Unexpected effects of cognitive-behavioural therapy on self-reported exercise behaviour and functional outcomes in older adults.
Unexpected effects of cognitive-behavioural therapy on self-reported exercise behaviour and functional outcomes in older adults.
复制标题
认知行为疗法对老年人自我报告的运动行为和功能结果的意外影响。
DOI：
10.1093/ageing/afq137
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发表时间：
2011
期刊：
影响因子：
6.7
通讯作者：
Luke,DouglasA
中科院分区：
文献类型：
--
作者：
Schneider,JoanneKraenzle;Cook,JamesH;Luke,DouglasA
背景：近 61% 的老年人没有维持建议的运动水平，强调需要采取促进运动的干预措施。目标：比较三组老年人一年内自我报告的运动行为和功能结果：认知行为治疗组、注意力控制教育组和对照组。设计：随机干预。设置：社区运动设施。参与者：332 名老年人（平均年龄 = 71.8 ± 5.1 岁）。方法：所有三组均每周接受 3 次运动训练，持续 2 周，然后每周 1 次，持续 8 周，在此期间，治疗组和教育组接受干预。盲法数据收集者每隔 3 个月测量一次后续运动行为和功能结果。结果：在控制前一年的运动行为后，结果显示，相对于对照组，治疗组和教育组随着时间的推移增加了力量训练（分别增加了 0.05 小时/周和 0.06 小时/周）；只有治疗组的变化是显着的。此外，相对于对照组，治疗组和教育组随着时间的推移显着减少了 6 分钟步行距离（分别为 -1.6 m，P= 0.030 和 -1.5 m，P= 0.026）。结论：虽然治疗组增加了力量训练，但他们减少了 6 分钟步行距离。
Background:nearly 61% of older adults do not maintain recommended exercise levels emphasising the need for interventions that promote exercise.Objectives:to compare self-reported exercise behaviour and functional outcomes over 1 year across three groups of older adults: a cognitive-behavioural therapy group, an attention-control education group and a control group.Design:randomised intervention.Setting:community exercise facilities.Participants:three hundred and thirty-two older adults (mean age = 71.8 ± 5.1 years).Methods:all three groups received exercise training three times per week for 2 weeks and then one time per week for 8 weeks, during which time the therapy and education groups received their interventions. Blinded data collectors measured follow-up exercise behaviour and functional outcomes at 3-month intervals.Results:after controlling for previous year exercise behaviour, results showed that relative to the control group, the therapy and education groups increased their strengthening exercises over time (0.05 and 0.06 h/week higher, respectively); only the therapy group's change was significant. Also, relative to the control group, the therapy and education groups significantly reduced their 6-min walking distances over time (−1.6 m,P= 0.030 and −1.5 m,P= 0.026, respectively).Conclusions:although the therapy group increased their strength training, they reduced their 6-min walking distance.