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

项目总结/摘要 摘要：世界人口正在迅速老龄化，给两国的医疗保健系统带来了巨大的压力。 发达国家和发展中国家60岁或以上的人数估计会增加 从2015年的9亿，到2050年的21亿。全球近四分之一的疾病负担发生在 老年人;慢性病越来越多地集中在低收入和中等收入的老年人中 国家由于几乎一半的终身医疗服务费用是在65岁以后发生的， 医疗保健系统面临着与老年人的多次死亡有关的巨大和日益增加的财政负担。电流 干预方法不太适合老年患者的多个，共同发生，和相互关联 条件多发性硬化症通常表现为虚弱、认知受损、失禁、步态不稳和 平衡失调是有效干预的重大挑战。全面和整体 需要改善身体健康和主观幸福感的方法。老年人瑜伽，一种形式 瑜伽的量身定制是安全的，温和的，对老年人有帮助，代表了一个有前途的战略，解决 在这个群体中，多个。它已被推荐为一个健康的老龄化战略在Go 4Life 国家老龄化研究所的活动。瑜伽，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。许多与年龄有关的 病态对像瑜伽这样的整体方法反应良好，因为它们包含身体活动（例如饮食， 锻炼），心理和情感训练，社会互动，甚至可能参与 精神层面目前还没有基于证据的实施模式整合瑜伽 在低资源环境中为老年人提供初级卫生保健的做法。这项拟议赠款的总体目标是 对社区老年人先前设计的瑜伽干预进行情境适应- 基于生活在印度迈索尔城市贫民窟的老年人的样本。拟议的研究符合优先事项 其中包括获得“更好地了解干预措施， 减轻家庭照顾者的负担，以改善老年人的健康”。该倡议的目标是 调整以证据为基础的瑜伽生活方式干预，用于初级保健环境， 和精神需求的老年人年龄60 - 80岁生活在城市贫民窟的迈索尔，印度。结果是 这项研究将有助于规划R34应用，为更大规模的随机试验提供早期可行性数据。 对照试验

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.