Updating the evidence relating to physical activity intervention studies in older people.
Updating the evidence relating to physical activity intervention studies in older people.
复制标题
DOI：
10.1016/s1440-2440(04)80275-5
复制
发表时间：
2004-04-01
影响因子：
4
通讯作者：
Brown, W J
中科院分区：
文献类型：
--
作者：
Cyarto, E V;Moorhead, G E;Brown, W J
对于老年人，身体活动（PA）在慢性疾病的预防和管理中起着核心作用，并具有减少身体衰退、维持功能能力和预防损伤的潜力。这篇综述提供了与老年人PA干预研究（包括一般PA和特定于进行性阻力训练（PRT）的试验）有效性相关的最新证据。检索1999年以来发表的文章：Medline， PubMed， EMBASE， CINAHL和Sport Discus。对于PRT部分，也使用了2002年Cochrane综述。本综述纳入了八项普通PA干预研究，范围从一般实践中的一对一咨询到社区范围内的步行推广。大多数试验的目的是增加中度和/或剧烈运动水平。大多数研究都在一定程度上成功地让老年人变得更活跃。然而，一个主要的限制是使用自我报告测量PA。对PRT干预措施的回顾包括21项试验。一半的研究参与者要么有功能限制，要么有慢性疾病。大多数试验是在有监督的环境中使用专门的设备进行的。一般报告了力量增强和基本功能任务的改善，但缺乏强有力的证据将PRT与减少身体残疾和改善与健康相关的生活质量联系起来。虽然在这方面取得了相当大的进展，但还需要进一步开展以人口为基础的研究，包括家庭和整个社区的干预措施。
For older adults, physical activity (PA) plays a central role in the prevention and management of chronic disease, and has the potential to reduce physical decline, maintain functional ability and prevent injuries. This review provides an update of the evidence relating to the effectiveness of PA intervention studies (both general PA and trials specific to progressive resistance training (PRT)) for older adults. The following electronic databases were searched for articles published since 1999: Medline, PubMed, EMBASE, CINAHL and Sport Discus. For the PRT section, a 2002 Cochrane review was also used. Eight general PA intervention studies were included in this review, ranging from one-on-one counselling in general practice to the community-wide promotion of walking. The aim of most of the trials was to increase moderate and/or vigorous activity levels. Most of the studies reviewed had some degree of success in getting older people to be more active. However, a major limitation was the use of self-report measures of PA. The review of PRT interventions included 21 trials. Participants in half the studies had either functional limitations or a chronic condition. Most trials were conducted in a supervised setting using specialised equipment. Increased strength and improvement in basic functional tasks were generally reported, but there was a paucity of strong evidence linking PRT with reduced physical disability and improved health-related quality of life. While considerable progress is being made in this area, further population-based studies that include home and whole-community interventions are required.