Ahern Leanne, Timmons Suzanne, Lamb Sarah E, McCullagh Ruth
Discipline of Physiotherapy, School of Clinical Therapies, University College Cork, Cork, Ireland.
Centre for Gerontology and Rehabilitation, School of Medicine, College of Medicine and Health, University College Cork, Cork, Ireland.
J Frailty Sarcopenia Falls. 2024 Mar 1;9(1):66-68. doi: 10.22540/JFSF-09-066. eCollection 2024 Mar.
Physical activity and exercise can limit the development of sarcopenia in Parkinson's Disease. This review aims to evaluate the potential effects of behavioural change (BC) interventions on exercise self-efficacy and adherence in people with Parkinson's. We searched nine databases and included randomised and non-randomised studies reporting exercise self-efficacy, quality of life (QoL), physical function and/or exercise adherence. Two reviewers independently screened, data extracted, and assessed risk of bias and certainty of evidence. The interventions were mapped to the Theoretical Domains Framework. Eleven studies (n=901) were included. Four were randomised trials and risk of bias was mixed. Most interventions were multi-component, including education, behavioural techniques, and support groups. The most effective domains appear to be . Future research should examine multi-component BC interventions encompassing the five most effective TDF domains.
体育活动和锻炼可以限制帕金森病中肌肉减少症的发展。本综述旨在评估行为改变（BC）干预对帕金森病患者运动自我效能和依从性的潜在影响。我们检索了九个数据库，纳入了报告运动自我效能、生活质量（QoL）、身体功能和/或运动依从性的随机和非随机研究。两名评审员独立进行筛选、数据提取，并评估偏倚风险和证据的确定性。将干预措施映射到理论领域框架。纳入了11项研究（n = 901）。四项为随机试验，偏倚风险各异。大多数干预措施是多成分的，包括教育、行为技术和支持小组。最有效的领域似乎是 。未来的研究应检验涵盖五个最有效TDF领域的多成分BC干预措施。
