Physical Activity Intervention Effects on Physical Function Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

被引:67
|
作者
Chase, Jo-Ana D. [1 ]
Phillips, Lorraine J. [2 ]
Brown, Marybeth [3 ]
机构
[1] Univ Missouri, Sch Nursing, Columbia, MO 65211 USA
[2] Univ Missouri, Sinclair Sch Nursing, Columbia, MO USA
[3] Univ Missouri, Columbia, MO USA
基金
美国国家卫生研究院;
关键词
exercise; functional status; quantitative synthesis; LOWER-EXTREMITY STRENGTH; QUALITY-OF-LIFE; MUSCLE STRENGTH; EXERCISE INTERVENTIONS; WEIGHT-LOSS; PERFORMANCE; DISABILITY; MOBILITY; POWER; FRAILTY;
D O I
10.1123/japa.2016-0040
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The purpose of this systematic review and meta-analysis was to determine the effects of supervised resistance and/or aerobic training physical activity interventions on performance-based measures of physical functioning among community-dwelling older adults, and to identify factors impacting intervention effectiveness. Diverse search strategies were used to identify eligible studies. Standardized mean difference effect sizes (d, ES) were synthesized using a random effects model. Moderator analyses were conducted using subgroup analyses and meta-regression. Twenty-eight studies were included. Moderator analyses were limited by inconsistent reporting of sample and intervention characteristics. The overall mean ES was 0.45 (k = 38, p <= .01), representing a clinically meaningful reduction of 0.92 s in the Timed Up and Go for treatment versus control. More minutes per week (p < .01) and longer intervention session duration (p < .01) were associated with larger effects. Interventions were especially effective among frail participants (d = 1.09). Future research should clearly describe sample and intervention characteristics and incorporate frail populations.
引用
收藏
页码:149 / 170
页数:22
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