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Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review

机译:对老年人的锻炼计划的坚持受计划特征和个人因素的影响:系统评价

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Question: How has adherence been measured in recent prospective studies focusing on adherence to exercise programs among older people? What is the range of adherence rates? Which factors are associated with better adherence? Design: Systematic review of prospective studies that had a primary aim of assessing adherence to exercise programs. Participants: Older people undertaking exercise programs. Intervention: Exercise programs. Outcome measures: Measures of adherence, adherence rates and factors associated with adherence. Results: Nine eligible papers were identified. The most common adherence measures were the proportion of participants completing exercise programs (ie, did not cease participation, four studies, range 65 to 86%), proportion of available sessions attended (five studies, range 58 to 77%) and average number of home exercise sessions completed per week (two studies, range 1.5 to 3 times per week). Adherence rates were generally higher in supervised programs. The person-level factors associated with better adherence included: demographic factors (higher socioeconomic status, living alone); health status (fewer health conditions, better self-rated health, taking fewer medications); physical factors (better physical abilities); and psychological factors (better cognitive ability, fewer depressive symptoms). Conclusion: Older people's adherence to exercise programs is most commonly measured with dropout and attendance rates and is associated with a range of program and personal factors. [Picorelli AMA, Pereira LSM, Pereira DS, Felicio D, Sherrington C (2014) Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. Journal of Physiotherapy 60: 151–156].
机译:问题:在最近的前瞻性研究中,如何以老年人的坚持锻炼计划为依据来衡量坚持程度?遵守率的范围是多少?哪些因素与更好的依从性相关?设计:对前瞻性研究的系统评价,其主要目的是评估对锻炼计划的依从性。参加者:老年人参加锻炼计划。干预:锻炼程序。结果指标:依从性,依从率和与依从性相关的因素的度量。结果:确定了9篇合格论文。最常见的依从性衡量标准是完成运动计划的参与者比例(即,不停止参与,四项研究,范围为65%至86%),参加的可用课程的比例(五项研究,范围为58%至77%)以及每周完成一次家庭锻炼(两项研究,每周进行1.5至3次)。在监督程序中,遵守率通常较高。与更好的依从性相关的个人层面因素包括:人口因素(较高的社会经济地位,独自生活);健康状况(更少的健康状况,更好的自我评估健康,更少的药物服用);身体因素(更好的身体能力);和心理因素(认知能力更好,抑郁症状更少)。结论:老年人对锻炼计划的遵守程度通常是通过辍学率和出勤率来衡量的,并且与一系列计划和个人因素有关。 [Picorelli AMA,Pereira LSM,Pereira DS,Felicio D,Sherrington C(2014)对老年人锻炼计划的坚持受到计划特征和个人因素的影响:系统评价。物理疗法杂志60:151–156]。

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