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从寿命角度看促进健康活跃生活方式的能力:对 7000 多人数据汇总倡议的发现。

A life span perspective on competencies for a healthy, physically active lifestyle: Findings of a data pooling initiative with over 7000 individuals.

机构信息

Institute for Physical Activity and Nutrition, Deakin University, Geelong, Australia.

Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

出版信息

Eur J Sport Sci. 2024 Jun;24(6):788-803. doi: 10.1002/ejsc.12100. Epub 2024 Apr 16.

Abstract

Individuals are recommended to lead active lifestyles throughout the life course. The model of physical activity-related health competence (PAHCO) adopts a competence approach by integrating physical, cognitive, and motivational determinants for health-enhancing PA (movement competence, control competence, self-regulation competence). Drawing on a comprehensive dataset pooling, the goal of the present study was to model the idiosyncratic courses of 10 PAHCO indicators over the life span. We identified studies that empirically operationalized PAHCO, combining data of 7134 individuals (age range: 15-97 years; 61% female) from 18 different populations (prevention and rehabilitation sectors). We applied a stepwise multilevel analysis approach with disjunct sub-samples (n = 48) to examine linear and quadratic associations between age and PAHCO. Indicators of movement competence (i.e., manageability of endurance, strength, and balance demands; task-specific self-efficacy) congruently showed negative associations with age (0.054 ≤   ≤ 0.211). However, parameters of control competence remained stable across the life span (-0.066 ≤ β ≤ 0.028). The three indicators of self-regulation competence revealed an inconsistent relationship with age, though uncovering positive associations for self-control (β = 0.106) and emotional attitude toward PA (β = 0.088). The associations of some indicators varied significantly across sub-samples. The results suggest differential analyses for associations between PAHCO and age. While the physically determined PAHCO indicators (movement competence) probably decline across the life span, the ability to ensure regularity of PA (self-regulation competence) or align PAs with an individual's health (control competence) appear to remain constant or improve with increasing age. The findings reinforce a de-stigmatizing approach for PA promotion practices with considerable space for aligning activities with health also in the elderly.

摘要

建议个人在整个生命过程中保持积极的生活方式。与身体活动相关的健康能力模型(PAHCO)采用能力方法,将身体、认知和动机决定因素整合到健康促进身体活动(运动能力、控制能力、自我调节能力)中。本研究旨在利用综合数据集,对 10 个 PAHCO 指标在整个生命周期中的特殊课程进行建模。我们确定了实证操作 PAHCO 的研究,这些研究结合了来自 18 个不同人群(预防和康复部门)的 7134 个人的数据(年龄范围:15-97 岁;61%为女性)。我们应用了分步多级分析方法,对年龄与 PAHCO 之间的线性和二次关联进行离散子样本分析(n=48)。运动能力指标(即,耐力、力量和平衡需求的可管理性;任务特定的自我效能感)与年龄呈负相关(0.054≤β≤0.211)。然而,控制能力参数在整个生命周期内保持稳定(-0.066≤β≤0.028)。自我调节能力的三个指标与年龄的关系不一致,但自我控制(β=0.106)和对身体活动的情绪态度(β=0.088)呈现出正相关。一些指标的关联在子样本中存在显著差异。结果表明,需要对 PAHCO 与年龄之间的关联进行差异分析。虽然身体决定的 PAHCO 指标(运动能力)可能随着生命周期的变化而下降,但确保身体活动规律的能力(自我调节能力)或使身体活动与个人健康保持一致的能力(控制能力)似乎随着年龄的增长而保持不变或提高。这些发现强化了对身体活动促进实践的去污名化方法,为老年人提供了更多的空间,使活动与健康保持一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/977f/11236042/b7ca704cbe23/EJSC-24-788-g003.jpg

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