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构建肌少症性肥胖患者运动干预方案:德尔菲法研究。

Construction of an Exercise Intervention Program for Patients with Sarcopenic Obesity: A Delphi Method Study.

机构信息

Nursing School, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People's Republic of China.

出版信息

Clin Interv Aging. 2024 May 6;19:727-736. doi: 10.2147/CIA.S455849. eCollection 2024.

Abstract

PURPOSE

Construct an exercise intervention program for patients with sarcopenic obesity.

MATERIAL AND METHODS

Based on the COM-B theoretical model and evidence-based principles, the program was constructed using qualitative methods of literature analysis and Delphi method. The Delphi panel consisted of 15 experts from the fields of clinical medicine, rehabilitation medicine, medical technology, and nursing.

RESULTS

Fifteen experts were consulted, and the consultation recovery rate was 100%; the authority coefficient of the 1st round was 0.83, with coefficients of variation ranging from 0.00 to 0.27, and importance scores ranging from (4.13±1.13) to (5±0); the authority coefficient of the 2nd round was 0.82, with coefficients of variation ranging from 0.00 to 0.20, and importance scores ranging from (4.53±0.64) to (5±0); Kendall's harmony coefficient was 0.102, 0.115, respectively, and the differences were statistically significant(P < 0.05). The constructed exercise intervention program for patients with sarcopenic obesity included 4 primary indicators, 12 secondary indicators, and 28 tertiary indicators.

CONCLUSION

The constructed exercise intervention program for patients with sarcopenic obesity is scientific, feasible and generalizable, and can provide useful reference for related personnel to develop exercise programs for patients with sarcopenic obesity.

摘要

目的

构建肌少症性肥胖患者的运动干预方案。

材料与方法

基于 COM-B 理论模型和循证原则,采用文献分析和德尔菲法等定性方法构建方案。德尔菲小组由临床医学、康复医学、医学技术和护理等领域的 15 名专家组成。

结果

共咨询了 15 名专家,咨询回复率为 100%;第 1 轮的权威系数为 0.83,变异系数范围为 0.000.27,重要性评分范围为(4.13±1.13)(5±0);第 2 轮的权威系数为 0.82,变异系数范围为 0.000.20,重要性评分范围为(4.53±0.64)(5±0);Kendall 和谐系数分别为 0.102、0.115,差异均有统计学意义(P < 0.05)。构建的肌少症性肥胖患者运动干预方案包括 4 个一级指标、12 个二级指标和 28 个三级指标。

结论

构建的肌少症性肥胖患者运动干预方案科学、可行、具有可推广性,可为相关人员制定肌少症性肥胖患者运动方案提供有益参考。

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本文引用的文献

6
Exercise and physical performance in older adults with sarcopenic obesity: A systematic review.
Front Endocrinol (Lausanne). 2022 Jul 28;13:913953. doi: 10.3389/fendo.2022.913953. eCollection 2022.
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Sarcopenic obesity: What about in the cancer setting?
Nutrition. 2022 Jun;98:111624. doi: 10.1016/j.nut.2022.111624. Epub 2022 Feb 4.
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Sarcopenic obesity is associated with cognitive impairment in community-dwelling older adults: The Bunkyo Health Study.
Clin Nutr. 2022 May;41(5):1046-1051. doi: 10.1016/j.clnu.2022.03.017. Epub 2022 Mar 16.
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