INTELLECTUAL OUTPUT 1 – STUDY


STUDY "Physical Fitness and Cognitive Performance of the Elderly - Competition as an Additional Motivation for Promoting an Active Lifestyle"



The study that will be carried out in this project intends to collect baseline and follow-up data to evaluate the health-related changes of physical fitness, self-perception of health, and biological markers, in the aged population. Determinants such as culture, built environment, socioeconomic status, educational level, family context, lifelong occupancy, and transition into retirement are believed to interfere with individual health and lifestyle. Additionally, the countries’ economic indicators seem to be strongly correlated with frailty and fitness levels in the elderly. The literature available is not clear about context markers on ageing, such as environment, dietary and past active work-life. Therefore, the present study may provide an insight on living style and the promotion of a health-related lifestyle. It will expect to carry out a mixed design study (split-plot design) with a randomised assignment of participants to three experimental groups (blocks), and a randomization of three intervention plan as experimental treatment (repeated measures). The investigation will embrace five European countries – Portugal, Italy, Greece, Bulgaria and Hungary, with a wide range of socio-economic contexts, looking for increasing wellbeing conditions under similar motivation – to improve self-performance and be ready for the event (sports games). On the other hand, the few researches related with sports competitions as key factor to motivation of a healthy lifestyle among the elderly, and the low levels of physical activity among the citizens of the countries involved in this project, conducted the project team to deepen mutual understanding and improve the evidence-base related to the motivation factors for systematic physical activity in aged population taking into account specific determinants of each country. Based on a planned competition, as motivation for practice, a set of training sessions will be designed and prescribed to improve both physical and cognitive level. In order to better capture the dynamic interaction between the multiple factors affecting the lives of the aged population, the study will be conducted under a multidisciplinary approach in a follow-up design. The IPVC will be responsible for this Work Package. The investigation group include people with background on public health, longitudinal data statistical analysis and physical fitness testing aged population. Tasks such as planning and controlling the specific management steps that will lead to the project’s objectives will be its responsibility. The partners will be responsible for training sports technicians in developing interventions sessions and collecting both questionnaire and physical fitness data, under head researcher supervision. The IPVC will also be responsible for management of database. The partners and the sport technicians will be responsible for the participant’s recruitment.




PHASES OF THE STUDY



1. RECRUITMENT AND SELECTION OF PARTICIPANTS


The sample will be selected from adults over 60 years of age representatives of the participant regions. It will be necessary to recruit, at least, 75 participants per region for this study. Measures to promote gender equality should be ensured in the selection of participants. Three groups will be defined in compliance of the next scheme:


VNCERVEIRA (PT)

CESENA (IT)

PONTEVEDRA (SP)

AKSAKOVO (BG)

ZÖLDPONT (HU)



2. PARTICIPANTS ASSESSMENT


This longitudinal study includes six moments for assessment - March/April 2018, as a baseline, September 2018, March/April 2019, September 2019, March/April 2020, and September 2020. The assessment sessions will be performed in an appropriate place available by the local organisation and carried out by the technicians provided by the local partner under the supervision of researchers from the IPVC. Participants will be assessed based on Anthropometric, biological and cognitive measures.

Anthropometric measures:
                Stadiometer (seca 213, portable): Height (m)
                Tanita BC-545N: weight (kg), BMI (kg/m2), body fat (%)
                Flexible tape: waist and hip perimeters (cm)
      • Automatic blood pressure monitor (Omron M2 Basic (Ref. HEM-7120): SBP and DBP (mmhg)
      • Pedometers: 7 days (24h), representing usual physical activity
Cognitive assessment:
      Mini-Mental State Examination, EQ-5D-5L & Participation Motivation Questionnaire
Physical fitness tests:
      • Chair Stand Test - lower body strength (times of full stand and sit in 30 seconds)
      • Chair Sit and Reach Test - lower body flexibility (distance between toes and fingertips)
      • Back Scratch Test - flexibility of upper body (distance between the fingertips of one hand and the other is measured to the nearest half‐inch)
      • Handgrip Test - upper limb muscle strength (the best score of each hand will be considered)
       Up and Go Test - your speed, agility and balance (best score/time, 2 reps)
      • 6 minutes walking Test – cardiorespiratory capacity (maximal distance, in meters, walked by participant)



FORMS OF PARTICIPANTS ASSESSMENT:

FORM - ASSESSMENT BATTERY Intergenerational Competition Rules

FORM 01 - INSERT PARTICIPANT Intergenerational Competition Rules

FORM 02 - MINI-MENTAL STATE EXAMINATION (MMSE) Intergenerational Competition Rules

FORM 03 - EQ-5D-5L Intergenerational Competition Rules

FORM 04 - PARTICIPATIO MOTIVATION QUESTIONAIRE Intergenerational Competition Rules

FORM 05 - OBJECTIVE MEASURES Intergenerational Competition Rules


VNCERVEIRA (PT)

CESENA (IT)

PONTEVEDRA (SP)

AKSAKOVO (BG)

ZÖLDPONT (HU)



3. TRAINING SESSIONS


Group 1 and 2 will be subject to a physical activity intervention plan with two training sessions per week structured for two years (44 weeks each year). This plan should include aerobic activity of moderate intensity (walking for example), in addition to muscle strengthening activities interspersed with aerobic activity of vigorous intensity (jogging, running). The training sessions are expected to start in April 2018 and follow this structure for two years. After this period, they may continue to benefit guidance in training, but this action will remain pending of the motivation demonstrated by the group, and will be supported exclusively by the partner organization / organization. The training will serve as the basis for the preparation of the event.



