与老年人体育活动相关的调解因素增加了痴呆风险
Maria Isabel Cardona1, Melanie Luppa2, Andrea Zülke2
1German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany.
概括
身体活动 (PA) 干预措施并没有显著改变老年人患痴呆症风险增加的整体PA. 然而,改善的自我效能与这个人群中更大的PA参与度有关.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 神经科学是一个神经科学.
背景情况:
- 多种疾病和痴呆风险增加与体力活动 (PA) 的减少有关.
- 了解风险较高的老年人不活动的调解因素对于有针对性的干预措施至关重要.
研究的目的:
- 评估多模式干预对24个月的PA变化的影响.
- 确定影响社区居住的老年人痴呆风险增加的PA中介因素.
主要方法:
- 一个通用估计方程模型分析了24个月的PA变化.
- 树分析确定了影响PA后干预的调解因素.
- 参与者是60-77岁的社区居民,患痴呆风险较高 (CAIDE痴呆风险评分).
主要成果:
- 在24个月的随访中,多式联络干预并没有产生正常PA的显著变化 (P = .674).
- 亚组分析表明,自我疗效的显著改善 (P = .000).
- 提高自我效能与增加参与体育活动有关.
结论:
- 在这个队列中,直接干预对整体PA的影响并不显著.
- 自我有效性成为促进多病症和痴呆风险的老年人中PA的关键调解因素.
- 未来的战略应整合自我效能建设组件,以加强PA推广.
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