解读身体活动在全球大流行期间老年人群压力管理中的作用：一项系统评价方案

Deciphering the role of physical activity in stress management during a global pandemic in older adult populations: a systematic review protocol.

作者信息

Churchill Ryan, Riadi Indira, Kervin Lucy, Teo Kelly, Cosco Theodore

机构信息

Department of Gerontology, Simon Fraser University, Vancouver, V6B 5K3, Canada.

出版信息

Syst Rev. 2021 May 7;10(1):140. doi: 10.1186/s13643-021-01678-6.

DOI:10.1186/s13643-021-01678-6

PMID:33962659

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8103071/

Abstract

BACKGROUND

The world has changed dramatically since the beginning of 2020 due to COVID-19. As a result of the pandemic, many older adults are now experiencing an increased and unprecedented amount of psychological stress. Physical activity has been found to be an evidence-based means of combating stress among older adults to promote their quality of life. Studies have demonstrated that those who are physically active experience fewer issues in regard to their mental health, specifically depression and anxiety disorders. Engagement in physical activity may exert a protective influence over stress inducing events and future mental health outcomes. Due to exercise being inexpensive, non-invasive, and effective even via incremental increases in activity level, physical activity interventions should be investigated as a therapy for reducing stress for older adults during the current pandemic.

METHODS

Four electronic databases (PubMed, PsycInfo, Web of Science, and SportDiscus) will be searched to identify randomized controlled trials that evaluate the effectiveness of physical activity or exercise programs as a psychological stress management tool in adults 50 years of age or older. Only peer-reviewed and published journal articles will be reviewed. Post-intervention psychological stress measures in comparison to baseline stress will be the primary outcome of interest. All studies will be assessed for bias using Cochrane's risk of bias tool. A random effects meta-analysis will be investigated if sufficient evidence of homogenous research exists and the heterogeneity of effect sizes will be tabulated.

DISCUSSION

This review will determine the effectiveness of various physical activity interventions for the treatment of psychological stress among the older adult population. This knowledge will help inform care aides, clinicians, family members, and older adults themselves of the most effective physical activity interventions in dealing with stress which is relevant to the ongoing pandemic.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42020192546.

摘要

背景

自2020年初以来，由于新型冠状病毒肺炎疫情，世界发生了巨大变化。作为这场大流行的结果，许多老年人现在正经历着前所未有的心理压力增加。体育活动已被发现是一种基于证据的手段，可帮助老年人对抗压力，提高他们的生活质量。研究表明，积极参加体育活动的人在心理健康方面出现的问题较少，特别是在抑郁症和焦虑症方面。参与体育活动可能会对压力诱发事件和未来的心理健康结果产生保护作用。由于运动成本低、无侵入性，而且即使活动水平逐步提高也有效，因此应研究体育活动干预措施，作为在当前大流行期间减轻老年人压力的一种疗法。

方法

将检索四个电子数据库（PubMed、PsycInfo、科学网和体育文摘数据库），以识别评估体育活动或锻炼计划作为50岁及以上成年人心理压力管理工具有效性的随机对照试验。仅审查同行评审并发表的期刊文章。与基线压力相比的干预后心理压力测量将是主要关注的结果。将使用Cochrane偏倚风险工具对所有研究进行偏倚评估。如果存在足够的同质研究证据，将进行随机效应荟萃分析，并将效应大小的异质性制成表格。