Clinical trial NCT06849427: Effects of Multicomponent Exercise on Quality of Life, Coping With Stress, and Well-Being in Older Women
Official title: Effects of Multicomponent Exercise on Quality of Life, Coping With Stress, and Well-Being in Older Women: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Quality of Life
Coping
Well-being
Older People
Woman&#39;s Health
Exercise
Keywords: quality of life
coping
well being
older people
exercise
women&#39;s health
Lead sponsor: Antalya Bilim University
Sponsor class: OTHER
Collaborators: name: Istanbul University - Cerrahpasa
First posted: 2025-02-27
Enrollment: 40
Sex: FEMALE
Minimum age (years): 60
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: 20 experimental, 20 control
Primary purpose: SUPPORTIVE_CARE

Brief summary: The aim of this study is to evaluate the effects of multi-component exercise on quality of life, coping with stress and well-being in elderly women.

The objectives of the study are;

* To determine the contribution of multi-component exercise to active and healthy aging in elderly women
* To present the effects of multi-component exercise on quality of life, coping with stress and well-being in elderly women and to create data to guide practitioners for nursing care practices.

This study will determine whether multi-component exercise will make a positive contribution to quality of life, well-being and coping strategies in elderly women and will contribute to the deepening of existing knowledge on the effects of multi-component exercise on health.

Detailed description: Aging is a natural and inevitable process of change that begins in the fetal period and continues until death in all living things. Old age refers to a period in which many people experience feelings of loss, lose their physical, functional, psychological and social independence and increase their dependency. The World Health Organization (WHO) accepts the age limit as 65 years and above, while the United Nations accepts it as 60 years and above. In parallel with the developments in technology, science and health, 9.3% of the world's population and 9.1% in our country constitute the elderly population. 61% of the population aged 80 and above in the world are women, and the female/male ratio in this population is increasing day by day.

Biological differences cause women to spend more than a third of their lives in old age and to have more health-seeking behaviors due to men's higher rates of smoking, alcohol and substance use. This situation causes older women to experience chronic diseases, violence, abuse and reproductive health problems, psychological and mental problems, care and housing problems longer than older men. According to the study of Ko et al. (2019), it was found that women have lower socioeconomic and health status than men, and their health status and social service needs are higher than men. In addition, studies have shown that urinary incontinence, osteoporosis, vision, hearing problems, cardiovascular diseases such as hypertension, which are common in elderly women, negatively affect their mobility and quality of life.

The care that should be given to the elderly should be multifaceted, and in addition to physical and medical aspects, social and psychological aspects should not be neglected. Functional losses and social losses that occur in old age naturally affect women more. Coping with stress is defined as a series of cognitive and behavioral efforts aimed at managing special needs that exceed the individual's internal resources. Although the life behaviors developed by women to cope with stress in the literature vary from culture to culture, most studies have focused on education, physical activity/exercise, healthy nutrition, stress management, developing healthy behaviors, and preventing diseases and osteoporosis. Some problems such as increasing health problems in old age, loss of professional and social status, loss of function, and increased dependence on others deteriorate the quality of life and negatively affect well-being. Although wellness is simply defined as a process, a lifestyle, it consists of multifaceted sub-dimensions such as social, physical, and spiritual well-being. In geriatric studies aimed at maintaining well-being, studies are carried out on social activities, psychological support, and exercise, nutrition, and the ability of the individual to continue their daily activities independently. In the study of Östh et al. (2019), it is reported that yoga is effective in improving well-being, mobility, mood and cognition, and that yoga can be added to the exercise program of the elderly. In addition, in the study of Sorusa et al., it was determined that yoga applied during the climacteric period positively affects the quality of life and well-being.

Current geriatric studies target active aging and report that exercise is necessary for a healthy aging process. While exercising increases muscle mass, muscle strength, balance and speed, it also helps elderly individuals increase their independence and reduce functional disability. WHO's exercise recommendations for elderly individuals include both strength exercises and balance exercises to reduce the risk of falls, as well as aerobic exercises. The recommendation for older adults is 150 minutes of moderate-intensity exercise per week, and it is stated that it is more appropriate to divide this time into certain days of the week. Epidemiological studies have shown that people with high levels of physical activity have lower levels of depression and anxiety. On the other hand, high levels of habitual physical activity are associated with a reduced risk of cognitive decline, dementia, and Alzheimer's disease in later life. Physical exercise improves memory function in older people with mild cognitive impairment.

Eligibility criteria: Inclusion Criteria:

* Being literate
* Being a woman over 60
* Agreeing to participate in the research
* Being able to speak and understand Turkish

Exclusion Criteria:

* Those who have previously engaged in active regular exercise and continue to do so
* Those who are unable to do physical exercise due to any illness
* Those who are involved in another study simultaneously with this study outside of routine practices
* Those who have another neurological or psychiatric diagnosis affecting their cognitive status

Primary outcomes:
measure: World Health Organization Quality of Life Assesment
timeFrame: pre-intervention and immediately after the intervention
Secondary outcomes:
measure: Stress Coping Style Scale
timeFrame: pre-intervention and immediately after the intervention
Other outcomes:
measure: Well-Being Scale
timeFrame: pre-intervention and immediately after the intervention
Locations:
city: Konyaaltı
country: Turkey
facility: Antalya Aktif Yaşlı Merkezi
state: Antalya
city: Antalya
country: Turkey
facility: Antalya Aktif Yaşlı Merkezi
Study officials:
References:
citation: Muchiri WA, Olutende OM, Kweyu IW, Vurigwa E. Meaning of Physical Activities for the Elderly: A Review. Am J Sports Sci Med 2018;6:79-83. https://www.researchgate.net/publication/327602163_Meaning_of_Physical_Activities_for_the_Elderly_A_Review
citation: Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, Ballard C, Banerjee S, Burns A, Cohen-Mansfield J, Cooper C, Fox N, Gitlin LN, Howard R, Kales HC, Larson EB, Ritchie K, Rockwood K, Sampson EL, Samus Q, Schneider LS, Selbaek G, Teri L, Mukadam N. Dementia prevention, intervention, and care. Lancet. 2017 Dec 16;390(10113):2673-2734. doi: 10.1016/S0140-6736(17)31363-6. Epub 2017 Jul 20. No abstract available.
citation: Ko KY, Kwok ZCM, Chan HY. Effects of yoga on physical and psychological health among community-dwelling older adults: A systematic review and meta-analysis. Int J Older People Nurs. 2023 Sep;18(5):e12562. doi: 10.1111/opn.12562. Epub 2023 Aug 14.
citation: Varela S, Ayan C, Cancela JM, Martin V. Effects of two different intensities of aerobic exercise on elderly people with mild cognitive impairment: a randomized pilot study. Clin Rehabil. 2012 May;26(5):442-50. doi: 10.1177/0269215511425835. Epub 2011 Nov 24.