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

项目摘要/摘要 摘要：世界人口正在迅速老龄化，这给两国的医疗体系带来了巨大的压力 发达国家和发展中国家。据估计，60岁或以上的人口数量还在增加 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出现在 老年人；慢性病越来越集中在中低收入的老年人中 国家。由于几乎一半的终生医疗费用是在65岁之后发生的- 医疗保健系统面临着与老年人多发病相关的巨大且不断增加的经济负担。当前 干预方法不太适合患有多发性、共发性和相互关联的老年患者。 条件。多发病通常表现为虚弱、认知障碍、大小便失禁、步态和 平衡障碍对有效干预构成重大挑战。全面的、整体的 需要同时改善身体健康和主观幸福感的方法。老年人瑜伽，一种形式 专为老年人量身定做的安全、温和和有帮助的瑜伽，代表了一种有希望的解决策略 这一人群中的多发病。它被Go4Life推荐为一种健康的衰老策略 国家老龄研究所的活动。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。许多与年龄相关的人 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、社会互动，甚至潜在地参与到 精神层面。目前还没有基于证据的瑜伽整合实施模型 在低资源环境下为老年人提供初级卫生保健的做法。这项拟议拨款的总体目标是 为社区中的老年人进行先前设计的瑜伽干预的情景适应- 生活在印度迈索尔城市贫民窟的老年人样本。建议的研究符合优先事项。 其中包括“更好地了解可减少 家庭照料者在改善老年照顾者健康方面的负担“。这一倡议的目标是 调整基于证据的瑜伽生活方式干预，用于初级保健环境，以解决身体上的 生活在印度迈索尔城市贫民窟的60-80岁老年人的心理需求。由此产生的结果是 这项研究将帮助规划R34应用，为更大规模的随机 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.