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基于网络的身体活动干预措施是可行且有益的解决方案,可以防止社区居住的老年人在隔离期间身心健康状况下降。

Web-Based Physical Activity Interventions Are Feasible and Beneficial Solutions to Prevent Physical and Mental Health Declines in Community-Dwelling Older Adults During Isolation Periods.

机构信息

Département des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal, Montréal, Canada.

Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Canada.

出版信息

J Gerontol A Biol Sci Med Sci. 2023 Mar 1;78(3):535-544. doi: 10.1093/gerona/glac127.

Abstract

BACKGROUND

Periods of prolonged lockdown increase the risk of physical inactivity, which can contribute to physical decline among older adults. Online technology could be an innovative solution to promote physical activity (PA) habits in this context. The goal of this study was to examine and compare the acceptability, feasibility, and potential benefits of 2 modalities of web-based PA interventions in older adults during the coronavirus disease 2019 lockdown.

METHODS

Eighty-three nonphysically active community-dwelling older adults (aged 60 and older) were randomized to a 12-week web-based PA intervention delivered either in a live group (LG; n = 38) or a recorded group (RG; n = 45). Acceptability, feasibility as well as functional capacities, physical performance, quality of life, and PA level were assessed pre and postintervention.

RESULTS

There were fewer dropouts in the LG than RG (LG: 16% vs RG: 46%). However, adherence rate (LG: 89%; RG: 81%), level of satisfaction (LG: 77% vs RG: 64%), and enjoyment (LG: 68% vs RG: 62%) were similar across groups, even if the participants found the intervention slightly difficult (LG: 58% vs RG: 63%). Both groups significantly improved on functional capacities, physical performance, and quality of life. Only the LG showed significant improvements in perceived health and PA level. The LG showed greater improvements in physical performance and quality of life than the RG.

CONCLUSION

Web-based PA interventions are feasible, acceptable, and beneficial for improving functional capacities and physical performance during periods of lockdown. However, the interactive web and live modalities appear to be more effective for promoting some of these outcomes than recorded and individual modalities.

摘要

背景

长时间的封锁会增加身体活动减少的风险,这可能导致老年人身体机能下降。在线技术可能是在这种情况下促进身体活动(PA)习惯的创新解决方案。本研究的目的是检查和比较两种基于网络的 PA 干预模式在 COVID-19 封锁期间对社区内非活跃的老年成年人的可接受性、可行性和潜在益处。

方法

83 名非活跃的社区居住的老年成年人(年龄在 60 岁及以上)被随机分配到为期 12 周的基于网络的 PA 干预组,分别是实时组(LG;n=38)和录制组(RG;n=45)。在干预前后评估可接受性、可行性以及功能能力、身体表现、生活质量和 PA 水平。

结果

LG 的退出人数少于 RG(LG:16% vs RG:46%)。然而,LG 的依从率(LG:89%;RG:81%)、满意度(LG:77%;RG:64%)和享受度(LG:68%;RG:62%)与 RG 相似,尽管参与者认为干预有点困难(LG:58%;RG:63%)。两组在功能能力、身体表现和生活质量方面均有显著改善。只有 LG 在感知健康和 PA 水平方面有显著改善。LG 在身体表现和生活质量方面的改善优于 RG。

结论

基于网络的 PA 干预措施在封锁期间是可行的、可接受的和有益的,可以提高功能能力和身体表现。然而,与录制和个人模式相比,交互式网络和实时模式似乎更能有效地促进其中一些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f5e/9977222/00b7cc0f80de/glac127f0001.jpg

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