以社区为基础的炼可以改善前期脆弱的老年人的健康状况:通过元分析进行系统审查
Huijun Lim1, Nur Dalilah Binte Jani2, Wai Teng Pang3
1New Hope Community Services, Yishun, Singapore.
BMC geriatrics
|July 10, 2024
概括
基于社区的炼显著改善了前脆弱的老年人的力量和功能,增加了他们恢复到健康状态的可能性. 这凸显了这些计划对公共卫生的价值.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 虚弱前期与增加医疗保健使用有关.
- 基于社区的运动计划越来越多地被研究为虚弱前期.
- 这些计划对老年人的临床影响尚不清楚.
研究的目的:
- 评估基于社区的炼对身体功能,认知,生活质量和脆弱性的影响.
- 为了确定临床结果的最佳运动参数.
主要方法:
- 在 MEDLINE,CINAHL,Google Scholar 和 Web of Science 的系统文献搜索.
- 包括随机对照试验 (RCT),其中至少有50%的参与者处于弱势阶段.
- 超分析和超回归来评估结果和预测因素;偏差风险评估.
主要成果:
- 分析了22个RCT (1915名参与者).
- 与最小干预相比,社区运动显著改善了下肢力量 (SMD 0.67) 和功能 (SMD 0.27).
- 运动小组的参与者更有可能从虚弱状态过渡到健康状态 (OR = 2.74).
结论:
- 以社区为基础的运动干预措施比最小的干预措施更有效地改善了前期脆弱的老年人的健康状况.
- 研究结果支持医疗保健提供者和政策制定者实施这些计划.
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