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一项旨在提高智障成年人身体活动参与度的干预措施的系统评价。

A systematic review of interventions aiming to improve involvement in physical activity among adults with intellectual disability.

作者信息

Brooker Katie, van Dooren Kate, McPherson Lyn, Lennox Nick, Ware Robert

机构信息

Queensland Centre for Intellectual and Developmental Disability (QCIDD), School of Medicine, The University of Queensland, Brisbane, Australia.

出版信息

J Phys Act Health. 2015 Mar;12(3):434-44. doi: 10.1123/jpah.2013-0014. Epub 2014 May 6.

Abstract

BACKGROUND

Evidence suggests that most adults with intellectual disability do not participate in sufficient amounts of physical activity (PA). A systematic review of peer-reviewed studies that reported an intervention aiming to improve PA levels of adults with intellectual disability was conducted.

METHODS

Keywords related to intellectual disability and physical activity were used to search relevant databases. Studies were excluded if they did not measure PA as an outcome for adults with intellectual disability, were non-English, and were not peer-reviewed. All relevant studies were included in the review regardless of methodological quality and design.

RESULTS

Six articles met the inclusion criteria. These included health education or health promotion programs with PA, nutrition, and weight loss components. The quality of studies included in this review was generally poor. Most studies used a prepost design, sample sizes were small, and measurement tools were used that are not valid and reliable for the population assessed.

CONCLUSIONS

PA interventions have the potential to improve the health and wellbeing of people with intellectual disability, a vulnerable group who require attention from public health practitioners and researchers. Given the health inequities that exist, public health researchers should target efforts to improve PA levels among this group.

摘要

背景

有证据表明,大多数成年智障人士没有进行足够量的体育活动(PA)。对已发表的、报告了旨在提高成年智障人士体育活动水平的干预措施的同行评审研究进行了系统评价。

方法

使用与智障和体育活动相关的关键词检索相关数据库。如果研究未将体育活动作为成年智障人士的一项结果进行测量、不是英文的,或者未经过同行评审,则将其排除。无论方法学质量和设计如何,所有相关研究均纳入本评价。

结果

6篇文章符合纳入标准。这些文章包括包含体育活动、营养和减肥内容的健康教育或健康促进项目。本评价纳入的研究质量普遍较差。大多数研究采用前后测设计,样本量较小,且所使用的测量工具对所评估人群无效且不可靠。

结论

体育活动干预措施有潜力改善智障人士的健康和福祉,这一弱势群体需要公共卫生从业者和研究人员的关注。鉴于存在的健康不平等现象,公共卫生研究人员应致力于提高该群体的体育活动水平。

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