Tiedemann Anne, O'Rourke Sandra, Sherrington Catherine
Sydney School of Public Health, University of Sydney, NSW, Australia,
Sydney School of Public Health, University of Sydney, NSW, Australia.
Public Health Res Pract. 2018 Jun 14;28(2):28011801. doi: 10.17061/phrp28011801.
Objectives and importance of study: Yoga improves balance and mobility, and therefore has potential as a fall prevention strategy, yet its validity for preventing falls has not been established. The Otago Exercise Programme (OEP) and tai chi are proven to prevent falls. This study aimed to evaluate the perceptions and preferences of older people towards a yoga-based program with potential to decrease falls, to compare these perceptions to the views expressed about the OEP and tai chi, and to identify participant characteristics associated with a preference for the yoga program.
Survey.
Participants were 235 community-dwellers aged 60 years or older who were not participating or had not previously participated (within the past 10 years) in yoga-based exercise. Participants completed a self-report survey measuring demographics, physical activity level and attitude. They then viewed explanations of the yoga-based program, the OEP and tai chi. Participants completed the Attitudes to Falls-Related Interventions Scale (AFRIS) to measure program acceptability and identified their preferred program. Acceptability scores and preference were compared between the programs, and factors associated with yoga preference were identified with analysis of variance.
The mean age of participants (69% female) was 69.4 years (standard deviation 7.4). All programs were rated as equally acceptable (p = 0.17), with AFRIS scores ranging from 28.1 to 29.4. Eighty-two people (35%) preferred yoga, 32% chose the OEP and 33% chose tai chi. Overall, people who preferred yoga were significantly younger, healthier, less fearful of falling, and perceived exercise more positively than people who preferred the OEP (p values ranged from 0.03 to <0.001). The characteristics of people who preferred yoga and those who preferred tai chi did not vary significantly.
Yoga was perceived to be appropriate and was as popular as two validated fall prevention programs. Yoga warrants further investigation as a fall prevention strategy, particularly for 'younger' and healthier people aged 60 years or older.
研究目的及重要性：瑜伽可改善平衡能力和活动能力，因此有作为预防跌倒策略的潜力，但尚未证实其预防跌倒的有效性。奥塔哥运动计划（OEP）和太极拳已被证明可预防跌倒。本研究旨在评估老年人对有降低跌倒潜力的瑜伽项目的看法和偏好，将这些看法与对奥塔哥运动计划和太极拳的看法进行比较，并确定与偏好瑜伽项目相关的参与者特征。
调查。
参与者为235名60岁及以上的社区居民，他们未参与或在过去10年内未参与过基于瑜伽的运动。参与者完成一份自我报告调查，测量人口统计学、身体活动水平和态度。然后他们观看了基于瑜伽的项目、奥塔哥运动计划和太极拳的介绍。参与者完成了跌倒相关干预态度量表（AFRIS）以测量项目可接受性，并确定他们偏好的项目。比较各项目之间的可接受性得分和偏好，并通过方差分析确定与瑜伽偏好相关的因素。
参与者的平均年龄为69.4岁（标准差7.4），女性占69%。所有项目的可接受性评级相同（p = 0.17），AFRIS得分在28.1至29.4之间。82人（35%）偏好瑜伽，32%选择奥塔哥运动计划，33%选择太极拳。总体而言，与偏好奥塔哥运动计划的人相比，偏好瑜伽的人明显更年轻、更健康、对跌倒的恐惧更小，且对运动的看法更积极（p值范围从0.03至<0.001）。偏好瑜伽的人和偏好太极拳的人的特征没有显著差异。
瑜伽被认为是合适的，并且与两个经过验证的预防跌倒项目一样受欢迎。瑜伽作为一种预防跌倒策略值得进一步研究，特别是对于60岁及以上“更年轻”和更健康的人群。
