School of Rehabilitation Sciences, Institute of Applied Health Sciences, McMaster University, Hamilton, ON,Canada.
Department of Kinesiology, McMaster University, Hamilton, ON,Canada.
J Aging Phys Act. 2023 Aug 31;31(6):1051-1074. doi: 10.1123/japa.2022-0425. Print 2023 Dec 1.
Many older adults do not achieve recommended amounts of aerobic or strengthening exercise and high-intensity interval or circuit-based strengthening may offer a time-efficient solution. This review sought to determine the effects of high-intensity interval/circuit strengthening on physical and cognitive functioning for community-dwelling older adults, and its associated adherence, retention, and adverse events. Six databases were searched to June 2022 and 15 studies (11 for effectiveness) were included. The current certainty of evidence is low to very low; upper body-focused physical functioning measures demonstrated small to large benefits and lower body-focused, self-report, and cardiovascular measures had mixed results. There was insufficient evidence (one study) to determine cognitive effects. The mean adherence rates ranged from 73.5% to 95.8%, overall retention across all studies (n = 812) was 86%, and no serious adverse events were reported, suggesting that this type of exercise is feasible for community-dwelling older adults.
许多老年人无法达到推荐的有氧运动或力量训练量，而高强度间歇或基于循环的力量训练可能是一种高效的解决方案。本综述旨在确定高强度间歇/循环力量训练对社区居住的老年人的身体和认知功能的影响，以及其相关的依从性、保留率和不良事件。从 2022 年 6 月开始，对六个数据库进行了搜索，纳入了 15 项研究（11 项为有效性研究）。目前的证据确定性为低至极低；以上身为主的身体功能测量显示出较小到较大的益处，以下身为主、自我报告和心血管测量的结果则喜忧参半。没有足够的证据（一项研究）来确定认知效果。平均依从率范围为 73.5%至 95.8%，所有研究（n=812）的总体保留率为 86%，且未报告严重不良事件，这表明这种类型的运动对社区居住的老年人是可行的。
