学科分类
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10 个结果
  • 简介:Background:Althoughcurrentresearchsupportstheuseofactivevideogames(AVGs)inrehabilitation,theevidencehasyettobesystematicallyreviewedorsynthesized.Thecurrentprojectsystematicallyreviewedliterature,summarizedfindings,andevaluatedtheeffectivenessofAVGsasatherapeutictoolinimprovingphysical,psychological,andcognitiverehabilitativeoutcomesamongolderadultswithchronicdiseases.Methods:Sevendatabases(AcademicSearchComplete,Communication&MassMediaComplete,ERIC,PsycINFO,PubMed,SPORTDiscus,andMedline)weresearchedforstudiesthatevaluatedtheeffectivenessofAVG-basedrehabilitationamongolderpatients.Theinitialsearchyielded946articles;afterevaluatingagainstinclusioncriteriaandremovingduplicates,19studiesofAVG-basedrehabilitationremained.Results:Moststudieswerequasi-experimentalindesign,withphysicalfunctioningtheprimaryoutcomeinvestigatedwithregardtotheuseofAVGsinrehabilitation.Overall,9studiesfoundsignificantimprovementsforallstudyoutcomes,whereas9studiesweremixed,withsignificantimprovementsonseveralstudyoutcomesbutnoeffectsobservedonotheroutcomesafterAVG-basedtreatments.OnestudyfailedtofindanybenefitsofAVG-basedrehabilitation.Conclusion:FindingsindicateAVGshavepotentialinrehabilitationforolderpatients,withseveralrandomizedclinicaltrialsreportingpositiveeffectsonrehabilitativeoutcomes.However,existingevidenceisinsufficienttosupporttheadvantagesofAVGsoverstandardtherapy.Giventhelimitednumberofstudiesandconcernswithstudydesignquality,moreresearchiswarrantedtomakemoredefinitiveconclusionsregardingtheabilityofAVGstoimproverehabilitativeoutcomesinolderpatients.

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  • 简介:Background:Physicalactivity(PA)hasbeenshowntobenefitcognitivefunctioninolderadults.However,thecognitivebenefitsofexercisingforolderChineseadultshavenotbeensystematicallydocumented.ThisstudywastoconductasystematicreviewonevidencethatPAisbeneficialforcognitivefunctioninginolderChineseadults.Methods:Majordatabases,includingPubMed,EMBASE,CochraneLibrary,WanFang,CNKI,andVIP,weresearchedforstudiespublishedinEnglishorChinesebetweenJanuary2000andDecember2015.Randomizedandnon-randomizedcontrolledtrials(RCTsandnon-RCTs),cohort,case-controlandcross-sectionalstudiesthatevaluatedPAandcognitivefunctionamongolderChineseadultswereincludedinthisreview.Results:Of53studiesincludedandreviewed,33wereobservational(22cross-sectional,7case-control,and4cohort)and20wereexperimental(15RCTs,5non-RCTs).Observationalstudiesshowedanassociationofreducedriskofcognitive-relateddiseases(i.e.,mildcognitiveimpairment,Alzheimer’sdisease,anddementia)throughPA,whereasexperimentalstudiesreportedexercise-inducedimprovementinmultipledomainsofcognitivefunction(i.e.,globalcognitivefunction,memory,executivefunction,attention,language,andprocessingrecourse).Conclusion:ThissystematicreviewprovidesinitialevidencethatPAmaybenefitcognitioninolderChineseadults.FurtherstudiesofindividualswithcognitiveimpairmentsandprospectiveandRCTstudieshavinghighscientificrigorareneededtocorroboratethefindingsreportedinthisreview.

