仅步行干预对社区老年人身体功能、跌倒相关结果和健康相关生活质量的影响:系统回顾与元分析》。

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Tomoya Ishigaki, Shogo Misu, Toshinori Miyashita, Daisuke Matsumoto, Midori Kamiya, Akio Okamae, Tatsuya Ogawa, Hikaru Ihira, Yoshiaki Taniguchi, Takeshi Ohnuma, Tomohisa Chibana, Natsu Morikawa, Tome Ikezoe, Hyuma Makizako
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引用次数: 0

摘要

本研究旨在确定纯步行干预(人们只参加步行锻炼)对社区老年人的身体功能、跌倒相关结果以及健康相关生活质量的影响。我们在五个电子数据库中进行了系统性检索,并使用《指南制定手册》评估了偏倚风险。我们进行了元分析,并计算了汇总的标准化均值差异。共纳入了九项研究(共 1,309 名参与者),结果显示,单纯步行干预可改善步行耐力(标准化平均差异:1.11,95% 置信区间:[0.08, 2.15])和与健康相关的生活质量(标准化平均差异:0.71,95% 置信区间:[0.18, 1.25])。不过,其他结果没有明显改善。根据 "建议、评估、发展和评价分级 "方法,所有结果的证据确定性都被评为很低,主要原因是存在明显的不一致性和不精确性。我们的研究结果表明,对于居住在社区的老年人来说,单纯步行干预可以有效提高步行耐力和与健康相关的生活质量。我们需要进一步研究纯步行干预的效果。之所以需要进一步研究,是因为随机对照试验的数量有限,干预环境和结果各不相同,而且证据的确定性很低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Walking-Only Intervention on Physical Function, Fall-Related Outcomes, and Health-Related Quality of Life in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.

This study aimed to determine the effects of walking-only intervention (walking was the only exercise in which people participated) on physical function, fall-related outcomes, and health-related quality of life in community-dwelling older adults. We conducted a systematic search across five electronic databases, assessing risk of bias using Minds Manual for Guideline Development. Meta-analyses were performed, and pooled standardized mean differences were calculated. Nine studies (a total of 1,309 participants) were included, showing that walking-only interventions improved walking endurance (standardized mean difference: 1.11, 95% confidence interval: [0.08, 2.15]) and health-related quality of life (standardized mean difference: 0.71, 95% confidence interval: [0.18, 1.25]). However, there were no significant improvements in other outcomes. The certainty of the evidence based on the Grading of Recommendations, Assessment, Development, and Evaluation approach for all outcomes was graded as very low, primarily due to significant inconsistency and imprecision. Our results suggest that walking-only intervention can be effective for enhancing walking endurance and health-related quality of life for community-dwelling older adults. Further studies are required to investigate the effects of walking-only intervention. This need stems from the limited number of randomized controlled trials, heterogeneous intervention settings and results, and the very low certainty of the evidence.

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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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