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运动与衰老:老年人参与运动的决定因素和趋势的系统评价。

Sport and ageing: a systematic review of the determinants and trends of participation in sport for older adults.

机构信息

Institute of Sport, Exercise and Active Living (ISEAL),Victoria University, Melbourne, VIC, 8001, Australia.

Facility of Health, Federation University, PO Box 663, Ballarat, VIC, 3353, Australia.

出版信息

BMC Public Health. 2017 Dec 22;17(1):976. doi: 10.1186/s12889-017-4970-8.

Abstract

BACKGROUND

The global population is ageing. As ageing is often associated with a decline in health, there is a need to further develop preventative health measures. Physical activity can positively influence older adults' (aged 50 years and older) health. Previous research on the relationship between physical activity and health for older adults has mainly focused on physical activity in general, and not specific types of exercise. Due to the social nature of sport, it may assist in improving physical, mental and social health for older adults. Sport, as a form of physical activity, has not been widely explored as a physical activity opportunity for older adults. This review concurrently explored two research questions: the determinants and the trends of sport participation for community dwelling older adults.

METHODS

Two parallel systematic searches of nine electronic databases were conducted in December 2015 for the two research questions. English language quantitative and qualitative studies that provided specific results for community dwelling older adults' sport participation were included and a quality ratings assessment was undertaken.

RESULTS

There were 10,171 studies initially identified for the first research question and 1992 studies for the second research question. This culminated in 18 and 8 studies respectively that met the inclusion criteria. The most frequently mentioned determinants of participation were health and using sport to negotiate the ageing process. The most frequently mentioned trends of sport participation were the effect of historical sport participation on current participation, and sport participation across the lifespan. The main themes for both research questions had contrasting results, for example, participation in sport could improve health, but poor health was also a limitation of sport participation.

CONCLUSIONS

This review demonstrates that older adults are a heterogeneous age group, and therefore require different strategies than other age groups to successfully participate in sport. It is recommended that the main findings from this review are incorporated into specific strategies to develop age appropriate sporting opportunities for older adults, so that sport can be presented as a viable physical activity option for this age group.

摘要

背景

全球人口正在老龄化。由于衰老通常与健康状况下降有关,因此需要进一步开发预防保健措施。身体活动可以积极影响老年人(50 岁及以上)的健康。以前关于老年人身体活动与健康之间关系的研究主要集中在一般的身体活动上,而不是特定类型的运动。由于运动的社会性,它可能有助于改善老年人的身体、心理和社会健康。运动作为一种身体活动形式,尚未被广泛探索为老年人进行身体活动的机会。本综述同时探讨了两个研究问题:社区居住老年人参与运动的决定因素和趋势。

方法

2015 年 12 月,针对这两个研究问题,同时进行了两次平行的九个电子数据库的系统检索。纳入了提供社区居住老年人运动参与具体结果的英语定量和定性研究,并进行了质量评级评估。

结果

第一个研究问题最初确定了 10171 项研究,第二个研究问题确定了 1992 项研究。最终分别有 18 项和 8 项研究符合纳入标准。参与的最常见决定因素是健康和利用运动来应对衰老过程。参与运动的最常见趋势是历史上的运动参与对当前参与的影响,以及整个生命周期中的运动参与。两个研究问题的主要主题都有相反的结果,例如,运动可以改善健康,但健康状况不佳也是运动参与的限制。

结论

本综述表明,老年人是一个异质的年龄组,因此需要与其他年龄组不同的策略来成功参与运动。建议将本综述的主要发现纳入制定适合老年人的体育机会的具体战略中,以便将运动作为该年龄组可行的身体活动选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0be2/5741887/d044d1aa90d6/12889_2017_4970_Fig1_HTML.jpg

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