the lifetime costs for medical services are incurred after 65 years of age— healthcare systems face huge and increasing financial burdens related to multimorbidity in the elderly. Current intervention approaches are poorly suited to older patients with multiple, co-occurring, and inter-related conditions. Multimorbidity is commonly manifested in frailty, impaired cognition, incontinence, gait and balance disorders that present significant challenges for effective intervention. Comprehensive and holistic approaches that improve both physical health and subjective well-being, are required. Seniors Yoga, a form of yoga tailored to be safe, gentle, and helpful for elderly, represents a promising strategy for addressing multimorbidity in this population. It has been recommended as a healthy aging strategy in the Go4Life campaign of the National Institute of Aging. Yoga, a mind-body practice with origins in ancient Indian philosophy combines physical postures, breathing techniques, meditation, and relaxation. Many age-related morbidities respond well to holistic approaches like yoga since they contain physical activity (e.g. diet, exercise), mental and emotional training, social interactions, and, potentially, even engagement with a spiritual dimension. There are currently no evidence-based implementation models for integration of yoga practice for seniors in primary health care in low resource settings. The overall goal of this proposed grant is to carry out a contextual adaptation of a previously designed yoga intervention for seniors in a community- based sample of the elderly living in urban slums in Mysore, India. The proposed research fits with priorities of National Institute of Aging which includes gaining a “better understanding of interventions that reduce the burden on family caregivers to improve the health of the aging care recipient”. The goal of this initiative is to adapt an evidence-based yoga lifestyle intervention for use in primary care settings to address the physical and mental needs of seniors aged 60 -80 years living in urban slums of Mysore, India. The results from this study will help plan an R34 application that will provide early stage feasibility data for a larger randomized controlled trial.

项目概要/摘要 摘要：世界人口迅速老龄化，给医疗保健系统带来巨大压力。 发达国家和发展中国家 60 岁或以上的人口数量预计将增加。 从 2015 年的 9 亿增加到 2050 年的 21 亿。全球疾病负担的近四分之一来自 老年人；慢性病越来越集中在低收入和中等收入的老年人身上 由于几乎一半的终生医疗服务费用是在 65 岁之后开始的—— 当前，医疗保健系统面临着与老年人多病相关的巨大且不断增加的财务负担。 干预方法不太适合患有多种、同时发生和相互关联的老年患者 多种疾病通常表现为虚弱、认知受损、失禁、步态和 平衡障碍对有效的干预提出了重大挑战。 需要改善身体健康和主观幸福感的方法，老年人瑜伽是一种形式。 为老年人量身定制的安全、温和且有帮助的瑜伽代表了解决这一问题的一个有前景的策略 Go4Life 已将其推荐为健康老龄化策略。 瑜伽是一种起源于古印度的身心练习。 哲学结合了身体姿势、呼吸技巧、冥想和放松，许多与年龄有关。 疾病对瑜伽等整体方法反应良好，因为它们包含体力活动（例如饮食、 锻炼）、心理和情感训练、社交互动，甚至可能与某个人的接触 目前还没有基于证据的瑜伽整合实施模型。 此项拟议赠款的总体目标是在资源匮乏的情况下为老年人提供初级保健服务。 对先前为社区老年人设计的瑜伽干预措施进行情境调整- 拟议的研究符合印度迈索尔城市贫民窟老年人的样本。 国家老龄化研究所，其中包括“更好地了解减少 “改善老年护理接受者健康的家庭护理人员的负担”该倡议的目标是： 采用基于证据的瑜伽生活方式干预措施，用于初级保健机构，以解决身体问题 居住在印度迈索尔城市贫民窟的60岁-80岁老年人的心理需求和心理需求由此得出的结果。 研究将有助于规划 R34 应用，该应用将为更大的随机试验提供早期可行性数据 对照试验。