基于社会生态系统理论的Vivifrail-B多组件炼计划对居住在社区的脆弱老年人的身体功能的影响:随机对照试验
1Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.
Experimental gerontology
|December 30, 2024
概括
在24周内,Vivifrail-B多元组件运动计划显著改善了虚弱老年人的身体功能. 参与者表现出高度的炼遵从性和满意度,证明了短期和长期的好处.
科学领域:
- 老年学是一门学科.
- 运动科学 运动科学
- 公共卫生 公共卫生
背景情况:
- 虚弱的老年人经常体验身体功能下降,增加了患病和死亡的风险.
- 居住在社区的脆弱老年人代表着一个日益增长的人口群体,具有特定的健康需求.
- 多组分运动干预措施在减轻老年人群的脆弱性和改善健康结果方面表现有前途.
研究的目的:
- 评估Vivifrail-B多元组件运动计划对社区居住的脆弱老年人身体功能的短期和长期影响.
- 评估基于社会生态系统理论的Vivifrail-B计划对各种物理性能指标的影响.
- 为了确定参与Vivifrail-B干预的老年人的运动遵守和满意度水平.
主要方法:
- 一项随机对照试验,涉及59名社区住户的脆弱老年人,被分配到干预组 (n=30) 或对照组 (n=29).
- 干预组参与了Vivifrail-B多组分运动计划,每周三次,持续12周 (组和家庭课程的混合).
- 在多个时间点使用短物理性能电池 (SPPB),手握强度 (HGS),身体自我维护量表 (PSMS) 和日常生活仪器活动 (IADL) 评估身体功能,时间长达24周. 一般估计方程用于分析.
主要成果:
- 与对照组相比,干预组在6周后观察到SPPB和PSMS的统计学显著改善.
- 在12,18和24周,除IADL外,所有评估的身体功能变量在干预组与对照组相比显著改善 (P <0.05).
- 与基线相比,该干预措施对身体功能产生了显著的短期和长期积极影响,参与者遵守和满意度很高.
结论:
- "Vivifrail-B"多元组件运动计划有效地提高了社区居住的脆弱老年人的身体功能.
- 对身体功能的积极影响在短期和长期持续.
- 高水平的炼遵守和参与者满意度表明Vivifrail-B计划在这个人群中的可行性和可接受性.
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