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身体锻炼干预对体弱及体弱前期老年人的特征及效果

Physical Exercise Intervention Characteristics and Outcomes in Frail and Pre-Frail Older Adults.

作者信息

Caicedo-Pareja María, Espinosa Diego, Jaramillo-Losada Jennifer, Ordoñez-Mora Leidy T

机构信息

Health Faculty, Physiotherapy Program Universidad Santiago de Cali, Cali 760035, Colombia.

出版信息

Geriatrics (Basel). 2024 Dec 16;9(6):163. doi: 10.3390/geriatrics9060163.

Abstract

(1) Background: Frailty is a multifactorial syndrome that significantly impacts the functional abilities of older adults, making them more vulnerable to falls, disabilities, and dependence. Exercise can serve as an effective intervention for pre-frail and frail older adults, improving muscle strength and reducing the risk of falls. This research aims to clarify the physical exercise protocols and their outcomes for this population. (2) Methods: A scoping review was conducted to summarize the evidence on physical activity parameters for frail and pre-frail older adults. The search included primary evidence sources published in PubMed, PEDro, Biomed, Scopus, and Springer, as well as search engines like Google Scholar and Dialnet. The keywords used were ([frailty] OR [frail] AND [exercise]). The PEDro and MINORS scales were used to assess the quality of the evidence and evaluate the risk of bias. (3) Results: Eighteen studies met the eligibility criteria. The most commonly reported exercise program was multicomponent, which included aerobic activities at 70% of the maximum effort and strength exercises at 20% to 80% of the participants' maximum capacity. This approach proved effective for this population. (4) Conclusions: The studies suggest that exercise is a successful intervention strategy for addressing frailty. However, not all the articles provided adequate information regarding the dosing of their interventions.

摘要

(1) 背景:衰弱是一种多因素综合征,会显著影响老年人的功能能力,使他们更容易跌倒、残疾和产生依赖。运动可以作为对衰弱前期和衰弱老年人的有效干预措施,增强肌肉力量并降低跌倒风险。本研究旨在阐明针对该人群的体育锻炼方案及其效果。(2) 方法:进行了一项范围综述,以总结有关衰弱和衰弱前期老年人身体活动参数的证据。检索包括在PubMed、PEDro、Biomed、Scopus和Springer上发表的主要证据来源,以及谷歌学术和Dialnet等搜索引擎。使用的关键词是([衰弱] 或 [衰弱的] 且 [运动])。使用PEDro和MINORS量表评估证据质量并评估偏倚风险。(3) 结果:18项研究符合纳入标准。最常报告的运动方案是多组分的,包括以最大努力的70%进行有氧运动和以参与者最大能力的20%至80%进行力量训练。这种方法被证明对该人群有效。(4) 结论:研究表明,运动是解决衰弱问题的成功干预策略。然而,并非所有文章都提供了关于其干预剂量的充分信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f9/11728163/9b62a8c5f5be/geriatrics-09-00163-g001.jpg

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