老年人参与力量和平衡活动的促进因素与障碍：综述之综述
Enablers and barriers to older people's participation in strength and balance activities: A review of reviews.
作者信息
Cavill Nick A, Foster Charlie E M
机构信息
University of Bristol School for Policy Studies, UK.
出版信息
J Frailty Sarcopenia Falls. 2018 Jun 1;3(2):105-113. doi: 10.22540/JFSF-03-105. eCollection 2018 Jun.
Abstract
OBJECTIVES
This review sought to investigate the question:
METHODS
A search of PubMed for review-level evidence on professional and personal barriers and motivators for strength and balance activities among older people.
RESULTS
The search and expert consultation found 46 studies; after screening, twelve papers were included. Many of the barriers and motivators to strength and balance activities are familiar ones that can also apply to physical activity more generally, such as not having the time. More specific barriers to strength and balance activities for older people were perceived risk of a heart attack, stroke, or death, and fear of looking too muscular; with motivators being improved ability to complete daily activities, preventing deterioration and disability, and decreasing the risk or fear of falling.
CONCLUSIONS
This review of reviews has found a small but consistent body of literature describing the motivators and barriers to older adults taking part in strength and balance activities. This may be used as the basis for planning and delivering physical activity programmes for older adults.
摘要
目的
本综述旨在探究以下问题：
方法
在PubMed上搜索关于老年人进行力量和平衡活动的专业及个人障碍与动机的综述级证据。
结果
检索及专家咨询共找到46项研究；经筛选，纳入12篇论文。力量和平衡活动的许多障碍与动机是常见的，也普遍适用于体育活动，比如没有时间。老年人进行力量和平衡活动更具体的障碍包括认为存在心脏病发作、中风或死亡风险，以及担心看起来肌肉过于发达；而动机则是提高完成日常活动的能力、预防身体机能衰退和残疾，以及降低跌倒风险或恐惧。
结论
本综述性综述发现了一小部分但较为一致的文献，描述了老年人参与力量和平衡活动的动机与障碍。这可作为为老年人规划和开展体育活动项目的基础。
相似文献
1
Enablers and barriers to older people's participation in strength and balance activities: A review of reviews.老年人参与力量和平衡活动的促进因素与障碍：综述之综述
J Frailty Sarcopenia Falls. 2018 Jun 1;3(2):105-113. doi: 10.22540/JFSF-03-105. eCollection 2018 Jun.
2
Motivators and Barriers for Older People Participating in Resistance Training: A Systematic Review.老年人参与抗阻训练的动机与障碍：一项系统综述。
J Aging Phys Act. 2017 Apr;25(2):311-324. doi: 10.1123/japa.2015-0289. Epub 2016 Sep 6.
3
Motivators and barriers for physical activity in older adults with osteoporosis.骨质疏松症老年患者进行体育活动的动机与障碍
J Geriatr Phys Ther. 2015 Jul-Sep;38(3):105-14. doi: 10.1519/JPT.0000000000000035.
4
Physiotherapists' perceived motivators and barriers for organizing physical activity for older long-term care facility residents.物理治疗师感知到的为老年长期护理机构居民组织身体活动的激励因素和障碍。
J Am Med Dir Assoc. 2015 May 1;16(5):371-9. doi: 10.1016/j.jamda.2014.12.010. Epub 2015 Feb 7.
5
Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia.超越黑木树：影响澳大利亚地区、农村和偏远地区的健康研究问题的快速综述。
Med J Aust. 2020 Dec;213 Suppl 11:S3-S32.e1. doi: 10.5694/mja2.50881.
6
Association of Dance-Based Mind-Motor Activities With Falls and Physical Function Among Healthy Older Adults: A Systematic Review and Meta-analysis.舞蹈类身心活动与健康老年人跌倒和身体功能的关联：系统评价和荟萃分析。
JAMA Netw Open. 2020 Sep 1;3(9):e2017688. doi: 10.1001/jamanetworkopen.2020.17688.
7
Older people's experiences of falls-prevention exercise interventions and implications for practice; a qualitative study.老年人对预防跌倒运动干预措施的体验及对实践的启示；一项定性研究。
Prim Health Care Res Dev. 2019 Jul 1;20:e103. doi: 10.1017/S1463423619000379.
8
Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature.老年人参与体育活动的观点：定性文献的系统评价和主题综合。
Br J Sports Med. 2015 Oct;49(19):1268-76. doi: 10.1136/bjsports-2014-094015. Epub 2015 Jan 13.
9
Exercise for improving balance in older people.改善老年人平衡能力的运动。
Cochrane Database Syst Rev. 2007 Oct 17(4):CD004963. doi: 10.1002/14651858.CD004963.pub2.
10
Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews.运动干预对社区体弱老年人身体功能的有效性：系统评价的伞状综述
JBI Database System Rev Implement Rep. 2018 Mar;16(3):752-775. doi: 10.11124/JBISRIR-2017-003551.
引用本文的文献
1
Interest in brief resistance training workouts among older US adults with and without mobility disability.美国有和没有行动障碍的老年人对简短阻力训练锻炼的兴趣。
PLoS One. 2025 Aug 29;20(8):e0329684. doi: 10.1371/journal.pone.0329684. eCollection 2025.
2
Interest in Weight Loss Methods Among Adults and Its Predictors: Sociodemographic Factors, Anthropometric Parameters, and Physical Activity.成年人对减肥方法的兴趣及其预测因素：社会人口统计学因素、人体测量参数和身体活动
Int J Health Policy Manag. 2025;14:8493. doi: 10.34172/ijhpm.8493. Epub 2025 Jun 9.
