Centre of Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
School of Medicine, Ulster University, Londonderry , UK.
Age Ageing. 2022 Jul 1;51(7). doi: 10.1093/ageing/afac137.
older adults face several modifiable barriers for engaging in physical activity (PA) programmes such as incontinence, loneliness and fear of falling. Enhancing PA programmes with behavioural components to support self-management of such barriers may increase the effectiveness to preserve functional capacity and independent living.
this study aimed at assessing the effects of a complex active lifestyle intervention (CALSTI) on objective and self-report measures of functional capacity and disability in community-dwelling older adults.
about 215 older adults (79.9 ± 0.4 years) at increased risk of functional decline were randomly allocated to (i) CALSTI consisting of 12-weeks progressive explosive resistance training (24 sessions) enhanced by a 24-week multi-factorial self-management programme (8 sessions), or (ii) an extended version of the self-management intervention (SEMAI; 12 sessions) to reflect a reinforcement of usual care. The interventions were embedded in a nationally regulated preventive care pathway. Blinded assessors collected primary (the Short Physical Performance Battery; SPPB) and secondary outcome data (self-reported difficulty in activities of daily living, the short version of the Late-Life Function and Disability Index, and the EQ-health VAS scale) at baseline and after 12 and 24 weeks.
after 24 weeks, CALSTI led to a clinically superior increase in SPPB compared with SEMAI (+0.77 points, P < 0.01), and the CALSTI group also demonstrated improvements in selected self-reported outcomes.
a novel complex exercise and multi-factorial self-management intervention embedded in preventive care practice had large and clinically meaningful effects on a key measure of functional capacity and predictor of disability.
老年人在参与体育活动（PA）计划时面临着一些可改变的障碍，如失禁、孤独和害怕跌倒。通过增加行为干预措施来增强 PA 计划，以支持对这些障碍的自我管理，可能会提高保持功能能力和独立生活的效果。
本研究旨在评估复杂的积极生活方式干预（CALSTI）对社区居住的老年人功能能力和残疾的客观和自我报告测量的影响。
约 215 名功能下降风险增加的老年人（79.9±0.4 岁）被随机分配到（i）CALSTI，包括 12 周的渐进式爆发力训练（24 次），通过 24 周的多因素自我管理计划（8 次）进行增强，或（ii）扩展版的自我管理干预（SEMAI；12 次），以反映对常规护理的加强。干预措施嵌入在国家监管的预防保健途径中。盲法评估员在基线和 12 周和 24 周后收集主要（短体表现电池；SPPB）和次要结局数据（日常生活活动自我报告困难、晚年功能和残疾指数简短版和 EQ-health VAS 量表）。
24 周后，CALSTI 导致 SPPB 比 SEMAI 有临床意义的增加（+0.77 分，P<0.01），CALSTI 组在选定的自我报告结果方面也有改善。
一种新的复杂运动和多因素自我管理干预措施嵌入预防保健实践中，对功能能力的关键衡量标准和残疾的预测因素产生了大而有临床意义的影响。
