Physical activity barriers and enablers in older Veterans with lower-limb amputation
Physical activity barriers and enablers in older Veterans with lower-limb amputation
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DOI：
10.1682/jrrd.2013.06.0152
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发表时间：
2014-01-01
影响因子：
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通讯作者：
Arterburn, David E.
中科院分区：
文献类型：
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作者：
Littman, Alyson J.;Boyko, Edward J.;Arterburn, David E.
对于下肢丧失的老年人进行的体育活动类型、常规体育活动（PA）的相关性以及PA的障碍和促进因素，人们知之甚少。我们对来自太平洋西北地区的158名老年退伍军人进行了一项探索性研究，其中部分足部截肢（35%），膝盖以下截肢（39%），膝盖以上截肢（26%）。98%的调查对象为男性，平均年龄65岁，截肢后15岁；36%的截肢与创伤有关。最常见的体育活动是散步/推轮（65%）、肌肉强化（42%）、物理或职业治疗师规定的运动（32%）和园艺（31%）。43%的人根据每周的中等强度和高强度PA被归类为体育运动。剧烈的截肢前PA病史与运动呈正相关，而低财富和每天观看5小时或以上的电视/视频呈负相关。虽然疼痛和资源相关的障碍最常被报道，但只有知识相关和兴趣/动机相关的障碍与活跃呈负相关。家庭支持和加入健身房的经济援助是促进PA的最常见因素。为了增加老年截肢者的PA，干预措施应解决动机问题、知识差距和电视观看问题；减少锻炼的经济障碍；考虑让家庭成员参与进来。
Little is known about the types of physical activities that older individuals with lower-limb loss perform, correlates of regular physical activity (PA), and barriers and facilitators to PA. We conducted an exploratory study in 158 older Veterans from the Pacific Northwest with a partial foot (35%), below-knee (39%), and above-knee (26%) amputation. Ninety-eight percent of survey respondents were male, on average 65 yr of age and 15 yr postamputation; 36% of amputations were trauma-related. The most commonly reported physical activities were walking/wheeling (65%), muscle strengthening (42%), exercise prescribed by a physical or occupational therapist (32%), and gardening (31%). Forty-three percent were classified as physically active based on weekly moderate-and vigorous-intensity PA. History of vigorous preamputation PA was positively associated with being active, while low wealth and watching 5 h/d or more of television/videos were inversely associated. While pain-and resource-related barriers to PA were most frequently reported, only knowledge-related and interest/motivation-related barriers were inversely associated with being active. Family support and financial assistance to join a gym were the most commonly reported factors that would facilitate PA. To increase PA in the older amputee population, interventions should address motivational issues, knowledge gaps, and television watching; reduce financial barriers to exercising; and consider involving family members.