Physical activity interventions targeting older adults - A critical review and recommendations
Physical activity interventions targeting older adults - A critical review and recommendations
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DOI：
10.1016/s0749-3797(98)00085-3
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发表时间：
1998-11-01
影响因子：
5.5
通讯作者：
Buchner, DM
中科院分区：
文献类型：
--
作者：
King, AC;Rejeski, WJ;Buchner, DM
背景：虽然许多困扰老年人口的慢性疾病可以通过适当的生活方式干预措施(如定期体育活动)来预防，但这一年龄段的人是成年人中最久坐不动的部分。这篇论文的目的是对促进老年人体力活动的干预措施的科学文献进行批判性的精选回顾。方法：对近期针对50岁及以上成年人体力活动干预的英文文献进行全面的计算机检索，并辅之以几种关于衰老的期刊的视觉扫描。如果文章是社区租赁的，采用随机设计或具有适当对照组的准实验设计，并包括干预参与率、干预前和干预后体力活动水平、和/或相关体能测量的前后变化信息，则被认为与本次综述相关。结果：29项研究符合所述标准。在审查的研究中，优势包括合理的体力活动参与率和相对较长的学习时间。文献综述的缺点包括相对缺乏旨在促进体力活动参与的具体行为或基于计划的策略，以及缺乏旨在复制、将干预措施推广到重要亚组、实施和成本效果评估的研究。结论：讨论了针对未来针对老年人的科学努力的建议。
Background: Although many of the chronic conditions plaguing older populations are preventable through appropriate lifestyle interventions such as regular physical activity, persons in this age group represent the most sedentary segment of the adult population. The purpose of the current paper was to provide a critical selected review of the scientific literature focusing on interventions to promote physical activity among older adults.Methods: Comprehensive computerized searches of the recent English language literature aimed at physical activity intervention in adults aged 50 years and older, supplemented with visual scans of several journal on aging, were undertaken. Articles were considered to be relevant for the current review if they were community-leased, employed a randomized design or a quasi-experimental design with an appropriate comparison group, and included information on intervention participation rates, pre- and post-intervention physical activity levels, and/or pre/past changes in relevant physical performance measures.Results: Twenty-nine studies were identified that fit the stated criteria. Among the strengths of the studies reviewed were reasonable physical activity participation rates and relatively long study durations. Among the weaknesses of the literature reviewed were the relative lack of specific behavioral or program-based strategies aimed at promoting physical activity participation, as well as the dearth of studies aimed at replication, generalizability of interventions to important subgroups, implementation, and cost-effectiveness evaluation.Conclusions: Recommendations for future scientific endeavors targeting older adults are discussed.