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Effectiveness of Functionally based Physical Activity Programs on Physical, Psychological, Cognitive, and Adverse Outcomes in Older Adults Living in Nursing Homes: Systematic Review
Activities, Adaptation & Aging Pub Date : 2020-07-18 , DOI: 10.1080/01924788.2020.1794352
Eva Barrett 1 , Blathin Casey 2 , Marie Dollard 3 , Bernard McCarthy 1 , Dympna Casey 1
Affiliation  

ABSTRACT

This systematic review aimed to examine the effectiveness of function-oriented physical activity programs on the physical, psychological, cognitive, and adverse outcomes of older adults living in nursing homes. An extensive search was conducted. Two reviewers independently applied eligibility criteria and assessed sources of bias using the Revised Cochrane Risk of Bias Tool for Randomized Trials and the Risk of Bias in Non-randomized Studies of Interventions. Data were analyzed using a narrative synthesis. Twenty-three studies were included. Intervention type was categorized as walking programs (n = 9), activity of daily living practice (n = 6), and functional exercise programs (n = 8). Eighteen studies were rated as serious or high risk of bias and five were rated at moderate or some risk of bias. Walking interventions and functional exercise programs may be effective for improving physical outcomes in nursing home residents. None of the three types of physical activity demonstrated effectiveness for improving psychological outcomes. Cognitive outcomes were only evaluated by a small number of studies in the walking program category, which suggested mixed results. Adverse events were not associated with these interventions. Nursing home residents, including people with dementia, were able to safely engage with and experience benefits from functional physical activity interventions embedded into nursing home care.



中文翻译:

基于功能的体育活动计划对住在疗养院的老年人的身体、心理、认知和不良结果的有效性:系统评价

摘要

本系统评价旨在检查以功能为导向的体育活动计划对住在疗养院的老年人的身体、心理、认知和不良后果的有效性。进行了广泛的搜索。两名评价员独立应用资格标准并使用修订的 Cochrane 随机试验偏倚风险工具和非随机干预研究中的偏倚风险评估偏倚来源。使用叙事综合分析数据。纳入了 23 项研究。干预类型分为步行计划(n = 9)、日常生活活动活动(n = 6)和功能锻炼计划(n= 8)。18 项研究被评为严重或高偏倚风险,5 项被评为中等或部分偏倚风险。步行干预和功能锻炼计划可能有效改善疗养院居民的身体状况。这三种体育活动均未显示出改善心理结果的有效性。认知结果仅由步行计划类别中的少数研究进行评估,这表明结果好坏参半。不良事件与这些干预措施无关。养老院居民,包括痴呆症患者,能够安全地参与养老院护理中嵌入的功能性体育活动干预措施并从中受益。

更新日期:2020-07-18
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