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在社会丰富环境中实施的身体与认知联合项目对老年人认知能力和生活质量的影响(StimCoAPS):一项随机对照试验的研究方案

Effects of combined physical and cognitive program performed in socially enriched environment on older people's cognitive abilities and quality of life (StimCoAPS): study protocol for a randomized controlled trial.

作者信息

Gonnord Tiphanie, Clarys David, Dupuy Olivier, Albouy Marion, Migeot Virginie, Grangeiro Rebeca, Esnard Catherine, Boucard Geoffroy

机构信息

Centre de Recherches sur la Cognition et l'Apprentissage, Université de Tours, Université de Poitiers, CNRS, Tours, Poitiers, France.

Laboratoire Mobilité Vieillissement Exercice, Université de Poitiers, Poitiers, France.

出版信息

BMJ Open Sport Exerc Med. 2023 Oct 11;9(4):e001577. doi: 10.1136/bmjsem-2023-001577. eCollection 2023.

DOI:10.1136/bmjsem-2023-001577
PMID:37860154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10582863/
Abstract

The number of older people worldwide is constantly increasing. However, ageing is accompanied by a decline in cognitive ability that can affect quality of life. Cognitive, physical and social activities can all slow this decline but social factors and their contribution to the well-being remain under-researched. The aim of this study is to analyse how the practice environment can foster these social relations and thus enhance well-being and to identify the psychological dimensions that are activated by social relations. This study is a 3-year randomised controlled trial designed to assess the effects on participants' cognitive abilities and quality of life of a combined (ie, physical and cognitive) training programme in different social practice environments. A total of 159 older people (≥65 years old) will be recruited and randomly assigned to one of three practice environments: individual practice at home (n=53), group practice in a gymnasium (n=53) and group practice in an enriched environment (n=53). All participants will complete 12-week combined training sessions and will be assessed four times: before the start, in the middle, at the end and 6 months after the end of the programme. They will undergo cognitive function (episodic memory and executive functions), physical capacity (aerobic fitness, muscle strength and dynamic balance) and psychosocial assessments (indicators of psychological well-being, social support, self-esteem, anxiety, depression and achievement goal strategies), as well as semistructured interviews. Statistical analyses will be conducted to assess the effect of the practice environment on the perceived benefits of this programme in terms of cognitive abilities and quality of life, and to determine the role of psychosocial factors in this relationship. This protocol has been approved by an institutional review board (CERSTAPS: IRB00012476-2022-20-01-146). Trials registration number: NCT05721508.

摘要

全球老年人的数量在持续增加。然而,衰老伴随着认知能力的下降,这会影响生活质量。认知、身体和社交活动都可以减缓这种下降,但社会因素及其对幸福感的贡献仍未得到充分研究。本研究的目的是分析实践环境如何促进这些社会关系,从而提高幸福感,并确定由社会关系激活的心理维度。本研究是一项为期3年的随机对照试验,旨在评估在不同社会实践环境中进行的综合(即身体和认知)训练计划对参与者认知能力和生活质量的影响。总共将招募159名老年人(≥65岁),并将他们随机分配到三种实践环境之一:在家单独练习(n = 53)、在体育馆进行小组练习(n = 53)和在丰富环境中进行小组练习(n = 53)。所有参与者都将完成为期12周的综合训练课程,并将接受四次评估:在课程开始前、中期、结束时以及结束后6个月。他们将接受认知功能(情景记忆和执行功能)、身体能力(有氧适能、肌肉力量和动态平衡)和心理社会评估(心理健康、社会支持、自尊、焦虑、抑郁和成就目标策略指标),以及半结构化访谈。将进行统计分析,以评估实践环境对该计划在认知能力和生活质量方面的感知益处的影响,并确定心理社会因素在这种关系中的作用。本方案已获得机构审查委员会(CERSTAPS:IRB00012476 - 2022 - 20 - 01 - 146)的批准。试验注册号:NCT05721508。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb55/10582863/31194f504d05/bmjsem-2023-001577f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb55/10582863/31194f504d05/bmjsem-2023-001577f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb55/10582863/31194f504d05/bmjsem-2023-001577f01.jpg

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本文引用的文献

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Reliability and Validity of the ONAPS Physical Activity Questionnaire in Assessing Physical Activity and Sedentary Behavior in French Adults.ONAPS 体力活动问卷评估法国成年人体力活动和久坐行为的可靠性和有效性。
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Combined physical and cognitive training for older adults with and without cognitive impairment: A systematic review and network meta-analysis of randomized controlled trials.
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