[Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis].
[Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis].
复制标题
[基于IMB模型的身体活动促进计划对患有膝骨关节炎的肥胖老年人的肥胖代谢健康结果的影响]。
DOI：
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发表时间：
2020
影响因子：
1.5
通讯作者：
Chun
中科院分区：
文献类型：
--
作者：
Jung Suk Kim;Chun
目的
本研究探讨了基于信息-动机-行为技能（IMB）模型的身体活动促进计划对患有膝关节骨关节炎的肥胖老年人身体活动和健康结果的影响。
方法
本研究采用了一项随机对照试验，在一所大学医院的75名患有膝关节骨关节炎的肥胖老年人中进行了方便样本。干预组的老年人参加了一个为期12周的计划，包括每周一次的小组会议和监测电话与教育小册子和运动舞蹈的视频剪辑，而对照组的老年人则接受常规护理。使用自我报告问卷、人体测量学和血液分析来测量结果。采用Mann-Whitney U检验和ANCOVA分析干预效果。
结果
参与者的平均年龄为74.9岁，其中84.0%为女性。与对照组相比，干预组在12周时的身体活动自我效能（F=81.92，p<0.001）、身体活动量（Z=-2.21，p= 0.044）、膝关节功能（F=15.88，p<0.001）和健康相关生活质量（F=14.89，p<0.001）方面的改善显著更大。在肥胖代谢结果中，与对照组相比，干预组在12周时显示内脏脂肪量显著减少（F=7.57，p= 0.008）和高密度水平胆固醇改善（F=9.51，p= 0.003）。
结论
研究结果支持需要一个基于IMB的身体活动计划，以促进患有膝关节骨关节炎的肥胖老年人的身体活动、膝关节功能和健康结果。纵向研究是必要的，以确认在临床环境中的持续性肥胖代谢的影响。
PURPOSE
This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis.
METHODS
This study utilized a randomized controlled trial with a convenience sample of 75 obese older adults with knee osteoarthritis in a university hospital. The older adults in the intervention group participated in a 12-week program involving weekly group sessions and monitoring calls with education booklets and video clips for exercise dances, while those in the control group received an usual care. Outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. The intervention effects were analyzed using Mann-Whitney U test and ANCOVA.
RESULTS
The mean age of participants was 74.9 years with 84.0% women. The intervention group at 12 weeks showed significantly greater improvements in self-efficacy for physical activity (F=81.92, p<.001), physical activity amounts (Z=-2.21, p=.044), knee joint function (F=15.88, p<.001), and health-related quality of life (F=14.89, p<.001) compared to the control group. Among obese-metabolic outcomes, the intervention group at 12 weeks showed a significant decrease in visceral fat mass (F=7.57, p=.008) and improvement in high-density level cholesterol (F=9.51, p=.003) compared to the control group.
CONCLUSION
Study findings support the need for an IMB based physical activity program for promoting physical activity, knee function and health outcomes in obese older adults with knee osteoarthritis. Longitudinal studies are warranted to confirm the persistence of obese-metabolic effects in clinical settings.
影响因子：
5.8
作者：
Hamer, Mark;Bell, Joshua A.;Kivimaeki, Mika
通讯作者：
Kivimaeki, Mika