Kohn Marlana J, Belza Basia, Petrescu-Prahova Miruna, Miyawaki Christina E, Hohman Katherine H
Department of Health Services, Health Promotion Research Center, University of Washington, Seattle, WA.
J Aging Phys Act. 2015 Jul;23(3):401-8. doi: 10.1123/japa.2013-0252. Epub 2014 Aug 18.
This study examined participant demographic and physical function characteristics from EnhanceFitness, an evidence-based physical activity program for older adults. The sample consisted of 19,964 older adults. Participant data included self-reported health and demographic variables, and results for three physical function tests: chair stand, arm curls, and timed up-and-go. Linear regression models compared physical function test results among eight program site types. Participants were, on average, 72 years old, predominantly female, and reported having one chronic condition. Residential site participants' physical function test results were significantly poorer on chair stand and timed up-and-go measures at baseline, and timed up-and-go at a four-month follow-up compared with the reference group (senior centers) after controlling for demographic variables and site clustering. Evidence-based health-promotion programs offered in community settings should assess demographic, health, and physical function characteristics to best serve participants' specific needs, and offer classes tailored to participant function and ability while maintaining program fidelity.
本研究调查了“增强体能”项目中参与者的人口统计学和身体功能特征，该项目是一项针对老年人的循证体育活动项目。样本包括19964名老年人。参与者数据包括自我报告的健康和人口统计学变量，以及三项身体功能测试的结果：从椅子上站起、弯举和定时起立行走。线性回归模型比较了八种项目地点类型的身体功能测试结果。参与者平均年龄为72岁，以女性为主，且报告患有一种慢性病。在控制了人口统计学变量和地点聚类后，与参照组（老年中心）相比，居住场所参与者在基线时的从椅子上站起和定时起立行走测试结果以及在四个月随访时的定时起立行走测试结果显著较差。在社区环境中提供的循证健康促进项目应评估人口统计学、健康和身体功能特征，以最好地满足参与者的特定需求，并在保持项目保真度的同时，提供根据参与者功能和能力量身定制的课程。
