Physical activity levels and patterns in older adults: the influence of a DVD-based exercise program.

Physical activity levels and patterns in older adults: the influence of a DVD-based exercise program.
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DOI:
10.1007/s10865-014-9581-6
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发表时间:
2015-03
影响因子:
3.1
通讯作者:
McAuley E
McAuley E
中科院分区:
心理学3区
文献类型:
--
作者:
Gothe NP;Wójcicki TR;Olson EA;Fanning J;Awick E;Chung HD;Zuniga KE;Mackenzie MJ;Motl RW;McAuley E

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与传统的以中心为基础的项目相比,使用多媒体来影响健康行为具有独特的优势,然而,随着时间的推移,人们对这种方法在提高身体活动水平方面的有效性知之甚少。本研究的目的是检验渐进式和适合年龄的dvd运动计划在提高老年人体育活动水平方面的功效。社区居住的老年人(N=307,平均年龄=71岁)被随机分为两组:一组是为期6个月的家庭DVD锻炼计划,即FlexToBa干预组,另一组是健康的老龄化DVD对照组。在基线和随访时,使用标准的7天加速度计磨损期客观评估身体活动,主观上使用Godin休闲时间运动问卷。ANCOVAs显示主观上[F (1,250) = 8.42, P = 0.004, η2 = 0.03]和客观[F (1,240) = 3.77, P = 0.05, η2 = 0.02]测量体力活动的治疗效果具有统计学意义。与年轻人相比,使用FlexToBa的老年人(70岁)在身体活动水平上有更大的显著改善。从公共卫生的角度来看,FlexToBa项目等媒体传播的干预措施可能被证明具有成本效益,具有更广泛的覆盖范围,同时对提高老年人的身体活动水平有效。
The use of multimedia to influence health behaviors offers unique advantages over more traditional center-based programs, however, little is known about the effectiveness of such approaches in improving physical activity levels over time. The purpose of this study was to examine the efficacy of a progressive and age-appropriate, DVD-delivered exercise program in promoting physical activity levels among older adult cohorts. Community dwelling older adults (N=307, Mean age=71 years) were randomized to one of two groups: a 6-month home-based DVD-delivered exercise program i.e. the FlexToBa intervention group or a healthy aging DVD control group. Physical activity was assessed objectively using a standard 7-day accelerometer wear period and subjectively using the Godin Leisure Time Exercise Questionnaire, at baseline and follow-up. ANCOVAs indicated a statistically significant treatment effect for subjectively [F (1,250) = 8.42, P = .004, η2 = .03] and objectively [F (1,240) = 3.77, P = .05, η2 = .02] measured physical activity. The older cohort (>70) in the FlexToBa condition further had significantly larger improvements in physical activity levels compared to their younger counterparts. From a public health perspective, media-delivered interventions such as the FlexToBa program might prove to be cost-effective, have a broader reach and at the same time be effective in improving physical activity levels in older adults.
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