在老年人中共同设计的体育活动干预措施的影响:系统性审查和元分析
Amanda Zacharuk1, Alison Ferguson1, Chelsea Komar1
1School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
PloS one
|May 10, 2024
概括
与标准护理相比,联合设计的体力活动 (PA) 干预措施在老年人中没有显著增加PA. 需要更多高质量的研究来确认共同设计的PA计划对老年人的有效性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 身体活动 (PA) 随着年龄的增长而下降,导致疾病和残疾.
- 身体不活动是一个全球性的健康问题.
- 正在探索共同设计原则,以定制PA干预措施适用于老年人.
研究的目的:
- 系统地审查和比较共同设计的PA干预措施与标准护理的有效性.
- 评估对老年人的PA,身体功能,生活质量,心理健康和功能独立性的影响.
- 评估共同设计的PA干预措施中的出席率和退出率.
主要方法:
- 在多个数据库 (MEDLINE,AgeLine,CINAHL,Embase,SPORTDiscus) 中进行系统搜索.
- 包括对社区老年人 (60岁以上) 的初级研究研究,将共同设计的PA与标准护理进行比较.
- 使用标准化平均差异 (SMD) 和GRADE评估证据质量的随机效应元分析.
主要成果:
- 包括八项研究 (N=16,733);大多数人青PA的共同设计,但只有两项 (N=433) 进行了元分析 (SMD=0.28,p=0.19).
- 证据质量被评为非常低.
- 三项研究的定量分析表明,身体功能有所改善.
结论:
- 目前的证据并没有证明共同设计的PA干预措施对老年人增加PA的标准护理的优越有效性.
- 证据基础有限,质量非常低.
- 需要进一步的精心设计的试验来验证共同设计的PA干预措施及其实施.
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