Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK.
Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Norway; Department of Geriatric Medicine, Oslo University Hospital, Norway; Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway.
Ageing Res Rev. 2021 May;67:101298. doi: 10.1016/j.arr.2021.101298. Epub 2021 Feb 13.
BACKGROUND: Engaging aged residential care (ARC) residents with physical activity (PA) may be a useful strategy to decelerate dependence and disability. It is unclear what volume, intensity and patterns of PA ARC residents participate in. This review aims to synthesize the literature to quantify the volume, intensity and pattern of PA that ARC residents participate in across differing care levels (e.g. low, intermediate, high, mixed), and make recommendations for future research. METHODS: 30 studies of 48,760 yielded were reviewed using systematic review strategies. RESULTS: Questionnaires and technological tools were used to assess PA, with accelerometers employed in 70% of studies. Overall, studies reported low volumes and intensities of PA across all care levels, and suggested limited variation in patterns of PA (e.g. little day-to-day variation in total PA). There was limited inclusion of people with cognitive impairment, potentially causing representativeness bias. Findings were limited by lack of consistency in methodological approaches and PA outcomes. DISCUSSION: Based on findings and limitations of current research, we recommend that total volume or low-light intensity PA are more useful interventional outcomes than higher-intensity PA. Researchers also need to consider which methodology and PA outcomes are most useful to quantify PA in ARC residents.
背景：让老年居住护理（ARC）居民参与身体活动（PA）可能是减缓依赖和残疾的有用策略。目前尚不清楚 ARC 居民参与的 PA 量、强度和模式。本综述旨在综合文献，量化不同护理水平（如低、中、高、混合）下 ARC 居民参与的 PA 量、强度和模式，并为未来的研究提出建议。
方法：使用系统综述策略对 30 项研究（涉及 48760 名居民）进行了综述。
结果：使用问卷和技术工具评估 PA，其中 70%的研究使用加速度计。总体而言，研究报告显示所有护理水平的 PA 量和强度均较低，并且 PA 模式变化有限（例如，总 PA 的日常变化很小）。认知障碍人群的纳入有限，可能导致代表性偏差。研究结果受到方法学方法和 PA 结果缺乏一致性的限制。
讨论：基于当前研究的发现和局限性，我们建议总 PA 量或低强度 PA 比高强度 PA 更适合作为干预性结果。研究人员还需要考虑哪种方法学和 PA 结果最有助于量化 ARC 居民的 PA。
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