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体育锻炼对社区老年人身体衰弱状况和身体机能的剂量反应疗效:一项随机对照试验的系统评价和荟萃分析

The Dose-Response Efficacy of Physical Training on Frailty Status and Physical Performance in Community-Dwelling Elderly: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

作者信息

Li Pei-Shan, Hsieh Chia-Jung, Tallutondok Eva Berthy, Peng Hsuan-Ju

机构信息

School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan.

Department of Nursing, Taipei Veterans General Hospital, Taipei 112303, Taiwan.

出版信息

Healthcare (Basel). 2022 Mar 21;10(3):586. doi: 10.3390/healthcare10030586.

DOI:10.3390/healthcare10030586
PMID:35327063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8953467/
Abstract

PURPOSE

This systematic review and meta-analysis was conducted to explore the effect of physical training on frailty status and physical performance in the community dwelling elderly.

METHODS

We set keywords and used the Boolean operator to search the CEPS, CINAHL, Cochrane Library, PubMed, MEDLINE, and EMBASE databases from inception to 10 August 2021. The search was limited to randomized controlled trials (RCTs) conducted within a five-year period. The Cochrane Collaboration bias assessment tool was used to assess article quality, and RevMan 5.4.1. software (Cochrane Training site based in London, UK) was used to conduct the meta-analysis.

RESULTS

Physical training was found to improve frailty status, physical performance, lower limb strength and balance. The best dose-response for physical training was 60 min per time, 2-3 times per week, for 3 months.

CONCLUSION

Designing an appropriate physical training program can decrease the frailty score and increase physical performance in frail elderly in the community.

摘要

目的

进行本系统评价和荟萃分析,以探讨体育锻炼对社区居住老年人衰弱状况和身体机能的影响。

方法

我们设定关键词并使用布尔运算符检索截至2021年8月10日的CEPS、CINAHL、Cochrane图书馆、PubMed、MEDLINE和EMBASE数据库。检索限于五年内进行的随机对照试验(RCT)。采用Cochrane协作偏倚评估工具评估文章质量,并使用RevMan 5.4.1软件(英国伦敦的Cochrane培训网站)进行荟萃分析。

结果

发现体育锻炼可改善衰弱状况、身体机能、下肢力量和平衡能力。体育锻炼的最佳剂量反应为每次60分钟,每周2 - 3次,持续3个月。

结论

设计适当的体育锻炼计划可降低社区衰弱老年人的衰弱评分并提高身体机能。

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