Karkauskiene Erika, Tully Mark A, Dudoniene Vilma, Giné-Garriga Maria, Escribà-Salvans Anna, Font-Jutglà Cristina, Jerez-Roig Javier
Department of Health Promotion and Rehabilitation, Lithuanian Sports University, 44221 Kaunas, Lithuania.
School of Medicine, Faculty of Life and Health Sciences, Ulster University, Londonderry BT48 7JL, UK.
Healthcare (Basel). 2023 Jul 8;11(14):1976. doi: 10.3390/healthcare11141976.
Sedentary behaviour (SB) is an important risk factor for several health-related outcomes. The prevalence of SB is alarmingly high in older adults, who spend on average 9.4 h being sedentary each day, making them the most sedentary of all age groups. The primary objective of this review is to assess the impact of interventions aimed at reducing SB in older adults (aged 60 years and older) living in long-term care facilities (LTCFs). The research question for this systematic review is as follows: in older people living in LTCFs, do interventions aimed at reducing SB, compared to usual care, result in a decrease in SB daily time or a reduction in the length of prolonged and uninterrupted sitting bouts? Only peer-reviewed articles will be included in this systematic review, articles will be identified using the PICO method in seven different databases. Any primary intervention study (including randomized controlled trials, non-randomized controlled trials, and cohort studies) with the aim to reduce SB daily time or shorten the length of prolonged and uninterrupted sitting bouts in older adults living in LTCFs will be included. After searching databases, abstracts of the studies will be screened, and, after retrieving full text articles, data extraction will be conducted by two independent reviewers. The review will adhere to PRISMA reporting guidelines. Risk of bias (RoB) will be assessed using ROBINS-I or the RoB 2.0 tool and will be discussed with a third reviewer. The data will be grouped according to study design, with separate analysis for randomised and non-randomised designs. . The primary outcomes will be SB or time spent sedentary, assessed before and after the intervention. For the outcomes with the same measurement units, the pooled mean differences will be calculated. Standardised mean differences will be calculated for the outcomes with different measurement units. The data not suitable in numbers will be synthesised narratively. The strength of evidence of the outcomes will be assessed using GRADE assessment. If the data are suitable for quantitative analysis, we plan to use the Revman software to conduct a meta-analysis. This protocol can serve as a valuable resource for other researchers interested in conducting similar systematic reviews or meta-analyses in the field of SB and older adult health.
久坐行为（SB）是多种与健康相关结局的重要风险因素。在老年人中，久坐行为的发生率高得惊人，他们平均每天久坐9.4小时，这使他们成为所有年龄组中久坐时间最长的群体。本综述的主要目的是评估旨在减少长期护理机构（LTCFs）中老年人（60岁及以上）久坐行为的干预措施的影响。本系统综述的研究问题如下：在居住于长期护理机构的老年人中，与常规护理相比，旨在减少久坐行为的干预措施是否会导致每日久坐时间减少或久坐且不间断的时长缩短？本系统综述仅纳入经过同行评审的文章，将使用PICO方法在七个不同数据库中识别文章。任何旨在减少长期护理机构中老年人每日久坐时间或缩短其久坐且不间断时长的初级干预研究（包括随机对照试验、非随机对照试验和队列研究）都将被纳入。在检索数据库后，将筛选研究的摘要，在获取全文文章后，将由两名独立评审员进行数据提取。本综述将遵循PRISMA报告指南。将使用ROBINS-I或RoB 2.0工具评估偏倚风险，并将与第三位评审员进行讨论。数据将根据研究设计进行分组，对随机和非随机设计进行单独分析。主要结局将是干预前后评估的久坐行为或久坐时间。对于具有相同测量单位的结局，将计算合并平均差。对于具有不同测量单位的结局，将计算标准化平均差。不适合以数字形式呈现的数据将进行叙述性综合。将使用GRADE评估来评估结局的证据强度。如果数据适合进行定量分析，我们计划使用Revman软件进行荟萃分析。本方案可为其他有兴趣在久坐行为和老年人健康领域进行类似系统综述或荟萃分析的研究人员提供宝贵资源。
