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.

项目总结/文摘