Self-management processes, sedentary behavior, physical activity and dietary self-management behaviors: impact on muscle outcomes in continuing care retirement community residents.
Self-management processes, sedentary behavior, physical activity and dietary self-management behaviors: impact on muscle outcomes in continuing care retirement community residents.
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DOI：
10.1186/s12877-021-02691-z
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发表时间：
2022-01-12
期刊：
影响因子：
4.1
通讯作者：
Kovach CR
中科院分区：
文献类型：
--
作者：
Taani MH;Strath SJ;Schiffman R;Fendrich M;Harley A;Cho CC;Yamada Y;Kovach CR
尽管不久坐的行为、体力活动以及蛋白质和卡路里的摄入对健康、肌肉质量、力量和功能有已知的好处，但许多老年人并不符合体力活动和饮食建议。需要更好地了解与久坐行为、体力活动和饮食自我管理行为以及肌肉结果(肌肉质量、力量和功能)相关的因素，特别是在持续护理退休社区居民中。本研究旨在探讨持续照顾退休社区居民的久坐行为、体力活动及饮食自我管理行为，以及肌肉结果的相关因素。本研究还旨在确定久坐行为、体力活动和饮食自我管理行为是否在自我效能、目标一致性、衰老期望、社会支持和肌肉结果之间起中介作用。10 5名持续护理退休社区居民(年龄70 )参与了这项相关的横断面研究。问卷内容包括疼痛、自我效能感、目标一致性、衰老期望、社会支持、每日蛋白质和热量摄入量。测量体力活动和久坐行为(Actigraph wGT3X-BT)、肌肉质量(ImpediMed SFB7)、肌肉力量(Jamar Smart Digital Hand Dirmeter)和肌肉功能(Short Physitive Performance Battery)。进行多元回归、Logistic回归和中介分析。低目标一致性预示着对久坐行为和轻微体力活动的投入。自我效能感和社会支持水平越高，分别实现更多适度体力活动和达到每日卡路里摄入量建议的可能性就越高。自我效能感和目标一致性预测肌肉功能和力量。此外，久坐行为和获得更多适度的体力活动被发现部分但显著地中介了自我效能和肌肉功能之间的关系。未来的研究应该评估，当自我管理过程因素的修改也有针对性时，减少久坐行为和促进身体活动以及饮食自我管理行为和肌肉结果的尝试是否更成功。
Despite the known benefits of non-sedentary behavior, physical activity, and protein and caloric intake to health and muscle mass, strength, and function, many older adults do not meet physical activity and dietary recommendations. A better understanding of the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes (muscle mass, strength, and function) is needed, particularly among continuing care retirement community residents. The objective of this study was to examine the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes among continuing care retirement community residents. It also aimed to determine whether sedentary behavior and physical activity and dietary self-management behaviors mediate the relationships between self-efficacy, goal congruence, aging expectations, social support, and muscle outcomes. A sample of 105 continuing care retirement community residents (age > 70 years) participated in this correlational, cross-sectional study. Questionnaires on pain, self-efficacy, goal congruence, aging expectation, social support, and daily protein and caloric intake were administered. Physical activity and sedentary behavior (ActiGraph wGT3X-BT), muscle mass (ImpediMed SFB7), muscle strength (Jamar Smart Digital Hand Dynamometer), and muscle function (Short Physical Performance Battery) were measured. Multiple regression, logistic regression, and mediation analyses were performed. Low goal congruence predicted engagement in sedentary behavior and light physical activity. Higher levels of self-efficacy and social support were associated with increased likelihoods of achieving greater moderate physical activity and meeting daily recommendations for caloric intake, respectively. Self-efficacy and goal congruence predicted muscle function and strength. Moreover, sedentary behavior and achieving greater moderate physical activity were found to partially but significantly mediate the relationship between self-efficacy and muscle function. Future research should evaluate whether attempts to reduce sedentary behavior and promote physical activity and dietary self-management behaviors and muscle outcomes are more successful when modifications to the self-management process factors are also targeted.
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影响因子：
5.1
作者：
Keadle SK;McKinnon R;Graubard BI;Troiano RP
通讯作者：
Troiano RP
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Freedson, PS;Melanson, E;Sirard, J
通讯作者：
Sirard, J
DOI：
10.1186/1479-5868-8-62
发表时间：
2011-06-16
影响因子：
8.7
作者：
Hart, Teresa L.;Swartz, Ann M.;Strath, Scott J.
通讯作者：
Strath, Scott J.
影响因子：
3.8
作者：
Bruyere, O.;Beaudart, C.;Reginster, J. -Y.
通讯作者：
Reginster, J. -Y.