老年人久坐行为干预研究进展

Research Progress on Sedentary Behavior Intervention in the Elderly

研究目的梳理近20年老年人久坐行为干预的相关研究,分析老年人久坐行为测量工具、久坐行为干预策略以及久坐行为干预有效性,为我国老年人久坐行为干预的实施提供理论指导和借鉴。研究方法检索2002年1月-2022年12月Pubmed、web of knowledge、CINAHL、EMBASE、MEDLINE、psyclNFO、psyArticles、SPORTDisus 8个外文数据库,纳入研究33篇文献进行数据提取和分析。研究结果信息、目标设定、指导、自我监控以及行为反馈是老年人久坐行为干预中最常用的干预策略;MOST问卷和ActivPAL加速度计是老年人久坐行为测量所采用较为广泛且有效的主、客观测量工具;老年人久坐行为干预的有效性主要体现在老年人久坐总时间的减少、持续性久坐时间中断次数的增加以及久坐习惯的改善等方面。启示在未来的研究中,要合理的选取测量工具;确保干预策略有效落地;干预完成后,加大随访力度并延长随访期限,以确保干预效果的良好保持。

Objective To analyze the measurement tools,sedentary behavior intervention strategies and the effectiveness of sedentary behavior intervention in the elderly in the past 20 years,and to provide theoretical guidance and reference for the implementation of sedentary behavior intervention in the elderly in China.Methods Eight foreign language databases of Pubmed,web of knowledge,CINAHL,EMBASE,MEDLINE,psyclNFO,psyArticles,and SPORTDisus were searched from January 2002 to December 2022,and 33 studies were included for data extraction and analysis.Results Information,goal setting,guidance,self-monitoring and behavioral feedback were the most commonly used intervention strategies in sedentary behavior interventions in the elderly.The MOST questionnaire and ActivPAL accelerometer are widely used and effective subjective and objective measurement tools for measuring sedentary behavior in the elderly.The effectiveness of sedentary behavior intervention in the elderly is mainly reflected in the reduction of the total sedentary time of the elderly,the increase in the number of interruptions of persistent sedentary time,and the improvement of sedentary habits.Implications In future research,it is necessary to choose measurement tools reasonably;ensure the effective implementation of intervention strategies;After the intervention is completed,the follow-up should be increased and the follow-up period should be extended to ensure that the intervention effect is well maintained.