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认知行为疗法对老年人自我报告的运动行为和功能结果的意外影响。

Unexpected effects of cognitive-behavioural therapy on self-reported exercise behaviour and functional outcomes in older adults.

机构信息

School of Nursing, Saint Louis University, St Louis, MO 63104, USA.

出版信息

Age Ageing. 2011 Mar;40(2):163-8. doi: 10.1093/ageing/afq137. Epub 2010 Nov 7.

DOI:10.1093/ageing/afq137
PMID:21059615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3038455/
Abstract

BACKGROUND

nearly 61% of older adults do not maintain recommended exercise levels emphasising the need for interventions that promote exercise.

OBJECTIVES

to compare self-reported exercise behaviour and functional outcomes over 1 year across three groups of older adults: a cognitive-behavioural therapy group, an attention-control education group and a control group.

DESIGN

randomised intervention.

SETTING

community exercise facilities.

PARTICIPANTS

three hundred and thirty-two older adults (mean age = 71.8 ± 5.1 years).

METHODS

all three groups received exercise training three times per week for 2 weeks and then one time per week for 8 weeks, during which time the therapy and education groups received their interventions. Blinded data collectors measured follow-up exercise behaviour and functional outcomes at 3-month intervals.

RESULTS

after controlling for previous year exercise behaviour, results showed that relative to the control group, the therapy and education groups increased their strengthening exercises over time (0.05 and 0.06 h/week higher, respectively); only the therapy group's change was significant. Also, relative to the control group, the therapy and education groups significantly reduced their 6-min walking distances over time (-1.6 m, P = 0.030 and -1.5 m, P = 0.026, respectively).

CONCLUSIONS

although the therapy group increased their strength training, they reduced their 6-min walking distance.

摘要

背景

近 61%的老年人没有达到推荐的运动水平,这强调了需要采取干预措施来促进运动。

目的

比较三组老年人(认知行为疗法组、注意控制教育组和对照组)在一年中的自我报告运动行为和功能结果。

设计

随机干预。

设置

社区运动设施。

参与者

332 名老年人(平均年龄=71.8±5.1 岁)。

方法

所有三组均每周接受三次运动训练,持续 2 周,然后每周一次,持续 8 周,在此期间,治疗组和教育组接受他们的干预。盲法数据收集员在 3 个月的间隔时间内测量随访运动行为和功能结果。

结果

在控制前一年的运动行为后,结果表明,与对照组相比,治疗组和教育组随着时间的推移增加了力量训练(分别增加了 0.05 和 0.06 小时/周);只有治疗组的变化具有统计学意义。此外,与对照组相比,治疗组和教育组随着时间的推移显著降低了他们的 6 分钟步行距离(分别减少了 1.6 米,P=0.030 和减少了 1.5 米,P=0.026)。

结论

尽管治疗组增加了力量训练,但他们减少了 6 分钟步行距离。

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