Stewart A L, Mills K M, Sepsis P G, King A C, McLellan B Y, Roitz K, Ritter P L
University of California, Institute for Health & Aging, San Francisco 94143-0646, USA.
Ann Behav Med. 1997 Fall;19(4):353-61. doi: 10.1007/BF02895154.
We evaluated physical activity changes resulting from a six-month public health model intervention that encouraged seniors (N = 89) 62-91 years of age (mean = 76) living in two low-income congregate housing facilities to increase their physical activity by participating in existing community-based physical activity classes and programs of their choice. The program was offered to everyone regardless of their health problems. Enrollees were encouraged to adopt activities tailored to their preferences, physical abilities, health status, income, and transportation resources. Using a comparison-group design, the intervention group was more active for all comparison months of the intervention period (p values < .05). The intervention also was associated with improvements in self-esteem (p < .05), though not with an array of other measures of health-related quality-of-life. Those who adopted and maintained a new physical activity over the six-month intervention period experienced improvements in anxiety, depression, and overall psychological well-being relative to those who did not. The intervention was subsequently replicated through a senior center (N = 22). A much larger proportion of the senior center sample adopted and maintained a new activity for six months (68%) compared to the congregate facilities sample (35%), which may have been due to differences in recruitment methods and sample characteristics in the two settings. An intervention promoting increased physical activity through the use of existing community resources may help increase physical activity in older adults.
我们评估了一项为期六个月的公共卫生模式干预所带来的身体活动变化。该干预鼓励居住在两个低收入集合住宅设施中的62至91岁(平均年龄76岁)的老年人(N = 89),通过参加他们选择的现有社区体育活动课程和项目来增加身体活动。该项目向所有人提供,无论他们是否有健康问题。鼓励参与者采用适合其偏好、身体能力、健康状况、收入和交通资源的活动。采用对照组设计,干预组在干预期的所有比较月份中身体活动更为积极(p值 < 0.05)。该干预还与自尊的改善相关(p < 0.05),尽管与一系列其他健康相关生活质量指标无关。在六个月的干预期内采用并维持新的体育活动的人,相对于未这样做的人,在焦虑、抑郁和总体心理健康方面有所改善。随后,该干预在一个老年中心(N = 22)进行了复制。与集合住宅设施样本(35%)相比,老年中心样本中有更大比例的人采用并维持新活动达六个月(68%),这可能是由于两种环境下招募方法和样本特征的差异。通过利用现有社区资源促进身体活动增加的干预措施可能有助于增加老年人的身体活动。