Stendell Laura, Stubbs Peter W, Rivera Esminio, Rogers Kris, Verhagen Arianne P, Davis Glen M, Middleton James W, de Oliveira Camila Quel
Discipline of Physiotherapy, Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Arch Rehabil Res Clin Transl. 2024 Apr 17;6(2):100335. doi: 10.1016/j.arrct.2024.100335. eCollection 2024 Jun.
To investigate the amount of Leisure-Time Physical Activity (LTPA) that people over 45 years with a spinal cord injury (SCI) performed and to determine the frequency, duration, intensity, and modality of LTPA performed.
We searched 5 major electronic databases (CINAHL, SCOPUS, EMBASE, MEDLINE, and PubMed) from inception to March 2023.
Cross-sectional, longitudinal studies and control arm of controlled trials that assessed LTPA in participants over 45 years old, with a SCI. We included 19 studies in the review and 11 in the meta-analysis.
We followed the PRISMA checklist for Systematic Reviews. Two review authors independently assessed the risk of bias and extracted data on participants' demographics, injury characteristics, and LTPA participation of the included studies. Risk of bias was assessed using the Joanne Briggs Institute critical appraisal tool for cross-sectional studies. Any conflicts were resolved by a third author.
We found considerable variability in LTPA participation in adults 45 years and older with SCI. An estimated 27%-64% of participants did not take part in any LTPA. A random effects meta-analysis model was completed for studies that reported total or moderate-to-heavy LTPA scores in minutes per week. Overall, participants (n=1675) engaged in 260 [205;329] (mean [95% CI]) mins/week of total LTPA. Those participating in moderate-heavy intensity LTPA (n=364) completed 173 [118; 255] (mean [95% CI]) mins/week. LTPA modalities included walking, wheeling, hand-cycling, basketball, and swimming, among others.
While many older adults with SCI seem to be meeting the recommended weekly physical activity volume, many still remain sedentary. There was significant variation in reporting of frequency, intensity, and duration of LTPA and reporting on modality was limited. Because of differences in reporting, it was challenging to compare results across studies. Data constraints prevented subgroup analysis of LTPA disparities between paraplegia and tetraplegia.
调查45岁及以上脊髓损伤（SCI）患者的休闲时间体育活动（LTPA）量，并确定其LTPA的频率、持续时间、强度和方式。
我们检索了5个主要电子数据库（CINAHL、SCOPUS、EMBASE、MEDLINE和PubMed），检索时间从建库至2023年3月。
评估45岁及以上SCI患者LTPA的横断面研究、纵向研究以及对照试验的对照组。我们在综述中纳入了19项研究，在荟萃分析中纳入了11项研究。
我们遵循系统评价的PRISMA清单。两位综述作者独立评估偏倚风险，并提取纳入研究的参与者人口统计学、损伤特征和LTPA参与情况的数据。使用乔安妮·布里格斯研究所横断面研究的关键评估工具评估偏倚风险。如有任何冲突，由第三位作者解决。
我们发现45岁及以上SCI成年人的LTPA参与情况存在很大差异。估计27%-64%的参与者未参加任何LTPA。对报告每周总LTPA或中度至重度LTPA得分（以分钟为单位）的研究完成了随机效应荟萃分析模型。总体而言，参与者（n=1675）每周进行260[205；329]（均值[95%CI]）分钟的总LTPA。参与中度至重度强度LTPA的参与者（n=364）每周完成173[118；255]（均值[95%CI]）分钟。LTPA方式包括步行、轮椅活动、手摇自行车、篮球和游泳等。
虽然许多老年SCI患者似乎达到了建议的每周体育活动量，但仍有许多人久坐不动。LTPA的频率、强度和持续时间的报告存在显著差异，方式报告有限。由于报告差异，跨研究比较结果具有挑战性。数据限制妨碍了对截瘫和四肢瘫之间LTPA差异的亚组分析。
