Interventions to increase physical activity among aging adults: A meta-analysis
Interventions to increase physical activity among aging adults: A meta-analysis
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DOI：
10.1207/s15324796abm2403_04
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发表时间：
2002-06-01
影响因子：
3.8
通讯作者：
Cooper, HM
中科院分区：
文献类型：
--
作者：
Conn, VS;Valentine, JC;Cooper, HM
目的：本综述应用荟萃分析程序整合主要研究结果，测试干预措施，以增加老年人的活动。研究方法：我们进行了广泛的文献检索策略，并定位了已发表和未发表的干预研究，这些研究测量了至少5名平均年龄为60岁或以上的参与者的活动行为。结果：按样本量加权的总体效应量为d（w）= .26 +/- .05。当干预措施仅针对活动行为，排除一般健康教育，纳入自我监测，使用基于中心的运动，推荐中等强度的活动，以组为单位，使用干预者和参与者之间的密切接触，并针对患者人群时，效果大小更大。测量运动持续时间的研究和干预与行为测量之间的时间间隔小于90天的研究的效应量更大。结论：这些研究结果表明，小组提供的干预措施应鼓励适度的活动，纳入自我监测，目标只活动，并鼓励中心为基础的活动。研究结果还表明，患者人群可能特别容易接受活动干预。在随机试验中测试干预措施以确认因果关系的初步研究将是建设性的。
Objectives: This review applied meta-analytic procedures to integrate primary research findings that test interventions to increase activity among aging adults. Methods: We performed extensive literature searching strategies and located published and unpublished intervention studies that measured the activity behavior of at least five participants with a mean age of 60 years or greater Primary study results were coded, and meta-analytic procedures were conducted. Results: The overall effect size, weighted by sample size, was d(w)= .26 +/- .05. Effect sizes were larger when interventions targeted only activity behavior, excluded general health education, incorporated self-monitoring, used center-based exercise, recommended moderate intensity activity, were delivered in groups, used intense contact between interventionists and participants, and targeted patient populations. Effect sizes were larger for studies that measured exercise duration and studies with a time interval of less than 90 days between intervention and behavior measurement. Conclusions: These findings suggest that group-delivered interventions should encourage moderate activity, incorporate self-monitoring, target only activity, and encourage center-based activity. Findings also suggest that patient populations may be especially receptive to activity interventions. Primary research testing interventions in randomized trials to confirm causal relationships would be constructive.