奥塔戈运动计划对老年人身体功能的影响:随机对照试验的系统审查和元分析
Shuang Wu1, Yongzhen Guo2, Zeng Cao3
1Xiangya School of Nursing, Central South University, China; College of Nursing and Health Sciences, Flinders University, Australia.
Archives of gerontology and geriatrics
|May 8, 2024
概括
奥塔戈运动计划 (OEP) 显著改善了老年人的平衡,下肢力量和运动能力. 视频支持,更长的会议 (超过30分钟) 和13-26周的程序持续时间是最有效的增强身体功能.
科学领域:
- 老年学和运动科学
- 公共卫生与老龄化问题
背景情况:
- 保持身体功能对于老年人的健康衰老至关重要.
- 奥塔戈运动计划 (OEP) 是预防跌倒的常见干预措施.
- 目前对OEP对身体功能的影响的研究显示出混合的结果,对效果修饰剂的探索有限.
研究的目的:
- 系统地评估奥塔戈运动计划 (OEP) 对老年人的身体功能的影响.
- 确定影响OEP干预措施有效性的潜在调节者.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 研究包括RCT,其中OEP是65岁及以上成年人的唯一干预措施.
- 结果措施集中在平衡,下肢力量和移动性的变化上,使用随机效应模型进行分析.
主要成果:
- 与对照组相比,OEP显著改善了平衡 (SMD = 0.59),下肢力量 (SMD = 0.93) 和运动能力 (SMD = -0.59).
- 没有观察到对上半身力量的显著影响.
- 视频支持的OEP,超过30分钟的课程和13至26周的课程持续时间显示了特定身体功能的卓越改善.
结论:
- 奥塔戈运动计划 (OEP) 有效地提高了老年人的平衡,下肢力量和运动能力.
- 最佳的OEP协议包括视频支持的交付,>30分钟的会议,以及13-26周的持续时间,以获得最大的益处.
- 建议进一步进行大规模的RCT,以完善OEP协议并建立剂量反应关系.
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