Effects of exercise referral schemes enhanced with behavioural self-management strategies on functional capacity and self-reported disability in community-dwelling older adults. Secondary results from the SITLESS multi-country, three-armed randomized controlled trial.

IF 6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Age and ageing Pub Date : 2024-10-01 DOI:10.1093/ageing/afae225
Pia Ø Olsen, Mark A Tully, Borja Del Pozo Cruz, Maria Giné-Garriga, Laura Coll-Planas, Marta Roqué, Dietrich Rothenbacher, Dhayana Dallmeier, Oriol Sansano-Nadal, Nicole E Blackburn, Jason J Wilson, Mathias Skjødt, Paolo Caserotti
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Abstract

Background: Exercise referral schemes (ERS) are an effective strategy for increasing physical activity (PA) in older adults. Behavioural self-management strategies (SMS) may augment the maintenance of PA and associated benefits in this population, resulting in preservation of the functional capacity and prevention of disability over the long-term.

Aim: The primary aim was to investigate the long-term (22-months) effects of ERS enhanced with SMS on functional capacity assessed by the Short Physical Performance Battery (SPPB) compared to ERS (primary comparison) and a control condition (CTRL).Secondarily, between-group effects after 4 and 16 months on the SPPB and self-reported disability outcomes were investigated.

Methods: 1360 physically inactive community-dwelling older adults ≥65 years from four European countries were randomized into (i) 16 weeks ERS enhanced with SMS (ERS-SMS), (ii) ERS alone and (iii) CTRL. In addition to SPPB, self-reported function and disability were assessed by the short-form late life function and disability index and with a six-item activity of daily living questionnaire.

Results: No long-term effects were found for the SPPB-score in ERS-SMS vs ERS (0.21 point, 95% CI [-0.04, 0.46]). Significant group × time effects were observed for the SPPB-score after 4 months in favour of ERS-SMS over CTRL (0.51 point, 95% CI [0.29, 0.73]) and ERS (0.46 point, 95% CI [0.24, 0.68]).

Conclusion: The study did demonstrate differences, in favour of ERS + SMS, but on SPPB these were small, and not sustained over time. The additional effect of SMS was inconsistent and uncertain.

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通过行为自我管理策略加强运动转介计划对社区老年人功能能力和自我报告残疾的影响。SITLESS 多国三臂随机对照试验的二次结果。
背景:运动转介计划(ERS)是增加老年人体育锻炼(PA)的有效策略。目的:本研究的主要目的是调查通过行为自我管理策略(SMS)加强的运动转介计划与运动转介计划(主要对比)和对照条件(CTRL)相比,对通过短期体能测试(SPPB)评估的功能能力的长期(22个月)影响。方法:来自四个欧洲国家的 1360 名年龄≥ 65 岁、不爱运动的社区老年人被随机分配到(i) 16 周的 ERS 增强型 SMS(ERS-SMS)、(ii) ERS 单项和(iii) CTRL。除 SPPB 外,还通过短式晚年功能和残疾指数以及六项日常生活活动调查问卷对自我报告的功能和残疾情况进行了评估:ERS-SMS与ERS相比,SPPB得分没有发现长期效应(0.21分,95% CI [-0.04,0.46])。在 4 个月后的 SPPB 评分方面,ERS-SMS 比 CTRL(0.51 分,95% CI [0.29, 0.73])和 ERS(0.46 分,95% CI [0.24, 0.68])具有显著的组别 × 时间效应:该研究确实显示了 ERS + SMS 的差异,但 SPPB 的差异较小,且不能随着时间的推移而持续。SMS 的额外效果不一致,也不确定。
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来源期刊
Age and ageing
Age and ageing 医学-老年医学
CiteScore
9.20
自引率
6.00%
发文量
796
审稿时长
4-8 weeks
期刊介绍: Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.
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