运动干预对老年人步行功能效果研究的系统评价再评价

Effects of exercise intervention on walking function of the elderly:a reevaluation of the systematic evaluation

目的:对运动干预老年人步行功能影响效果的系统评价进行再评价,为老年人制定个性化运动方案提供依据。方法:计算机检索the Cochrane Library、PubMed、Web of Science、EMbase以及中国生物医学文摘数据库、中国知网、万方数据库、维普数据库,检索运动干预对老年人步行功能影响的系统评价/Meta分析,对获得的文献由2位研究者独立进行文献筛选和资料提取,分别采用AMSTAR量表对纳入文献进行方法学质量评价。结果:共纳入23篇系统评价/Meta分析,AMSTAR方法学质量评价结果为6篇高质量水平、16篇中等质量水平、1篇低质量水平。结论:现有证据表明,运动干预改善老年人步行功能相关的系统评价的方法学质量总体中等,但是结局指标较少,且评价指标未统一;运动干预对老年人步行功能影响的效果仍需要高质量以及结局指标细化的研究;运动干预可作为老年人提高步行功能和预防跌倒发生风险的干预措施,鼓励无运动禁忌证的老年人进行规律的运动锻炼,由专业人员制定适宜的运动方案以保证预期的运动效果并提高老年人的步行功能及平衡,进而降低老年人跌倒发生率。

Objective:To take a re-evaluation about the systematic evaluation of the effect of exercise intervention on walking function in the elderly,and to provide evidence for the development of personalized exercise program for the elderly.Methods:Systematic review and Meta analysis of the effects of exercise intervention on the walking function of the elderly were retrieved from the Cochrane Library,PubMed,Web of Science,EMbase,CBM,CNKI,Wanfang Database and VIP.The obtained literature was independently screened and extracted by two researchers,and the AMSTAR scale was used to evaluate the methodological quality of the included literature.Results:A total of 23 systematic reviews and meta-analyses were included.And the results of AMSTER methodological quality evaluation were 6 with high quality,16 with medium quality,and 1 with low quality.Conclusion:The available evidence indicated that the methodological quality of the systematic evaluation of exercise intervention to improve walking function in the elderly was generally moderate,but the outcome indicators were few and the evaluation indicators were not unified.The effect of exercise intervention on elderly people′s walking function still needs high quality and detailed outcome indicators researches.Exercise intervention can be regarded as a measure aimed at improving walking function in the elderly and fall risk prevention.It′s suggested that to encourage elderly persons without movement contraindicated to take regular exercise.Appropriate exercise programs formulated by professionals can ensure the expected exercise effects and improve the walking function and balance of the elderly,thus reducing the incidence of falls in the elderly.