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FEASIBILITY, SAFETY AND ADHERENCE OF A REMOTE PHYSICAL AND COGNITIVE EXERCISES PROTOCOL FOR ELDERS

Background: The practice of physical and cognitive exercises remotely has been investigated worldwide, as an important combined intervention to prevent functional decline and due to the potential to be applied on a large scale. Objective: Verify the feasibility, safety, and adherence of a remote physical and cognitive exercise protocol for elders; and to compare two different protocols and its effects on strength, cognitive functions and wellbeing. Methods: Use of the PICO strategy, conducted on September 17, on PubMed using “Alzheimer disease” and “diabetes mellitus” as descriptors, identifying 14 articles, selecting 4 after screening. Inclusion criteria: clinical and randomized controlled trials with diabetic and Alzheimer patients, published on the last 5 years. Exclusion criteria: articles focused on medications. Results: Overall adherence to the proposed sessions was 82,36% (sd16,8) in IG and 76,5% (sd24,04) in CG. There were no serious adverse events or dropouts during the study. There was an improvement in strength and verbal fluency for IG and GDS for both groups (p ≤ 0,05). Conclusion: Both protocols seem a feasible program, reaching an acceptable level of adherence and safety. The technology used can represent a sustainable path for large scale use to promote aging active in developing countries.