VNCERVEIRA (PT)

CESENA (IT)

PONTEVEDRA (SP)

AKSAKOVO (BG)

ZÖLDPONT (HU)



4. COMPETITIONS


Three competitions are expected to take place in each of the 5 countries involved in the project, on the following dates– September 2018 – September – 2019 and September 2020. Each involved region will execute its event under supervision of the project leader. The event will involve six different competitions, 4 sports modalities and 2 optional, according to traditional games of the involved regions (for example, in the Portuguese case the modalities are petanque and rope traction), and the events should embrace, at least, 100 participants in each involved region. It is anticipated that the competition will work as additional motivation for better physical activity practice and improve life quality. The conditional capacity, such as muscle strength and cardiorespiratory capacity, and cognitive performance will be stimulated with evident benefices for individuals. On the other hand, with the creation of conditions for the regular practice of physical activity, as well as the dynamics created (Olympics 2018 and 2019), it is foreseen that the competition in 2020 and in the following years will be held in each region without the EU support. (More Information)


VNCERVEIRA (PT)

CESENA (IT)

PONTEVEDRA (SP)

AKSAKOVO (BG)

ZÖLDPONT (HU)



5. FIRST INTERMEDIATE REPORT



6. SECOND INTERMEDIATE REPORT



7. PUBLICATIONS IN SCIENTIFIC JOURNALS



8. THIRD INTERMEDIATE REPORT










INTELLECTUAL OUTPUT 2 – BEST PRACTICES AND GUIDELINES



The Intellectual Output 2, will be dedicated to deepen the knowledge on the methodologies on how to motivate senior citizens to healthy lifestyles. The activities will range from the collection of best practices, to the analysis of practical tools to arise people motivation to practice sport, and tools that cities use in taking initiatives in this sense. The deliverables of this output will be: “Guidelines” titled “Motivation to the sport and healthy lifestyles for senior citizens as leverage for active ageing and a higher quality of life”.







INTELLECTUAL OUTPUT 3 – OER - INTERGENERATIONAL COMPETITIONS



Demographically, the territories involved in this project are characterised by a weak dynamic and a strong dependence of the most vulnerable groups, which allied to the remaining territorial characteristics, puts the elderly, in a fragile position, exacerbating the risk of social exclusion.
Over the last few decades, these regions have witnessed a change in family characteristics, namely the nuclearization of households, allied to the insertion of women into the labour market, the reduction of parents’ leisure hours and the absence of grandparents within the family environment, leading to a greater isolation of youth and lack of contact with other generations. This situation has limited the family while supporting affective structure and has denied to the youth cultural and social enrichment, and above all the contact with personal training values that normally were transmitted from generation to generation.
The changes in family structures have led to an increasing isolation of the youth and the elderly in these regions. If, on the one hand, the youth take refuge and seek social contact and learning in new technologies, social networks and school, the elderly ends up isolating themselves or in groups of the same generation. This situation is more serious when the youth and the elderly become more isolated and distant from the socially more dynamic poles.
Besides all this, there is the fact that this elder population come from rural communities, with very low levels of education, mainly e-excluded and without any opportunity of social contact outside their local community.
As mentioned above, the Intergenerational Olympics held in 2015 in Vila Nova de Cerveira resulted in an increase in the practice of physical activity among the elderly population with the lowest indices of this practice and the insertion of the NEET youths in order to acquire informal skills.
The concept of intergenerationally added to the competition factor worked as an asset for the success of this initiative. Nonetheless, the inclusion of vulnerable groups, such as isolated elderly people, required a joint effort between the teams / social action technicians and sports technicians, with the aim of overcoming some barriers that prevent a continuous practice of physical exercise among this population.
The actions that the technicians of the social and sports area of the Municipality of Vila Nova de Cerveira have developed over the last years in order to involve vulnerable groups in sport must be structured, made available and disseminated as an “open educational resource” (OER) and as a tool that facilitates the insertion and increase of the practice of physical exercise of vulnerable groups with replication potential to local organizations with competences in the area of sport, namely municipalities and associations related to sport.
Daily, local institutions deal with the need to find strategies to promote a more active and healthy life among their citizens with less access to sport, so creating the OER will allow access to as many institutions as possible, generating a greater impact of the initiative and an increase in the visibility of the promoted actions. It should be noted that, despite the efforts made by universities and local organizations to bring their interventions and knowledge closer together, the fact is that resources are being disseminated more rapidly among peers, between public and private local organizations, considering the more practical character at the expense of the more theoretical concepts disseminated by universities.
The transversality of the barriers associated to vulnerable groups is one of the key points that should guide the planning of the activities directed to this segment, in particular, taking into account the following aspects: - Address the social and economic barriers for older people such as access to venues, timing, costs, transport and safety; - Consider the needs of minority ethnic groups who may have cultural issues that deter them from participating; - Involve the groups in the planning and development of programmes; - Develop innovative and creative programmes that avoid the stereotyping of vulnerable groups and promote positive images.
It is expected to test this tool with different vulnerable groups during the project in order to enrich this resource with contributions and perspectives of integration of different vulnerable groups, such as migrants and refugees in the case of Cesena, youth unemployed and mental disabled citizens, among other groups in other countries.






Acessibility

The project "IN COMMON SPORTS - INTERGENERATIONAL COMPETITION AS MOTIVATION FOR SPORT AND HEALTHY LIFESTYLE OF SENIOR CITIZENS" /590543-EPP-1-2017-1-PT-SPO-SCP/ is co-funded Erasmus+ Sport Programme, Action: Collaborative Partnerships. This webpage and the information / publication / communication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.


     MAIN CONTACT:
      MUNICIPALITY OF VILA NOVA DE CERVEIRA
      Email: 
 geral@cm-vncerveira.pt
      Tel. +351 251708020

      Assessibility: 
Acessibility Acessibility Acessibility Acessibility