Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam, Germany.
Institute of Interdisciplinary Exercise Science and Sports Medicine, Hamburg, Germany.
JMIR Aging. 2024 Jul 31;7:e56433. doi: 10.2196/56433.
A healthy lifestyle can be an important prerequisite to prevent or at least delay the onset of dementia. However, the large number of physically inactive adults underscores the need for developing and evaluating intervention approaches aimed at improving adherence to a physically active lifestyle. In this regard, hybrid physical training, which usually combines center- and home-based physical exercise sessions and has proven successful in rehabilitative settings, could offer a promising approach to preserving cognitive health in the aging population. Despite its potential, research in this area is limited as hybrid physical training interventions have been underused in promoting healthy cognitive aging. Furthermore, the absence of a universally accepted definition or a classification framework for hybrid physical training interventions poses a challenge to future progress in this direction. To address this gap, this article informs the reader about hybrid physical training by providing a definition and classification approach of different types, discussing their specific advantages and disadvantages, and offering recommendations for future research. Specifically, we focus on applying digital technologies to deliver home-based exercises, as their use holds significant potential for reaching underserved and marginalized groups, such as older adults with mobility impairments living in rural areas.
健康的生活方式是预防或至少延缓痴呆症发作的重要前提。然而，大量不活跃的成年人强调了需要制定和评估旨在提高对积极生活方式的依从性的干预措施。在这方面，混合体能训练通常结合了中心和家庭体能训练课程，并且已在康复环境中被证明是成功的，它为保护老年人群的认知健康提供了一种很有前途的方法。尽管有潜力，但由于混合体能训练干预措施在促进健康的认知老化方面的应用不足，该领域的研究仍然有限。此外，缺乏普遍接受的混合体能训练干预措施的定义或分类框架，这对未来在这方面的进展构成了挑战。为了解决这一差距，本文通过提供不同类型的定义和分类方法，向读者介绍混合体能训练，讨论其特定的优缺点，并为未来的研究提供建议。具体来说，我们专注于应用数字技术来提供家庭锻炼，因为它们的使用对于接触服务不足和边缘化的群体（例如居住在农村地区的行动不便的老年人）具有重要意义。
