Promoting physical activity during retirement age with psychological components: multilevel meta-analysis.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Paula Collazo-Castiñeira, Ignacio Echegoyen, Josje Schoufour, Noelia Álvarez-Díaz, Juan Botella, Katarzyna Janiszewska, Cristina Jiménez-Domínguez, Vicente Lavilla, Ana López-Iglesias, Manuel V Mejía Ramírez-Arellano, Amalia Tsagari, Marije H Verwijs, Alfonso J Cruz-Jentoft, Macarena Sánchez-Izquierdo
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引用次数: 0

Abstract

Background: Introduction: Physical activity is essential in preventing and treating age-related chronic diseases and mortality. Retirement is a key period to promote health behaviours, as individuals restructure their routines. Thus, we aimed to identify effective components and behaviour change techniques (BCTs) in interventions promoting physical activity in retirement-age individuals. Methods: We conducted a meta-analysis. Included studies were randomised controlled trials that (p)targeted retirement-age adults (50-70 years), (i)applied BCTs, (c)had any comparator, and (o)promoted physical activity. Screening, full-text review, and data extraction were conducted independently by at least two reviewers. A multilevel random effects model with three effect sizes was fitted, and meta-regressions tested several moderators. Results: 67 studies (N = 12,147) were included. High risk of bias related to larger effects, so these studies were excluded from the main analyses. While individual effects were often non-significant, the overall pooled effect was small but statistically significant. Predictors varied across effect sizes and included action planning, motivational interviewing, and prompts/cues. Email and website delivery were associated with smaller effect sizes. Conclusions: The effectiveness of lifestyle interventions is heterogeneous and presented small effects; implementing action planning, motivational interviewing, and prompts could improve the effectiveness. However, many BCTs that are not frequently used remain unexplored.

促进退休年龄的身体活动与心理因素:多水平荟萃分析。
背景:简介:身体活动在预防和治疗与年龄有关的慢性疾病和死亡率方面是必不可少的。退休是促进健康行为的关键时期,因为个人会调整自己的日常生活。因此,我们旨在确定促进退休年龄个体身体活动的干预措施的有效成分和行为改变技术(bct)。方法:我们进行了荟萃分析。纳入的研究是随机对照试验(p)针对退休年龄的成年人(50-70岁),(i)应用bct, (c)有任何比较物,(o)促进身体活动。筛选、全文审查和数据提取由至少两名审稿人独立进行。拟合了具有三个效应大小的多水平随机效应模型,并对几个调节因子进行了元回归测试。结果:纳入67项研究(N = 12,147)。较高的偏倚风险与较大的效应相关,因此这些研究被排除在主要分析之外。虽然个体效应通常不显著,但总体综合效应很小,但在统计上显著。预测因子因效应大小而异,包括行动计划、动机性访谈和提示/线索。电子邮件和网站传递与较小的效应值相关。结论:生活方式干预的效果存在异质性,且效果较小;实施行动计划、动机性访谈和提示可以提高有效性。然而,许多不经常使用的bct仍未被开发。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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