Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review.

Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review.
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DOI:
10.3390/ijerph18042023
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发表时间:
2021-02-19
影响因子:
--
通讯作者:
Amado-Alonso D
Amado-Alonso D
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Collado-Mateo D;Lavín-Pérez AM;Peñacoba C;Del Coso J;Leyton-Román M;Luque-Casado A;Gasque P;Fernández-Del-Olmo MÁ;Amado-Alonso D

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缺乏身体活动是一个主要问题,经常有报告说,对锻炼计划的坚持性很差。本文的目的是系统地回顾已发表的关于慢性病患者和老年人坚持体育锻炼的研究综述,并确定这些人群的综述中更常见的与坚持相关的关键因素。遵循系统性综述和荟萃分析的首选报告项目(PRISMA)指南。根据目标人群和参与者的特征对结果进行分类,以确定每种情况下获得的最重复的因素。最终收录了55篇文章。至少有10篇综述确定了14个与增加体育锻炼依从性相关的关键因素:(a)锻炼计划的特点,(B)不同学科专业人员的参与,(c)监督,(d)技术,(e)对参与者的特点、障碍和促进者的初步探索,(f)参与者的教育,对风险和收益的充分期望和知识,(g)享受和没有不愉快的经历,(h)融入日常生活,(i)社会支持和关系,(j)沟通和反馈,(k)现有的进展信息和监测,(l)自我效能和能力,(m)参与者的积极作用和(n)目标设定。因此,坚持体育锻炼受到几个变量的影响,这些变量可以由研究人员和专业人员控制和修改。
Physical inactivity is a major concern and poor adherence to exercise programs is often reported. The aim of this paper was to systematically review published reviews on the study of adherence to physical exercise in chronic patients and older adults and to identify those adherence-related key factors more frequently suggested by reviews for that population. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Results were classified considering the target population and participants’ characteristics to identify the most repeated factors obtained for each condition. Fifty-five articles were finally included. Fourteen key factors were identified as relevant to increase adherence to physical exercise by at least ten reviews: (a) characteristics of the exercise program, (b) involvement of professionals from different disciplines, (c) supervision, (d) technology, (e) initial exploration of participant’s characteristics, barriers, and facilitators, (f) participants education, adequate expectations and knowledge about risks and benefits, (g) enjoyment and absence of unpleasant experiences, (h) integration in daily living, (i) social support and relatedness, (j) communication and feedback, (k) available progress information and monitoring, (l) self-efficacy and competence, (m) participant’s active role and (n) goal setting. Therefore, adherence to physical exercise is affected by several variables that can be controlled and modified by researchers and professionals.
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