{"title":"老年人户外体育活动公园促进健康老龄化和保持独立的可行性和影响。","authors":"Yael Zilbershlag, Sigal Liraz Zaltsman, Ella Been","doi":"10.1177/15248399251349463","DOIUrl":null,"url":null,"abstract":"<p><p>Physical activity may maintain and improve overall health and well-being throughout one's lifetime. Among older adults, improved physical function can reduce fall risk, cognitive decline, and improve overall psychological well-being. Despite these numerous benefits, older adults often encounter barriers to regular exercise, including limited accessibility, lack of motivation, and financial constraints. Placement of designated outdoor physical activity parks specifically designed for older people may offset these barriers. This pilot study assessed the feasibility of using outdoor parks to encourage physical activity and improve motor and cognitive function, and quality of life among older people. Independent participants were recruited from the community, and frail participants from the day center adjoining the park. Participants completed pre-/post-intervention evaluations [Activities of Daily Living [ADL], Instrumental Activities of Daily Living Scale [IADL], World Health Organization Quality of Life Questionnaire-Brief [WHOQoL-BREF], falls questionnaire, Montreal Cognitive Assessment [MoCA] assessment and the Timed Up and Go [TUG], Uni Pedal Stance Test [UPST], and 30 seconds sit to stand test [<sub>30</sub>CST] tests]. Exercise sessions lasted 30 to 45 minutes, were supervised by a health professional, and provided twice weekly over an 8-week period; 33 participants (66-87 years), completed the program. Among frail participants, a significant improvement was noted in TUG test results [F(1, 30) = 15.49, p < .001, η<sup>2</sup> = .356], indicating improved balance and reduced fall risk, and a marginally significant increase in the psychological quality of life was noted among independent participants [F(1, 30) = 3.62, p = .067, η<sup>2</sup> = .108]. Overall participant satisfaction was high. An outdoor park intervention among older frail and independent adults may have a significant positive impact on physical and psychological health variables and future research should be encouraged in this area.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251349463"},"PeriodicalIF":1.6000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Feasibility and Impact of an Outdoor Physical Activity Park for Older Adults to Encourage Healthy Aging and Maintain Independence.\",\"authors\":\"Yael Zilbershlag, Sigal Liraz Zaltsman, Ella Been\",\"doi\":\"10.1177/15248399251349463\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Physical activity may maintain and improve overall health and well-being throughout one's lifetime. Among older adults, improved physical function can reduce fall risk, cognitive decline, and improve overall psychological well-being. Despite these numerous benefits, older adults often encounter barriers to regular exercise, including limited accessibility, lack of motivation, and financial constraints. Placement of designated outdoor physical activity parks specifically designed for older people may offset these barriers. This pilot study assessed the feasibility of using outdoor parks to encourage physical activity and improve motor and cognitive function, and quality of life among older people. Independent participants were recruited from the community, and frail participants from the day center adjoining the park. Participants completed pre-/post-intervention evaluations [Activities of Daily Living [ADL], Instrumental Activities of Daily Living Scale [IADL], World Health Organization Quality of Life Questionnaire-Brief [WHOQoL-BREF], falls questionnaire, Montreal Cognitive Assessment [MoCA] assessment and the Timed Up and Go [TUG], Uni Pedal Stance Test [UPST], and 30 seconds sit to stand test [<sub>30</sub>CST] tests]. Exercise sessions lasted 30 to 45 minutes, were supervised by a health professional, and provided twice weekly over an 8-week period; 33 participants (66-87 years), completed the program. Among frail participants, a significant improvement was noted in TUG test results [F(1, 30) = 15.49, p < .001, η<sup>2</sup> = .356], indicating improved balance and reduced fall risk, and a marginally significant increase in the psychological quality of life was noted among independent participants [F(1, 30) = 3.62, p = .067, η<sup>2</sup> = .108]. Overall participant satisfaction was high. An outdoor park intervention among older frail and independent adults may have a significant positive impact on physical and psychological health variables and future research should be encouraged in this area.</p>\",\"PeriodicalId\":47956,\"journal\":{\"name\":\"Health Promotion Practice\",\"volume\":\" \",\"pages\":\"15248399251349463\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Promotion Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/15248399251349463\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15248399251349463","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
体育活动可以维持和改善一个人一生的整体健康和幸福。在老年人中,改善身体功能可以减少跌倒的风险,认知能力下降,并改善整体心理健康。尽管有这些好处,老年人经常遇到定期锻炼的障碍,包括有限的可及性、缺乏动力和经济拮据。设立专门为老年人设计的户外体育活动公园可以抵消这些障碍。这项初步研究评估了利用户外公园鼓励老年人进行体育活动、改善运动和认知功能以及提高生活质量的可行性。独立的参与者从社区招募,虚弱的参与者从毗邻公园的日托中心招募。参与者完成了干预前/干预后的评估[日常生活活动[ADL]、日常生活工具活动量表[IADL]、世界卫生组织生活质量问卷-简要[WHOQoL-BREF]、跌倒问卷、蒙特利尔认知评估[MoCA]评估和起跑时间[TUG]、单脚踏板站立测试[UPST]和30秒坐立测试[30CST]测试]。每次运动持续30至45分钟,由健康专业人员监督,每周两次,为期8周;33名参与者(66-87岁)完成了该项目。在身体虚弱的参与者中,TUG测试结果显著改善[F(1,30) = 15.49, p < 0.001, η2 = .356],表明平衡能力改善,跌倒风险降低,独立参与者的心理生活质量略有显著提高[F(1,30) = 3.62, p = 0.067, η2 = .108]。参与者的总体满意度很高。户外公园干预对体弱多病的独立老年人的身体和心理健康变量可能有显著的积极影响,应鼓励在这一领域开展进一步的研究。
Feasibility and Impact of an Outdoor Physical Activity Park for Older Adults to Encourage Healthy Aging and Maintain Independence.
Physical activity may maintain and improve overall health and well-being throughout one's lifetime. Among older adults, improved physical function can reduce fall risk, cognitive decline, and improve overall psychological well-being. Despite these numerous benefits, older adults often encounter barriers to regular exercise, including limited accessibility, lack of motivation, and financial constraints. Placement of designated outdoor physical activity parks specifically designed for older people may offset these barriers. This pilot study assessed the feasibility of using outdoor parks to encourage physical activity and improve motor and cognitive function, and quality of life among older people. Independent participants were recruited from the community, and frail participants from the day center adjoining the park. Participants completed pre-/post-intervention evaluations [Activities of Daily Living [ADL], Instrumental Activities of Daily Living Scale [IADL], World Health Organization Quality of Life Questionnaire-Brief [WHOQoL-BREF], falls questionnaire, Montreal Cognitive Assessment [MoCA] assessment and the Timed Up and Go [TUG], Uni Pedal Stance Test [UPST], and 30 seconds sit to stand test [30CST] tests]. Exercise sessions lasted 30 to 45 minutes, were supervised by a health professional, and provided twice weekly over an 8-week period; 33 participants (66-87 years), completed the program. Among frail participants, a significant improvement was noted in TUG test results [F(1, 30) = 15.49, p < .001, η2 = .356], indicating improved balance and reduced fall risk, and a marginally significant increase in the psychological quality of life was noted among independent participants [F(1, 30) = 3.62, p = .067, η2 = .108]. Overall participant satisfaction was high. An outdoor park intervention among older frail and independent adults may have a significant positive impact on physical and psychological health variables and future research should be encouraged in this area.
期刊介绍:
Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.