Screening, safety, and adverse events in physical activity interventions: Collaborative experiences from the behavior change consortium
Screening, safety, and adverse events in physical activity interventions: Collaborative experiences from the behavior change consortium
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DOI：
10.1207/s15324796abm2902s_5
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发表时间：
2005-01-01
影响因子：
3.8
通讯作者：
Bazzarre, T
中科院分区：
文献类型：
--
作者：
Ory, M;Resnick, B;Bazzarre, T
进行身体活动（PA）干预研究的研究人员提供了一个宝贵的机会，以进一步预防科学知识基础，以实施和提供PA计划。尽管建议筛查对提高患者安全性很重要，但最适合不同社区应用的具体筛查标准尚不清楚。为了增加有限的知识基础，我们检查了来自11种不同PA干预措施的5，500多名参与者中的筛查程序和不良事件的发生，这些参与者参与了一个称为行为改变联盟（BCC）的跨美国国立卫生研究院（NIH）合作。许多不良事件发生在久坐、慢性病或老年人群中，但很少归因于活动/运动干预。在不同的筛选实践、干预和/或人群中未报告严重研究相关不良事件（SRAE）。报告的轻微SRAE相对较少（主要是肌肉骨骼损伤），强调在运动干预期间需要了解潜在的肌肉骨骼后遗症。这些研究的一个共同特点是，他们建议“开始低，慢”的策略，以中等强度PA为目标行为的建议，重新定义的意义和使用的筛选标准，在社区启动PA进行了讨论。虽然我们无法从我们的数据中进行可推广的定量分析，但BCC研究的综合经验提供了一个独特的机会，可以在不同的人群、环境和干预计划中检查PA相关的筛查和安全性问题。
Researchers who conduct physical activity (PA) intervention studies provide an invaluable opportunity to further the prevention science knowledge base for implementing and delivering PA programs. Despite recommendations that screening is important to increase patient safety, the specific screening criteria best suited for different community applications are unknown. To add to the limited knowledge base, we examined the screening procedures and the occurrence of adverse events among more than 5,500 participants from 11 diverse PA interventions participating in a trans-National Institutes of Health (NIH) collaborative known as the Behavior Change Consortium (BCC). Numerous adverse events occur in sedentary, chronically ill, or older populations, although few are attributed to activity/exercise interventions. No serious study-related adverse events (SRAEs) were reported across different screening practices, interventions, and/or populations. Relatively few minor SRAEs were reported (primarily musculoskeletal injuries), emphasizing the need to be aware of potential musculoskeletal sequelae during exercise interventions. One common characteristic of these studies is that they recommended "start low and go slow" strategies, with moderate intensity PA as the goal behavior Recommendations to reframe the meaning and use of screening criteria to initiate PA in the community are discussed. Although we were unable to conduct generalizable quantitative analyses from our data, the combined experience of the BCC studies provides a unique opportunity to examine PA-related screening and safety issues across diverse populations, settings, and intervention programs.