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老年人身体活动的维持动机:系统评价和荟萃分析。

Maintenance motives for physical activity among older adults: a systematic review and meta-analysis.

机构信息

Department of Health and Kinesiology, Purdue University, West Lafayette, United States.

Libraries and School of Information Studies, Purdue University, West Lafayette, United States.

出版信息

Health Psychol Rev. 2021 Dec;15(4):593-612. doi: 10.1080/17437199.2020.1858926. Epub 2020 Dec 11.

Abstract

The purpose of this systematic review was to examine if the motives of satisfaction with outcomes, enjoyment of behavior, self-determination, and identity are related to physical activity (PA) maintenance in older adults. We also explored whether the strength of these associations varies as a function of sample characteristics (i.e., age, gender, physical health status) and maintenance context. Five electronic databases (PubMed, PsycINFO, SportDiscus, CINAHL, and ProQuest Dissertations and Theses) were searched, and sixteen studies () with a sample mean age ≥ 55 years were included. When the number of studies was ≥ 5 for a given motive, a pooled correlation coefficient was calculated using the inverse-variance method under the random-effects model assumption. Self-determination was positively associated with PA maintenance [ (95% CI) = 0.189 (0.127, 0.249);  = 11]. This association was stronger and more homogeneous for samples described as having a physical health condition ( = 0.212;  = 6) and studies judged to be at risk of bias due to missing data ( = 0.223;  = 8). Few studies (< 5) investigated satisfaction with outcomes, enjoyment of behavior, and identity, which precludes any summary judgment for these three motives. PROSPERO Registration Number: CRD42018088161.

摘要

本系统评价的目的是检验满意度、行为享受、自我决定和身份认同等动机与老年人身体活动(PA)维持的关系。我们还探讨了这些关联的强度是否随样本特征(即年龄、性别、身体健康状况)和维持环境而变化。我们检索了五个电子数据库(PubMed、PsycINFO、SportDiscus、CINAHL 和 ProQuest Dissertations and Theses),并纳入了十六项研究(),样本平均年龄≥55 岁。当给定动机的研究数量≥5 时,我们使用随机效应模型假设下的逆方差法计算汇总相关系数。自我决定与 PA 维持呈正相关[(95% CI)= 0.189(0.127,0.249);= 11]。对于描述为患有身体健康状况的样本(= 0.212;= 6)和因数据缺失而被判定为存在偏倚风险的研究(= 0.223;= 8),这种关联更强且更同质。很少有研究(<5)调查了满意度、行为享受和身份认同,因此无法对这三个动机进行总结性判断。PROSPERO 注册号:CRD42018088161。

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