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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The effectiveness of physical activity interventions in socio-economically disadvantaged communities: A systematic review
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The effectiveness of physical activity interventions in socio-economically disadvantaged communities: A systematic review

机译：社会经济弱势社区体育锻炼干预措施的有效性：系统评价

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Objective: Interventions to increase levels of physical activity (PA) in socio-economically disadvantaged communities are needed but little is known about their effectiveness. This review examines the effectiveness of interventions designed to increase PA in these communities and the theoretical frameworks and components used. Methods: Five databases were searched for papers published in English between January 2000 and December 2010 that reported outcomes of PA interventions in socio-economically disadvantaged communities. Studies targeting individuals with pre-existing disease and not reporting a measure of free-living PA were excluded. Two reviewers independently extracted data and evaluated quality of evidence against pre-defined criteria. Results: Of 478 publications identified, 27 were included. We found that group-based interventions were effective for adults but not for children; evidence for the effectiveness of interventions targeting individuals was insufficient; limited evidence suggested that community-wide interventions produced small changes in PA. Interventions underpinned by any theoretical framework, compared to none, were more likely to be effective. Several effective interventions included education, PA and social support components. Conclusion: Compared to other approaches, multi-component adult group-based interventions with theoretical frameworks are most effective in increasing PA in socio-economically disadvantaged communities. More robust evaluations of interventions targeting individuals in these 'hard-to-reach' communities are required.
机译：目标：需要采取干预措施来增加社会经济处于不利地位的社区的体育活动（PA）水平，但对其有效性知之甚少。这项审查检查旨在提高这些社区中的PA的干预措施的有效性以及所使用的理论框架和组成部分。方法：从五个数据库中搜索2000年1月至2010年12月之间以英语发表的论文，这些论文报告了在社会经济上处于不利地位的社区进行的PA干预的结果。排除针对患有既往疾病且未报告自律性PA量度的个体的研究。两名审阅者独立提取数据并根据预定义的标准评估证据的质量。结果：在确定的478种出版物中，包括27种。我们发现基于小组的干预措施对成年人有效，但对儿童却无效。针对个人的干预措施有效性的证据不足;有限的证据表明，社区范围的干预措施对PA的影响很小。与没有理论框架相比，任何理论框架都支持的干预措施更有效。几种有效的干预措施包括教育，巴勒斯坦权力机构和社会支持组成部分。结论：与其他方法相比，具有理论框架的多组成年成人干预措施在增加社会经济弱势社区的PA方面最有效。需要对针对这些“难以企及”社区中的个人的干预措施进行更强有力的评估。

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