A scoping review of physical activity interventions for older adults

International Journal of Behavioral Nutrition and Physical Activity

Adrian Bauman¹  Anne Tiedemann²  Marina B. Pinheiro²  Wing Kwok²  Juliana Souza de Oliveira²  Catherine Sherrington²  Sarah Walsh²  Jennifer Taylor²  Leanne Hassett³  Fiona Bull⁴ 

[1] Charles Perkins Centre, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;WHO Collaborating Centre for Physical Activity, Nutrition and Obesity, Sydney, Australia;Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, 2050, Camperdown, NSW, Australia;School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, 2050, Camperdown, NSW, Australia;School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;Physical Activity Unit, Department of Health Promotion, Division of Universal Health Coverage and Healthier Populations, World Health Organization (WHO), Geneva, Switzerland;

关键词: Aged;    Exercise;    Healthy aging;    Older adults;    Physical activity;    World Health Organization;   

DOI  :  10.1186/s12966-021-01140-9

来源: Springer

【 摘 要 】

BackgroundTo inform implementation and future research, this scoping review investigates the volume of evidence for physical activity interventions among adults aged 60+. Our research questions are: (1) what is the evidence regarding interventions designed to increase total physical activity in adults aged 60+ years, in accordance with three of the four strategic objectives of GAPPA (active societies, active environments, active people); (2) what is the current evidence regarding the effectiveness of physical activity programmes and services designed for older adults?; and (3) What are the evidence gaps requiring further research?MethodsWe searched PEDro, MEDLINE, CINAHL and Cochrane from 1 January 2010 to 1 November 2020 for systematic reviews and meta-analyses of physical activity interventions in adults aged 60+. We identified interventions designed to: (1) increase physical activity; and (2) deliver physical activity programmes and services in home, community or outpatient settings. We extracted and coded data from eligible reviews according to our proposed framework informed by TIDieR, Prevention of Falls Network Europe (PROFANE), and WHO’s International Classification of Functioning, Disability and Health (ICF). We classified the overall findings as positive, negative or inconclusive.ResultsWe identified 39 reviews of interventions to increase physical activity and 342 reviews of programmes/services for older adults. Interventions were predominantly structured exercise programmes, including balance strength/resistance training, and physical recreation, such as yoga and tai chi. There were few reviews of health promotion/coaching and health professional education/referral, and none of sport, workplace, sociocultural or environmental interventions. Fewer reported outcomes of total physical activity, social participation and quality of life/well-being. We noted insufficient coverage in diverse and disadvantaged samples and low-middle income countries.ConclusionsThere is a modest but growing volume of evidence regarding interventions designed to increase total physical activity in older adults, although more interventional studies with long term follow-up are needed, particularly for GAPPA 1. Active Societies and GAPPA 2. Active Environments. By comparison, there is abundant evidence for GAPPA 3. specific programmes and services, but coverage of sport and workplace interventions, and diverse samples and settings is lacking. Comprehensive reviews of individual studies are now needed as well as research targeting neglected outcomes, populations and settings.

【 授权许可】

CC BY