Yao Lei, Fang Hanliu, Leng Wanchun, Li Junfeng, Chang Jindong
School of Physical Education, Southwest University, Chongqing, China.
Institute of Motor Quotient, Southwest University, Chongqing, China.
Front Psychiatry. 2021 Oct 6;12:748257. doi: 10.3389/fpsyt.2021.748257. eCollection 2021.
The recommendation of exercise programs in the senior population may benefit inactive and sedentary individuals and improve and help to treat specific health conditions. The purpose of this review is to summarize the published evidence from RCT studies of aerobic exercise interventions for mental health in older adults over the last 20 years. A literature search was conducted using electronic databases including Web of Science, PubMed/Medline, and ProQuest. A total of 15 studies met the inclusion criteria. The subjects of these studies were aged 60 years or older and had various physical health statuses. In 15 studies, the mean effect size for the experimental outcome was 0.56 ± 0.39 (95%CI: 0.36-0.76). One-way ANOVA indicated no significant differences in the intervention duration [ = 0.919, = 0.420], subject category [ = 0.046, = 0.955], or measurement category [ = 0.967, = 0.436]. However, there were significant differences in exercise frequencies [ = 6.03, = 0.012]. The available evidence suggests that aerobic exercise is beneficial for improving the mental health of adults aged 60 years and older. The intervention effect can be achieved regardless of the type of subject and the duration of the intervention. Further, the present study indicates that low-frequency, long-term and regular aerobic exercise is more effective for older adults. Therefore, we recommend that older adults to exercise at a low frequency depending on their physical condition.
为老年人群推荐运动项目可能有益于缺乏运动和久坐不动的个体,并改善和有助于治疗特定的健康状况。本综述的目的是总结过去20年中关于有氧运动干预对老年人心理健康影响的随机对照试验(RCT)研究的已发表证据。通过包括科学网、PubMed/Medline和ProQuest在内的电子数据库进行文献检索。共有15项研究符合纳入标准。这些研究的受试者年龄在60岁及以上,身体健康状况各异。在15项研究中,实验结果的平均效应大小为0.56±0.39(95%置信区间:0.36 - 0.76)。单因素方差分析表明,干预持续时间[F = 0.919,P = 0.420]、受试者类别[F = 0.046,P = 0.955]或测量类别[F = 0.967,P = 0.436]均无显著差异。然而,运动频率存在显著差异[F = 6.03,P = 0.012]。现有证据表明,有氧运动有益于改善60岁及以上成年人的心理健康。无论受试者类型和干预持续时间如何,均可实现干预效果。此外,本研究表明,低频、长期且规律的有氧运动对老年人更有效。因此,我们建议老年人根据自身身体状况进行低频运动。