探讨社区干预对健康老年人身体健康、心理健康和社会联系的影响:一项系统综述

IF 12.4 1区 医学 Q1 CELL BIOLOGY
Shaimaa Elhag, Malwina A. Niechcial, Lauren Potter, Alan J. Gow
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引用次数: 0

摘要

背景:鉴于预期寿命延长的趋势,越来越需要促进健康老龄化,增加老年人生活的质量和价值,然而,关于对整体健康和福祉的影响的证据尚未综合。积极的生活方式可以在维持或改善老年人的身体、心理和社会功能方面为老年人提供多种健康和福祉益处。本系统综述评估了社区环境中不同类型的干预措施是否以及如何有益于老年人健康和福祉的特定方面。方法:系统检索PubMed、PsycINFO、Scopus和Web of Science,于2022年1月检索探索社区活动对老年人健康和福祉益处的实验研究(包括随机对照试验、非随机对照试验和准实验研究)。通过数据库搜索共确定了12,707个来源,其中183个保留以进行全面筛选。最终纳入是基于以下资格标准:(1)参与者一般健康,主要是60岁及以上的独立社区老年人;(2)干预措施基于现实环境,例如,在公共设施中举办的舞蹈、艺术和技术课程等;(3)干预前/干预后评估了身体健康、心理健康或社会关系方面的至少一项结果;(4)使用对照组,包括被动对照组和主动对照组或接受不同类型干预的组;(5)实验研究采用定量研究设计。系统地评估了研究质量,并对研究结果进行了全面的叙述综合。结果:在筛选的183项研究中,有56项纳入最终综述。在33项以身体干预为主的干预措施中,有31项显示出积极效果。在16项主要是精神干预措施中,有14项报告有效果。所有七种主要的社会干预都报告了积极的效果。讨论:现实世界干预的好处被报道在一系列结果中,特别是在减少抑郁或焦虑,或改善身体功能,睡眠质量和社会参与方面。然而,干预措施、样本设计、持续时间和剂量的异质性表明,需要更多的研究来支持干预暴露的持续时间和剂量的影响。由于现实世界的干预措施与老年人参与活动的方式更为相似,因此,有关干预措施在促进健康和福祉方面的有效性的证据应为预防性医疗保健提供和政策制定提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the impact of community-based interventions on healthy older adults’ physical health, psychological wellbeing, and social connections: A systematic review

Background

Given trends towards greater life expectancy, there is an increasing need to promote healthy ageing and add quality and value to older adults’ lives, however, the evidence regarding the effects on overall health and wellbeing has not been synthesised. Active lifestyles may provide diverse health and wellbeing benefits for older adults in terms of maintaining or improving their physical, psychological and social functions. This systematic review evaluates whether and how different types of interventions within community-based settings could benefit specific aspects of older adults’ health and wellbeing.

Methods

PubMed, PsycINFO, Scopus and Web of Science were systematically searched in January 2022 for experimental studies (including randomised controlled trials, non-randomised controlled trials, and quasi-experimental studies) exploring health and wellbeing benefits of community-based activities in older adults. A total of 12,707 sources were identified through database searches with 183 retained for full screening. Final inclusion was based on the following eligibility criteria: (1) participants were generally healthy and predominantly independent community-dwelling older adults aged 60 and above; (2) interventions were based in real-world settings, e.g., dance, art and technology classes, etc. held in publicly-accessible facilities; (3) pre-/post-interventions assessed at least one outcome in physical health, psychological wellbeing or social connections; (4) control groups were used, including passive and active control groups or groups that received a different type of intervention; (5) experimental studies followed a quantitative research design. Study quality was systematically assessed, and a comprehensive narrative synthesis of the findings was conducted.

Results

Of the 183 studies screened, 56 were included in the final review. Among the 33 predominantly physical interventions, 31 demonstrated positive effects. Of the 16 predominantly mental interventions, 14 reported benefits. All seven predominantly social interventions reported positive effects.

Discussion

The benefits of real-world interventions were reported across a range of outcomes, particularly in terms of reducing depression or anxiety, or improving physical functioning, sleep quality and social participation. However, heterogeneity in interventions, sample design, duration and dosage suggest that more research is needed to clarify how intervention exposure benefits health and wellbeing. As real-world interventions more closely resemble the way in which older people engage in activities, evidence of their effectiveness in promoting health and wellbeing should inform preventative healthcare provision and policymaking.
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来源期刊
Ageing Research Reviews
Ageing Research Reviews 医学-老年医学
CiteScore
19.80
自引率
2.30%
发文量
216
审稿时长
55 days
期刊介绍: With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.
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