  • 标签: Chinese ELDERLY COGNITION DEMENTIA EXERCISE PUBLIC
  • 简介:Background:Physicalactivity(PA)duringpregnancyprovidesphysicalandpsychologicalbenefitsformotherandchild.U.S.guidelinesrecommend≥30minofmoderateexerciseforhealthypregnantwomenmostdaysoftheweek;however,mostwomendonotmeettheserecommendations.Theoryassistsinidentifyingsalientdeterminantsofhealthbehaviortoguidehealthpromotioninterventions;however,theapplicationoftheorytoexaminePAamongpregnantwomenhasnotbeenexaminedcohesivelyamongmultiplelevelsofinfluence(e.g.,intrapersonal,interpersonal,neighborhood/environmental,andorganizational/political).Subsequently,thissystematicreviewaimstoidentifyandevaluatetheuseofhealthbehaviortheoryinstudiesthatexaminePAduringpregnancy.Methods:ArticlespublishedbeforeJuly2014wereobtainedfromPubMedandWebofScience.Inclusioncriteriaappliedwere:(1)empiricallybased;(2)peer-reviewed;(3)measuredfactorsrelatedtoPA;(4)comprisedapregnantsample;and(5)appliedtheory.Fourteenstudieswereincluded.Eachstudy'sapplicationoftheoryandtheoreticalconstructswereevaluated.Results:VarioustheorieswereutilizedtoexplainandpredictPAduringpregnancy;yet,themajorityofthesestudiesonlyfocusedonintrapersonalleveldeterminants.Fivetheoreticalframeworkswereappliedacrossthestudies—allbutoneattheintrapersonallevel.Fewdeterminantsidentifiedwerefromtheinterpersonal,neighborhood/environmental,ororganizational/politicallevels.Conclusion:ThissystematicreviewsynthesizedtheliteratureontheoreticalconstructsrelatedtoPAduringpregnancy.Interpersonal,community,andsocietallevelsremainunderstudied.Futureresearchshouldemploytheory-drivenmulti-leveldeterminantsofPAtoreflecttheinteractingfactorsinfluencingPAduringthiscriticalperiodinthelifecourse.

  • 标签: 行为理论 妊娠期 系统 身体 评价 怀孕期间
  • 简介:Background:TraditionalChinesesportsandphysicalactivities(PAs)havealonghistoryandarepracticedbymillionsofChinese.However,relativelyfewsystematicreviewsofthescientificevidencefortheirhealthbenefits,especiallyforolderChineseadults,havebeenundertaken.Evidenceacquisition:BetweenJanuaryandMarch2016,asystematicsearchwasconductedusingtheCNKIandPubMeddatabasestoidentifystudiespublishedbetween2000and2015.StudieswereselectedforreviewiftheyweredesignedspecificallytoevaluatethehealthbenefitsoftraditionalChinesesportsandPAsinadultsaged50yearsandolderintheMainlandofChina.Thestudiesincludedobservational,uncontrolled,andrandomizedandcontrolleddesigns.PaperspublishedwithoutanEnglishtitleorabstractwereexcluded.Evidencesynthesis:Theinitialsearchidentifiedatotalof229studies.Afterremovingduplicatesandstudiesthatdidnotmeettheinclusion/exclusioncriteria,95studieswereselectedforreview.Specialattentionwasgiventostudiesofthemostcommonlypracticedactivities:TaiJiQuan,Qigong,andYangkoexercises.Apositiveassociationbetweenthesetypesofexerciseandhealthbenefitswasnotedforhealthyolderadultsandthosewithchronicdiseases.Evidenceonothertypesofactivitieswaslessclearduetothelimitednumberofstudiesconducted.Conclusion:ThereispromisingevidencethattraditionalChinesesportsandPAsprovidemanyhealthbenefitsforolderChineseadults.Whileadditionalscientificallyrigorousresearchiswarranted,promotingthesetraditionalandculturally-basedsportsandPAsasformsofbehavioralmedicineinprimaryandsecondarypreventionofdiseasesamongtheagingChinesepopulationwillhelpfulfillanurgentpublichealthneed.

  • 标签: CHINESE culture CHINESE martial ARTS ELDERLY
  • 简介:Background:Preventinganteriorcruciateligament(ACL)injuriesisimportanttoavoidlong-termadversehealthconsequences.Identifyingbarrierstoimplementationofthesepreventionprogramsiscrucialtoreducingtheincidenceoftheseinjuries.OurpurposewastoidentifybarriersofimplementationforACLinjurypreventionprogramsandsuggestmechanismsforreducingthebarriersthroughapplicationofaSocioEcologicalModel(SEM).Methods:StudiesinvestigatingACLpreventionprogrameffectivenessweresearchedinMedlineviaPubMedandtheCochraneLibrary,andasubsequentreviewofthereferencesoftheidentifiedarticles,yielded15articlestotal.Inclusioncriteriaencompassedprospectivecontrolledtrials,publishedinEnglish,withACLinjuriesastheprimaryoutcome.Studieswereindependentlyappraisedby2reviewersformethodologicalqualityusingthePEDroscale.Barrierstoimplementationwereidentifiedwhenreportedinatleast2separatestudies.ASEMwasusedtosuggestwaystoreducetheidentifiedbarriers.Results:Fivebarrierswereidentified:motivation,timerequirements,skillrequirementsforprogramfacilitators,compliance,andcost.TheSEMsuggestedwaystominimizethebarriersatalllevelsofthemodelfromtheindividualthroughpolicylevels.Conclusion:IdentificationofbarrierstoprogramimplementationandsuggestinghowtoreducethemthroughtheSEMisacriticalfirststeptowardenablingACLpreventionprogramstobemoreeffectiveandultimatelyreducingtheincidenceoftheseinjuries.

