National Institute for Health and Care Research Applied Research Collaboration Greater Manchester, Division of Nursing Midwifery and Social Work, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester M13 9PL, UK.
Manchester Academic Health Science Centre, Manchester M13 9PL, UK.
Int J Environ Res Public Health. 2022 Aug 13;19(16):10002. doi: 10.3390/ijerph191610002.
Strength recommendations have been embedded within the UK's Chief Medical Officers' physical activity guidelines since 2011. In 2019, they were given a more prominent position in the accompanying infographic. However, there is limited evidence that these recommendations have been successful in their population-wide dissemination. This study aimed to explore the engagement of community-dwelling older adults with the guidelines to date and to gain a nuanced understanding of the awareness, knowledge, and action that older adults take to fulfil strength recommendations. A total of fifteen older adults living in the UK participated in one online interview. A general inductive approach was used to generate themes from the data. There were four major themes that were found. 1. The strength component of the physical activity guidelines, 2. Barriers, 3. Motivators, and 4. Solutions. No participants were aware of the strength guidelines. When they were asked what activities they used to fulfil the ' criteria, walking, yoga, and Pilates were the most common responses. Ageism and strength training misconceptions were major barriers to participation in strengthening exercise. Older adults were much less aware of the benefits of building strength and strength training participation when compared to aerobic activities, so motivators to participation were generally not specific to strength training. Finally, there are several ways that practitioners can overcome the barriers to strength training participation. Solutions to improving the uptake and adherence to strength training participation are likely to be more successful when they include opportunities for social interaction, ability-appropriate challenge, and provide both short- and long-term benefits.
自 2011 年以来，英国首席医疗官的身体活动指南中就嵌入了强度建议。2019 年，这些建议在配套的信息图表中占据了更突出的位置。然而，有限的证据表明，这些建议在其广泛传播方面取得了成功。本研究旨在探讨迄今为止，社区居住的老年人对这些指南的参与情况，并深入了解老年人对履行强度建议的意识、知识和行动。共有 15 名居住在英国的老年人参加了一次在线访谈。采用一般归纳方法从数据中生成主题。发现了四个主要主题。1. 身体活动指南的力量部分，2. 障碍，3. 动机，和 4. 解决方案。没有参与者知道力量指南。当被问及他们用什么活动来满足“标准”时，最常见的回答是散步、瑜伽和普拉提。年龄歧视和力量训练误解是参与强化锻炼的主要障碍。与有氧运动相比，老年人对增强力量的益处和力量训练参与的认识要低得多，因此参与的动机通常不是针对力量训练的。最后，有几种方法可以让从业者克服参与力量训练的障碍。改善力量训练参与度和坚持度的解决方案可能会更加成功，当它们包括社交互动、能力适宜的挑战，并提供短期和长期的好处时。
