Department of Health and Exercise Sciences, Wake Forest University, Winston-Salem, NC, USA.
Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Int J Behav Med. 2022 Apr;29(2):240-246. doi: 10.1007/s12529-021-10003-3. Epub 2021 May 20.
This report investigates the impact of a remote physical activity intervention on self-efficacy, satisfaction with functioning, and health-related quality of life (HRQOL) as assessed by the SF-36 in obese older adults with chronic pain. The intervention was group-mediated in nature and based in social cognitive theory and mindfulness-based relapse prevention.
Participants (N = 28; 70.21 ± 5.22 years) were randomly assigned to receive either the active intervention, which focused on reducing caloric intake and increasing steps across the day or to a waitlist control condition.
Over 12 weeks, intervention participants reported a moderate, positive improvement in self-efficacy for walking relative to control. They also reported large magnitude improvements in satisfaction for physical functioning as well as improvements on pain and the physical functioning subscales of the SF-36.
These findings expand on previous research showing similar effects in response to structured exercise, this time via a protocol that is likely to be scalable and sustainable for many older adults. Additional work on larger and more diverse samples is warranted.
本报告调查了远程体力活动干预对肥胖慢性疼痛老年患者自我效能感、功能满意度和健康相关生活质量（HRQOL）（SF-36 评估）的影响。该干预是基于社会认知理论和正念预防复发的团体介导性质。
参与者（N=28；70.21±5.22 岁）被随机分配接受积极干预，该干预侧重于减少卡路里摄入和增加全天的步数，或接受候补名单对照条件。
在 12 周内，干预组参与者报告自我效能感在步行方面有中等程度的积极改善，而对照组则没有。他们还报告了对身体功能的满意度以及 SF-36 的疼痛和身体功能子量表有很大程度的改善。
这些发现扩展了以前的研究结果，表明在结构化运动的反应中也有类似的效果，这次是通过一种可能对许多老年人具有可扩展性和可持续性的方案。需要对更大和更多样化的样本进行更多研究。
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