  • 标签: Anterior CRUCIATE LIGAMENT INJURY PREVENTION Barriers
  • 简介:Background:Neighborhoodbuiltenvironmentmayprofoundlyinfluencechildren’sphysicalactivity(PA)andbodyweight.ThisstudysystematicallyreviewedscientificevidenceregardingtheimpactofbuiltenvironmentonPAandobesityamongchildrenandadolescentsinChina.Methods:AkeywordandreferencesearchwasconductedinActiveLivingResearch,CochraneLibrary,PubMed,andWebofScience.Studiesthatmetallofthefollowingcriteriawereincludedinthereview:(1)studydesigns-experimentalstudies,observationalstudies,andqualitativestudies;(2)studysubjects-Chinesechildrenand/oradolescentsaged≤17years;(3)exposures-neighborhoodbuiltenvironment;(4)outcomes-PAand/orbodyweightstatus;(5)articletype-peer-reviewedpublications;(6)timewindowofsearch-fromtheinceptionofanelectronicbibliographicdatabasetoMay31,2018;(7)country-China;and(8)language-articleswritteninEnglish.Results:Atotalof20studies,including16cross-sectionalstudies,3longitudinalstudies,and1descriptivestudy,metthepredeterminedselectioncriteriaandwereincludedinthereview.Atotalof13studiesadoptedsubjectivebuiltenvironmentmeasuresreportedbyparentsand/orchildren,2adoptedobjectivemeasures(e.g.,geographicalinformationsystem,fieldobservations),and5adoptedbothobjectiveandsubjectivemeasures.PAbehaviorsincludedPA,physicalinactivity,sedentarybehavior,active/passivecommutingfrom/toschool,andparkvisits.Amongthe16studiesthatprovidedsomequantitativeestimatesoftheinfluenceofbuiltenvironmentonPAandbodyweightstatus,allreportedastatisticallysignificantrelationshipintheexpecteddirection.Availabilityandaccessibilityinproximitytogreenspaces,parks,recreationalfacilities,andsidewalkswerefoundtobeassociatedwithincreasedPAlevels,reducedsedentarybehaviors,and/oractivecommutingamongChinesechildrenandadolescents.Incontrast,theabsenceofbikelanesandlivinginhigherdensityresidentialareaswer

  • 标签: Body weight Chinese EXERCISE LITERATURE review
  • 简介:Objective:Thissystematicreviewaimedtocriticallyanalyzetheliteraturetodeterminehowhigh-intensityintermittenttraining(HIIT)affectsrecreationalendurancerunnersintheshort-andlong-term.Methods:ElectronicdatabasesweresearchedforliteraturedatingfromJanuary2000toOctober2015.Thesearchwasconductedusingthekeywords'high-intensityintermittenttraining'or'high-intensityintervalexercise'or'intervalrunning'or'sprintintervaltraining'and'endurancerunners'or'longdistancerunners'.Asystematicapproachwasusedtoevaluatethe783articlesidentifiedforinitialreview.StudieswereincludediftheyinvestigatedHIITinrecreationalendurancerunners.ThemethodologicalqualityofthestudieswasevaluatedusingthePhysiotherapyEvidenceDatabase(PEDro)scale(forinterventionstudies)andthemodifiedDownsandBlackQualityIndex(forcross-sectionalstudies).Results:Twenty-threestudiesmettheinclusionarycriteriaforreview.Theresultsarepresentedin2parts:cross-sectional(n=15)andinterventionstudies(n=8).Inthe15cross-sectionalstudiesselected,endurancerunnersperformedatleast1HIITprotocol,andtheacuteimpactonphysiological,neuromuscular,metabolicand/orbiomechanicalvariableswasassessed.Interventionstudieslastedaminimumof4weeks,with10weeksbeingthelongestinterventionperiod,andincluded2to4HIITsessionsperweek.MostofthesestudiescombinedHIITsessionswithcontinuousrun(CR)sessions;2studies’subjectsperformedHIITexclusively.Conclusion:HIIT-basedrunningplans(2to3HIITsessionsperweek,combiningHIITandCRruns)showathleticperformanceimprovementsinendurancerunnersbyimprovingmaximaloxygenuptakeandrunningeconomyalongwithmuscularandmetabolicadaptations.Tomaximizetheadaptationstotraining,bothHIITandCRmustbepartoftrainingprogramsforendurancerunners.

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