3
The effects of a home-based resistance training programme on body composition and muscle function during weight loss in people living with overweight or obesity: a randomised controlled pilot trial.一项针对超重或肥胖人群在减肥期间进行的居家抗阻训练计划对身体成分和肌肉功能的影响：一项随机对照试验。
Nutr Metab (Lond). 2025 Aug 4;22(1):90. doi: 10.1186/s12986-025-00986-1.
4
[Physical activity in older individuals].[老年人的身体活动]
Pravent Gesundh. 2022 Jul 5:1-6. doi: 10.1007/s11553-022-00963-z.
5
Associations of a previous diagnosis of cancer and/or cardiovascular disease with current physical activity levels in Korean adults.韩国成年人既往癌症和/或心血管疾病诊断与当前身体活动水平的关联。
Support Care Cancer. 2025 Mar 26;33(4):324. doi: 10.1007/s00520-025-09377-x.
6
A 4-Week Mobile App-Based Telerehabilitation Program vs Conventional In-Person Rehabilitation in Older Adults With Sarcopenia: Randomized Controlled Trial.基于移动应用程序的4周远程康复计划与传统面对面康复对老年肌少症患者的疗效比较：随机对照试验
J Med Internet Res. 2025 Jan 24;27:e67846. doi: 10.2196/67846.
7
Umbrella review of social inequality in digital interventions targeting dietary and physical activity behaviors.针对饮食和身体活动行为的数字干预措施中社会不平等现象的综合评价
NPJ Digit Med. 2025 Jan 6;8(1):11. doi: 10.1038/s41746-024-01405-0.
8
Experiencing Cerebrovascular Diseases like Stroke and Fear of Falling: Longitudinal Results from the Survey of Health, Ageing and Retirement in Europe.经历过中风等脑血管疾病以及跌倒恐惧：来自欧洲健康、老龄化与退休调查的纵向结果
Geriatrics (Basel). 2024 Oct 11;9(5):133. doi: 10.3390/geriatrics9050133.
9
Dietary Protein and Physical Exercise for the Treatment of Sarcopenia.膳食蛋白质与体育锻炼对肌肉减少症的治疗作用
Clin Pract. 2024 Jul 25;14(4):1451-1467. doi: 10.3390/clinpract14040117.
10
Tailoring Strength Training Prescriptions for People with Rheumatoid Arthritis: A Scoping Review.为类风湿性关节炎患者量身定制力量训练方案：一项范围综述
Am J Lifestyle Med. 2022 Sep 9;18(2):200-215. doi: 10.1177/15598276221125415. eCollection 2024 Mar-Apr.
本文引用的文献
1
The Influence of Older Adults' Beliefs and Attitudes on Adopting Fall Prevention Behaviors.老年人的信念和态度对采取预防跌倒行为的影响。
Am J Lifestyle Med. 2017 Jan 17;12(4):324-330. doi: 10.1177/1559827616687263. eCollection 2018 Jul-Aug.
2
Group-Based Diet and Physical Activity Weight-Loss Interventions: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.基于群组的饮食和身体活动减肥干预措施：随机对照试验的系统评价和荟萃分析。
Appl Psychol Health Well Being. 2018 Mar;10(1):62-86. doi: 10.1111/aphw.12121. Epub 2018 Feb 15.
3
Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: "While it's tough, it's useful".养老院中患有痴呆症的老年人参与高强度功能锻炼计划的体验：“虽然困难，但很有用”。
PLoS One. 2017 Nov 17;12(11):e0188225. doi: 10.1371/journal.pone.0188225. eCollection 2017.
4
Physical activity lowers mortality and heart disease risks.体育活动可降低死亡率和患心脏病的风险。
Lancet. 2017 Dec 16;390(10113):2609-2610. doi: 10.1016/S0140-6736(17)32104-9. Epub 2017 Sep 21.
5
Predictors of perceived barriers to physical activity in the general adult population: a cross-sectional study.一般成年人群体中感知到的体力活动障碍的预测因素：一项横断面研究。
Braz J Phys Ther. 2017 Jan-Feb;21(1):44-50. doi: 10.1016/j.bjpt.2016.04.003. Epub 2017 Jan 14.
6
Gender perspectives on views and preferences of older people on exercise to prevent falls: a systematic mixed studies review.老年人对预防跌倒运动的看法和偏好中的性别视角：一项系统的混合研究综述
BMC Geriatr. 2017 Feb 17;17(1):58. doi: 10.1186/s12877-017-0451-2.
7
Frailty and exercise interventions : Evidence and barriers for exercise programs.衰弱与运动干预：运动项目的证据与障碍
Z Gerontol Geriatr. 2016 Oct;49(7):606-611. doi: 10.1007/s00391-016-1134-x. Epub 2016 Sep 21.
8
Motivators and Barriers for Older People Participating in Resistance Training: A Systematic Review.老年人参与抗阻训练的动机与障碍：一项系统综述。
J Aging Phys Act. 2017 Apr;25(2):311-324. doi: 10.1123/japa.2015-0289. Epub 2016 Sep 6.
9
An exploration of barriers and facilitators to older adults' participation in higher impact physical activity and bone health: a qualitative study.老年人参与高强度体育活动及骨骼健康的障碍与促进因素探索：一项定性研究
Osteoporos Int. 2016 Mar;27(3):979-987. doi: 10.1007/s00198-015-3376-7. Epub 2015 Nov 10.
10
"Better safe than sorry": a qualitative content analysis of participant's perspectives of fall-related concerns and balance in older women with osteoporosis after balance training.“宁可事先谨慎有余，不要事后追悔莫及”：对骨质疏松老年女性平衡训练后与跌倒相关担忧及平衡的参与者观点进行的质性内容分析
Disabil Rehabil. 2016 Apr;38(8):796-802. doi: 10.3109/09638288.2015.1061610. Epub 2015 Jul 3.
Zotero 插件