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.

项目摘要/摘要 摘要：世界的人口正在迅速衰老，对医疗保健系统施加了巨大的压力 发达国家和发展中国家。据估计，60岁或以上的人数会增加 从2015年的9亿到到2050年到2050年。几乎是全球疾病负担的四分之一。 老年人；慢性条件越来越集中在低收入和中等收入中 国家。由于几乎一半的医疗服务成本是在65岁之后产生的，因此 医疗保健系统面临着与古老的多个多发病相关的庞大而不断增长的金融燃烧系统。当前的 干预方法不适合多个，同时发生且相关的老年患者 状况。多种病通常在脆弱，认知受损，尿失禁，步态和 平衡疾病，给有效干预带来重大挑战。全面而整体 需要改善身体健康和主观福祉的方法。老年人瑜伽，一种表格 量身定制的瑜伽是安全，温和且对较早的瑜伽，这代表了解决方案的有前途的策略 该人群中的多发病。在Go4Life中，建议将其作为健康的衰老策略 国家老化研究所的运动。瑜伽，一种思维体练习，起源于古代印度人 哲学结合了身体姿势，呼吸技术，冥想和放松。许多与年龄有关的 由于瑜伽含有体育锻炼（例如饮食， 运动），心理和情感训练，社交互动，甚至可能与 精神维度。目前尚无基于证据的实施模型来整合瑜伽 在低资源环境中，初级保健中的老年人实践。这项提议的赠款的总体目标是 为了对社区中的老年人进行以前设计的瑜伽干预的上下文改编 基于印度迈索尔市的城市贫民窟的原始居住的样本。拟议的研究符合优先事项 美国国家老化研究所（National Institute of Enaging）包括“更好地了解干预措施 家庭护理人员的负担改善了老龄化护理接受者的健康状况。该计划的目的是 适应基于证据的瑜伽生活方式干预措施，以在初级保健环境中使用以解决物理 以及在印度迈索尔市的城市贫民窟中居住60至80岁的老年人的心理需求。从中的结果 研究将有助于计划R34应用，该应用将为较大的随机分析提供早期可行性数据 对照试验。