Department of Internal Medicine, Section of Gerontology and Geriatrics, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
BMC Geriatr. 2018 Nov 23;18(1):288. doi: 10.1186/s12877-018-0965-2.
To counteract decline in physical performance and physical activity in older patients during hospitalization, multiple physical interventions were developed. However, it is unknown whether these are effective in this particular population. This systematic review aimed to identify the effect of physical interventions on physical performance and physical activity in older patients during hospitalization.
The systematic search included PubMed, EMBASE, Cinahl, the Trials database of The Cochrane Library and SPORTdiscus from inception to 22 November 2017. Studies were included if the mean age of the patient cohort was 65 years and older and the effect of physical interventions on physical performance or physical activity was evaluated during hospitalization.
Fifteen randomized controlled trials met the inclusion criteria. Overall, the effect of physical interventions on physical performance was inconsistent. Patient tailored interventions, i.e. continuously adapted to the capabilities of the patient were not found to be superior over interventions that were not. Physical activity as outcome measure was not addressed. Reporting of intensity of the interventions and adherence were frequently lacking.
Evidence for the effect of physical interventions on physical performance in older patients during hospitalization was found uncertain. Further research on the efficacy of the intervention is needed, comparing types of intervention with detailed reporting of frequency, intensity and duration.
为了抵消住院老年患者身体机能和身体活动能力的下降，开发了多种身体干预措施。然而，目前尚不清楚这些措施在特定人群中是否有效。本系统评价旨在确定身体干预措施对住院老年患者身体机能和身体活动的影响。
系统检索了从开始到 2017 年 11 月 22 日的 PubMed、EMBASE、Cinahl、Cochrane 图书馆试验数据库和 SPORTdiscus。如果患者队列的平均年龄为 65 岁及以上，并且在住院期间评估身体干预对身体机能或身体活动的影响，则纳入研究。
共有 15 项随机对照试验符合纳入标准。总体而言，身体干预对身体机能的影响不一致。未发现针对患者量身定制的干预措施（即根据患者的能力进行连续调整）优于非针对性干预措施。未涉及身体活动作为结果测量。干预措施强度和依从性的报告经常缺乏。
在住院老年患者中，身体干预对身体机能的影响的证据尚不确定。需要进一步研究干预措施的疗效，比较不同类型的干预措施，并详细报告频率、强度和持续时间。
