Ka-yan Ko, Zoe Ching Man Kwok MSc, Helen Yue-Lai Chan PhD
{"title":"瑜伽对社区老年人身心健康的影响:系统回顾和荟萃分析","authors":"Ka-yan Ko, Zoe Ching Man Kwok MSc, Helen Yue-Lai Chan PhD","doi":"10.1111/opn.12562","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To synthesise and critically appraise the quality of existing evidence about the effects of yoga on physical and psychological outcomes among older adults.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A systematic review and meta-analysis.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Participants aged 60 and above.</p>\n </section>\n \n <section>\n \n <h3> Measurements</h3>\n \n <p>Nine English and two Chinese electronic bibliographic databases, including MEDLINE OvidSP, PsycINFO, AMED, EMBASE, Global Health, PubMed, Scopus, CINAHL, Cochrane Library, Hyread and WanFang databases, were searched. Randomised controlled trials (RCT) of yoga on physical and psychological outcomes among older adults were included. Meta-analysis was conducted for outcomes studied in three or more studies, otherwise narrative synthesis was performed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Fifteen studies were included for review. The results of meta-analysis after sensitivity analysis showed that yoga significantly improved balance (SMD = 0.81, 95% CI: 0.48–1.14, <i>p</i> < .001, I<i>I</i><sup>2</sup> = 59%), flexibility (SMD = 0.38, 95% CI: 0.07–0.68, <i>p</i> = .020, I<i>I</i><sup>2</sup> 34%), muscle strength (SMD = 0.49, 95% CI: 0.18–0.79, <i>p</i> = .002, <i>I</i><sup>2</sup> 43%) and depressive symptoms (SMD = 0.50, 95% CI = 0.09–0.91, <i>p</i> = .01, I<sup>2</sup> 0%). There was insufficient data for meta-analysis on gait and other psychological outcomes. Narrative synthesis suggested that yoga has positive effects on reducing anxiety, but its effects on improving gait and reducing stress among older adults were inconclusive.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The results of this review supported the beneficial effects of yoga on physical outcomes among older adults, but the heterogeneity across studies was relatively high. Evidence related to the effect on psychological outcomes was limited.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12562","citationCount":"0","resultStr":"{\"title\":\"Effects of yoga on physical and psychological health among community-dwelling older adults: A systematic review and meta-analysis\",\"authors\":\"Ka-yan Ko, Zoe Ching Man Kwok MSc, Helen Yue-Lai Chan PhD\",\"doi\":\"10.1111/opn.12562\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To synthesise and critically appraise the quality of existing evidence about the effects of yoga on physical and psychological outcomes among older adults.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A systematic review and meta-analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>Participants aged 60 and above.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Measurements</h3>\\n \\n <p>Nine English and two Chinese electronic bibliographic databases, including MEDLINE OvidSP, PsycINFO, AMED, EMBASE, Global Health, PubMed, Scopus, CINAHL, Cochrane Library, Hyread and WanFang databases, were searched. Randomised controlled trials (RCT) of yoga on physical and psychological outcomes among older adults were included. Meta-analysis was conducted for outcomes studied in three or more studies, otherwise narrative synthesis was performed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Fifteen studies were included for review. The results of meta-analysis after sensitivity analysis showed that yoga significantly improved balance (SMD = 0.81, 95% CI: 0.48–1.14, <i>p</i> < .001, I<i>I</i><sup>2</sup> = 59%), flexibility (SMD = 0.38, 95% CI: 0.07–0.68, <i>p</i> = .020, I<i>I</i><sup>2</sup> 34%), muscle strength (SMD = 0.49, 95% CI: 0.18–0.79, <i>p</i> = .002, <i>I</i><sup>2</sup> 43%) and depressive symptoms (SMD = 0.50, 95% CI = 0.09–0.91, <i>p</i> = .01, I<sup>2</sup> 0%). There was insufficient data for meta-analysis on gait and other psychological outcomes. Narrative synthesis suggested that yoga has positive effects on reducing anxiety, but its effects on improving gait and reducing stress among older adults were inconclusive.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The results of this review supported the beneficial effects of yoga on physical outcomes among older adults, but the heterogeneity across studies was relatively high. Evidence related to the effect on psychological outcomes was limited.</p>\\n </section>\\n </div>\",\"PeriodicalId\":48651,\"journal\":{\"name\":\"International Journal of Older People Nursing\",\"volume\":\"18 5\",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-08-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12562\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Older People Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/opn.12562\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.12562","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:综合并批判性地评价瑜伽对老年人身体和心理结果影响的现有证据的质量。设计系统回顾和荟萃分析。参加者年龄60岁或以上。检索了MEDLINE OvidSP、PsycINFO、AMED、EMBASE、Global Health、PubMed、Scopus、CINAHL、Cochrane Library、Hyread和万方等9个英文电子书目数据库和2个中文电子书目数据库。包括瑜伽对老年人身体和心理结果的随机对照试验(RCT)。对三项或三项以上研究的结果进行meta分析，否则进行叙事综合。结果纳入15项研究。敏感性分析后的meta分析结果显示，瑜伽显著改善了平衡(SMD = 0.81, 95% CI: 0.48-1.14, p <001年,II2 = 59%)、灵活性(SMD = 0.38, 95%置信区间CI: 0.07 - -0.68, p =。020, II2 34%)，肌力(SMD = 0.49, 95% CI: 0.18-0.79, p = 0.72)。002, I2 43%)和抑郁症状(SMD = 0.50, 95% CI = 0.09-0.91, p =。0.012 %)。步态和其他心理结果的meta分析数据不足。叙事综合表明，瑜伽对减轻焦虑有积极作用，但对老年人改善步态和减轻压力的作用尚无定论。结论:本综述的结果支持瑜伽对老年人身体结果的有益影响，但研究之间的异质性相对较高。有关对心理结果的影响的证据有限。
Effects of yoga on physical and psychological health among community-dwelling older adults: A systematic review and meta-analysis
Objectives
To synthesise and critically appraise the quality of existing evidence about the effects of yoga on physical and psychological outcomes among older adults.
Design
A systematic review and meta-analysis.
Participants
Participants aged 60 and above.
Measurements
Nine English and two Chinese electronic bibliographic databases, including MEDLINE OvidSP, PsycINFO, AMED, EMBASE, Global Health, PubMed, Scopus, CINAHL, Cochrane Library, Hyread and WanFang databases, were searched. Randomised controlled trials (RCT) of yoga on physical and psychological outcomes among older adults were included. Meta-analysis was conducted for outcomes studied in three or more studies, otherwise narrative synthesis was performed.
Results
Fifteen studies were included for review. The results of meta-analysis after sensitivity analysis showed that yoga significantly improved balance (SMD = 0.81, 95% CI: 0.48–1.14, p < .001, II2 = 59%), flexibility (SMD = 0.38, 95% CI: 0.07–0.68, p = .020, II2 34%), muscle strength (SMD = 0.49, 95% CI: 0.18–0.79, p = .002, I2 43%) and depressive symptoms (SMD = 0.50, 95% CI = 0.09–0.91, p = .01, I2 0%). There was insufficient data for meta-analysis on gait and other psychological outcomes. Narrative synthesis suggested that yoga has positive effects on reducing anxiety, but its effects on improving gait and reducing stress among older adults were inconclusive.
Conclusion
The results of this review supported the beneficial effects of yoga on physical outcomes among older adults, but the heterogeneity across studies was relatively high. Evidence related to the effect on psychological outcomes was limited.
期刊介绍：
International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
