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评估旨在改善老年体弱住院患者多维健康和功能能力的特别定制运动干预措施的可行性和影响:一项可行性研究方案

Assessing the feasibility and impact of specially adapted exercise interventions, aimed at improving the multi-dimensional health and functional capacity of frail geriatric hospital inpatients: protocol for a feasibility study.

作者信息

Doody Paul, Lord Janet M, Greig Carolyn A, Whittaker Anna C

机构信息

School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK

MRC-Arthritis Research UK Centre for Musculoskeletal Ageing Research, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.

出版信息

BMJ Open. 2019 Nov 21;9(11):e031159. doi: 10.1136/bmjopen-2019-031159.

DOI:10.1136/bmjopen-2019-031159
PMID:31753876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6886909/
Abstract

BACKGROUND

Frailty is a common and clinically significant condition in older adults, predominantly due to its association with adverse health outcomes such as hospitalisation, disability and mortality. Exercise interventions have been shown to be a beneficial treatment for frailty. However, more high-quality studies are needed to assess the feasibility and impact of these interventions in frail geriatric populations within different settings, and their impact on broader aspects of health and well-being.

METHODS AND ANALYSIS

This study will use a 2-week, interventional, independent measures research design in order to assess the feasibility and impact of two specially adapted exercise training interventions (a specially adapted resistance training intervention, and Move It Or Lose It: an established community-based exercise intervention for older adults) aimed at improving the multidimensional health and functional capacity of frail geriatric hospital inpatients.

ETHICS AND DISSEMINATION

This study has received a favourable ethical opinion by the Coventry and Warwickshire NHS Research Ethics Committee and sponsorship by the University of Birmingham after review by the sponsors research governance office. The findings will be disseminated through publication in open access scientific journals, public engagement events, online via social media, conference presentations and directly to study participants on request.

TRIAL REGISTRATION NUMBER

NCT03141866.

摘要

背景

衰弱是老年人中一种常见且具有临床意义的状况,主要是因为它与诸如住院、残疾和死亡等不良健康结局相关。运动干预已被证明是治疗衰弱的有益方法。然而,需要更多高质量研究来评估这些干预措施在不同环境下对衰弱老年人群体的可行性和影响,以及它们对健康和幸福更广泛方面的影响。

方法与分析

本研究将采用为期2周的干预性独立测量研究设计,以评估两种特别调整的运动训练干预措施(一种特别调整的阻力训练干预措施,以及“动则不衰”:一种针对老年人的成熟的社区运动干预措施)的可行性和影响,这些措施旨在改善衰弱老年住院患者的多维度健康和功能能力。

伦理与传播

本研究已获得考文垂和沃里克郡国民保健服务研究伦理委员会的有利伦理意见,并在主办方研究管理办公室审查后获得伯明翰大学的资助。研究结果将通过发表在开放获取科学期刊上、公众参与活动、通过社交媒体在线传播、会议报告以及应要求直接向研究参与者进行传播。

试验注册号

NCT03141866。

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Resistance Training for Older Adults: Position Statement From the National Strength and Conditioning Association.老年人抗阻训练:美国国家力量与体能协会立场声明。
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Assessing the feasibility and impact of an adapted resistance training intervention, aimed at improving the multi-dimensional health and functional capacity of frail older adults in residential care settings: protocol for a feasibility study.评估一项适应性抗阻训练干预措施的可行性和影响,该干预旨在改善居住护理机构中体弱老年人的多维度健康状况和功能能力:一项可行性研究方案
Pilot Feasibility Stud. 2019 Jul 5;5:86. doi: 10.1186/s40814-019-0470-1. eCollection 2019.
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Acute inflammation is associated with lower muscle strength, muscle mass and functional dependency in male hospitalised older patients.
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A Multicomponent Exercise Intervention that Reverses Frailty and Improves Cognition, Emotion, and Social Networking in the Community-Dwelling Frail Elderly: A Randomized Clinical Trial.一项多组分运动干预措施,可逆转社区居住体弱老年人的衰弱状况,并改善其认知、情绪和社交网络:一项随机临床试验。
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