No abstract

Structured multicomponent physical exercise (PE) for older adults, with a combination of strength, aerobic, flexibility, and balance exercises, has been shown to have benefits for physical, cognitive, social, and metabolic functioning, as well as counteracting chronic pathologies and geriatric syndromes. However, little is known about the effect of these interventions in Chilean older adults. Our objective was to determine the effect of a structured multicomponent PE intervention on the quality of life (QoL) and biopsychosocial factors of community-living older adults. We conducted a pre–post intervention without control group, with a face-to-face structured multicomponent PE intervention (cardiovascular, strength/power, flexibility, static and dynamic balance, other psychomotor components, and education), based on FITT-VP principles (frequency, intensity, type, time, volume, and progression of exercise), at moderate intensity, 60 min per session, three times per week, and 12 weeks in duration, among 45 persons with an average age of 70.74 years. Participants were evaluated at the beginning and end of the intervention with different instruments of comprehensive gerontological assessment (CGA). Post intervention, participants (83.70% average attendance) significantly improved scores in QoL, biological and biopsychosocial frailty, sarcopenia, functionality in basic, instrumental, and advanced activities of daily living, dynamic balance, cognitive status and mood, systolic and diastolic blood pressure, weight, body mass index, strength and flexibility clinical tests of lower and upper extremity, aerobic capacity, agility, and tandem balance. The indication and prescription of structured multicomponent PE based on FITT-VP principles, as evaluated with the CGA, improved the QoL and biopsychosocial health of older adults. This intervention could serve as a pilot for RCTs or to improve PE programs or services for older adults under the auspices of existing public policy.

Objectives To associate the effects of the social outbreak with insomnia and daytime sleepiness according to the distance from the riots. Material and Methods Cross-sectional analytical study; a non-probabilistic sampling was carried out at a national level. The Google Forms tool was used; a document was submitted using a national database. The instrument consisted of four sections: socio-demographic data, biopsychosocial symptoms, insomnia severity index (ISI), and the Epworth sleepiness scale (ESS). The data were analyzed using descriptive statistics and the zero-inflated negative binomial model. Results Of a total of 2,532 surveyed people, 29% were male; 43% was younger than 30 years old. The 50% of the sample suffers from sleepiness and 71% shows some type of insomnia. The marginal effects of the zero-inflated negative binomial model show that women, people aged 51 or older, who are neither studying a healthcare degree nor working in the healthcare sector, that are exposed to 4 or more hours per day to the news and that live in areas near or very near the riots, have significantly higher ISI (marginal effect 1.356, SE 0.381, p-value 0.000) and ESS scores (marginal effect 0.693, SE 0.320, p-value 0.030). To live/work in rioting areas has the greater marginal effect compared to other determinants. Finally, neither employment status nor educational level are associated with significant effects in the aforementioned scales. Conclusion The riots occurred during the social outbreak of October 2019 in Chile had an effect on insomnia and daytime sleepiness. Particularly, to live/work in rioting areas has the greater marginal effect compared to other determinants.