Focht Brian C, Brawley Lawrence R, Rejeski W Jack, Ambrosius Walter T
Department of Exercise and Sport Science, East Carolina University, Greenville 27858, USA.
Ann Behav Med. 2004 Aug;28(1):52-61. doi: 10.1207/s15324796abm2801_7.
Regular physical activity has been consistently related to improvements in health- related quality of life (HRQL) in older adults. Nevertheless, systematic investigations of the influence of exercise therapy on older men and women enrolled in cardiac rehabilitation remain sparse.
The primary purpose of this investigation was to compare the effects of a group-mediated cognitive behavioral physical activity intervention program (GMCB) to a traditional cardiac rehabilitation program (CRP) with regard to changes in HRQL in a community-dwelling sample of older adults.
This randomized clinical trial assigned 147 participants who were eligible for inclusion in cardiac rehabilitation to the GMCB or traditional CRP arms. Changes in HRQL at 3 and 12 months were assessed using the Short Form-36 (SF-36) from the Medical Outcomes Study.
Mixed-model analyses yielded significant Baseline x Gender x Treatment interactions for the self-reported mental health component and the Vitality subscale of the SF-36. Decomposition of these interactions revealed that men in both exercise therapy groups and women in the GMCB treatment with low baseline values demonstrated more favorable improvements in the HRQL perceived mental health measures than women in the CRP treatment.
Improvements in HRQL among older adults enrolled in cardiac rehabilitation differ as a function of treatment, gender, and initial mental health status. Results are discussed in terms of the implications for the design of future physical activity interventions among older adults with cardiovascular disease and the measurement of their HRQL.
规律的体育活动一直与老年人健康相关生活质量（HRQL）的改善有关。然而，关于运动疗法对参加心脏康复的老年男性和女性影响的系统研究仍然很少。
本研究的主要目的是比较团体介导的认知行为体育活动干预计划（GMCB）与传统心脏康复计划（CRP）对社区居住的老年人样本中HRQL变化的影响。
这项随机临床试验将147名符合心脏康复纳入条件的参与者分配到GMCB组或传统CRP组。使用医学结局研究中的简短健康调查（SF-36）评估3个月和12个月时HRQL的变化。
混合模型分析得出，在自我报告的心理健康成分和SF-36的活力子量表方面，存在显著的基线×性别×治疗交互作用。对这些交互作用的分解表明，两个运动治疗组中的男性以及基线值较低的GMCB治疗组中的女性，在HRQL感知心理健康测量方面的改善比CRP治疗组中的女性更明显。
参加心脏康复的老年人中HRQL的改善因治疗、性别和初始心理健康状况而异。从对未来心血管疾病老年患者体育活动干预设计及其HRQL测量的影响方面对结果进行了讨论。
