运动处方变量的有效性,以减少老年人中跌倒风险:一个元分析
Tian-Rui Zhu1, Hong-Qi Xu1, Jin-Peng Wei1
1Northeast Normal University, Changchun, China.
概括
这项元分析发现,特定的炼计划,包括心身炼 (MBE) 和多元体育活动 (MCPA),显著降低了老年人落的风险. 量身定制的运动处方,重点关注持续时间和频率,是有效的预防跌倒策略的关键.
科学领域:
- 老年学和运动科学
- 公共卫生和预防医学
- 康复和物理治疗治疗.
背景情况:
- 跌倒是老年人受伤和残疾的主要原因.
- 运动干预对于降落风险降低至关重要.
- 预防跌倒的最佳运动处方变量需要进一步阐明.
研究的目的:
- 探索运动处方变量与老年人跌倒风险降低之间的关系.
- 确定针对性,基于证据的炼干预措施,根据个体风险评估量身定制.
- 优化基于社区的防摔计划.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane图书馆系统搜索随机对照试验.
- 使用Cochrane偏差风险工具进行质量评估.
- 使用Stata 16.0.0.进行元分析,子组分析,敏感性分析和出版偏差评估.
主要成果:
- 包括43篇文章 (51项研究,2,743名参与者).
- 心身运动 (MBE),多元体育活动 (MCPA) 和肌肉强化活动 (MSA) 显著改善了跌倒风险指数.
- 在不同的跌倒风险评估工具中,最佳处方变量 (类型,周期,频率,会话时间) 存在差异.
结论:
- 结合MCPA和MBE用于≥8周和≥30分钟的课程,可以有效降低跌倒风险.
- 这些干预措施提高了平衡,力量和自我效能.
- 在社区计划中,个性化的抵抗平衡组合优化了老年人的功能结果.
相关概念视频
Drug Dosing: Geriatric Patients
400
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
400
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism
405
Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...
405
Pharmacodynamics in Geriatric Patients: Effects of Age
376
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
376


