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老年人保持身体活动:特定健康控制策略的重要性。

Maintaining physical activity in older adults: The importance of health-specific control strategies.

作者信息

Kotsiopoulos Jasmine, Giannis Irene, Sabiston Catherine M, Wrosch Carsten

机构信息

Concordia University, Canada.

University of Toronto, Canada.

出版信息

Int J Behav Dev. 2025 Jan 9;49(5):495-506. doi: 10.1177/01650254241308506. eCollection 2025 Sep.

Abstract

The Lines-of-Defense model postulates that older adults should engage in important health goals and behaviors for as long as possible and adjust them downwardly only when they become impossible to pursue. This process is thought to be supported by goal engagement and self-protective control strategies. We tested this model in a 4-year longitudinal study of 236 older adults by predicting the maintenance of physical activity using accelerometers. We hypothesized that older adults would exert shifts from more strenuous (e.g., vigorous and moderate intensity) to less strenuous (e.g., light intensity) physical activity over time. In addition, we expected that these processes would be supported by the use of health-specific control strategies. Multilevel modeling revealed that older adults experienced declines in moderate and vigorous physical activity but increases in light physical activity. Health engagement predicted an accelerated increase in light physical activity, and exerted substantial, but longitudinally decreasing, benefits for moderate physical activity. Health-related self-protection, by contrast, predicted the maintenance of vigorous physical activity over time. These results support the Lines-of-Defense model by demonstrating that control strategies can predict the maintenance of older adults' physical activity levels.

摘要

防御线模型假定,老年人应尽可能长时间地致力于重要的健康目标和行为,只有当这些目标和行为无法实现时才逐步降低要求。这一过程被认为是由目标投入和自我保护控制策略所支持的。我们在一项针对236名老年人的为期4年的纵向研究中对该模型进行了测试,通过使用加速度计预测身体活动的维持情况。我们假设,随着时间的推移,老年人会从强度较大的(如剧烈和中等强度)身体活动转向强度较小的(如轻度强度)身体活动。此外,我们预计这些过程将得到特定健康控制策略的支持。多层次建模显示,老年人的中等强度和剧烈身体活动有所下降,但轻度身体活动有所增加。健康投入预测了轻度身体活动的加速增加,并对中等强度身体活动产生了显著但纵向递减的益处。相比之下,与健康相关的自我保护预测了剧烈身体活动随时间的维持情况。这些结果通过证明控制策略可以预测老年人身体活动水平的维持,支持了防御线模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d24c/12404523/72c4d4559cbb/10.1177_01650254241308506-fig1.jpg

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