A Multilevel Physical Activity Intervention Among Chinese Rural Older Adults (Stay Active While Aging): A Study Protocol for a Clustered Randomized Controlled Trial.

A Multilevel Physical Activity Intervention Among Chinese Rural Older Adults (Stay Active While Aging): A Study Protocol for a Clustered Randomized Controlled Trial.
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中国农村老年人的多层次体育活动干预(老龄化过程中保持活跃):整群随机对照试验的研究方案

DOI:
10.3389/fpubh.2022.760457
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发表时间:
2022
影响因子:
5.2
通讯作者:
Zhou, Junmin
Zhou, Junmin
中科院分区:
医学3区
文献类型:
--
作者:
Li, Nanyan;Wang, Yufei;Deng, Qian;Hu, Julinling;Zhou, Junmin

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尽管大量研究证实了体育活动(PA)在预防与年龄有关的疾病和残疾方面的好处,但越来越多的老年人花费了更多的时间在久坐行为方面而不是PA。为了扭转令人震惊的趋势,许多研究证实了PA干预在改善老年人PA的有效性。但是,这种研究在中国农村很少,那里大多数老年人不符合PA建议。衰老(SAWA)旨在进行干预以提高中国农村老年人的PA水平。 SAWA被设计为在中国四川农村进行的单盲,聚类的随机对照试验,进行了为期8周的干预和24个月的随访。干预小组将获得多层次干预(个人,人际和社区级别),而对照组则不会。主要结果是PA水平。次要结果措施包括久坐行为水平,自我效能,自我调节,认知功能,夜间睡眠质量和人体测量法。将执行差异差异(DID)以研究基线数据和协变量调整的组间差异。 SAWA试验将根据中国农村老年人的社会生态模型提供多层次干预。我们针对PA水平和健康状况的变化,同时还专注于在24个月内维持此类干预措施。如果SAWA产生积极的效果,则可以推荐其他中国老年人及以后实施类似的策略。 CHICTR2100045653(https://www.chictr.org.cn/index.aspx)。
Although a large number of studies have confirmed the benefits of physical activity (PA) in preventing age-related diseases and disabilities, a growing number of older people spent more time in sedentary behavior as opposed to PA. To reverse the alarming trend, numerous studies have corroborated the effectiveness of PA interventions in improving PA among older adults. However, such research is scarce in rural China, where a majority of older adults do not meet the PA recommendation. The Stay Active While Aging (SAWA) aimed to conduct an intervention to improve the PA level among older adults in rural China. The SAWA is designed as a single-blind, clustered randomized controlled trial carried out in rural Sichuan, China with an 8-week intervention and a 24-month follow-up. The intervention group will receive a multilevel intervention (individual, interpersonal, and community levels), while the control group will not. The primary outcome is the PA level. Secondary outcome measures include sedentary behavior level, self-efficacy, self-regulation, cognitive function, night-time sleep quality, and anthropometry. The difference-in-differences (DID) will be performed to investigate the between-group differences, adjusted for baseline data and covariates. The SAWA trial will provide a multilevel intervention based on the socio-ecologic model among older adults in rural China. We target the PA level and health status changes while also focus on the maintenance of such intervention during 24 months. If the SAWA produces positive results, it will be possible to recommend similar strategies to be implemented in other Chinese older adults and beyond. ChiCTR2100045653 (https://www.chictr.org.cn/index.aspx).
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