[1]宋辛颖,张伟宏,刘艳飞,等.老年人久坐行为与衰弱相关性的系统评价与Meta分析[J].军事护理,2023,40(08):72-76.[doi:10.3969/j.issn.2097-1826.2023.08.018]
 SONG Xinying,ZHANG Weihong,LIU Yanfei,et al.The Relationship Between Sedentary Behavior and Frailty in the Elderly:A Systematic Review and Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):72-76.[doi:10.3969/j.issn.2097-1826.2023.08.018]
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老年人久坐行为与衰弱相关性的系统评价与Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年08期
页码:
72-76
栏目:
循证护理
出版日期:
2023-08-15

文章信息/Info

Title:
The Relationship Between Sedentary Behavior and Frailty in the Elderly:A Systematic Review and Meta-analysis
文章编号:
2097-1826(2023)08-0072-05
作者:
宋辛颖张伟宏刘艳飞张佳佳宋安妮
(郑州大学 护理与健康学院,河南 郑州 450001)
Author(s):
SONG XinyingZHANG WeihongLIU YanfeiZHANG JiajiaSONG Anni
(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China)
关键词:
老年人 衰弱 久坐行为 系统评价 Meta分析 横断面研究
Keywords:
elderly frailty sedentary behavior systematic review Meta-analysis cross-sectional study
分类号:
R473.59
DOI:
10.3969/j.issn.2097-1826.2023.08.018
文献标志码:
A
摘要:
目的 探讨老年人久坐行为与衰弱的相关性。方法 计算机检索PubMed、Web of Science、EMbase、The Cochrane Library、知网、万方、中国生物医学数据库和维普等数据库,检索时限为建库以来至2022年6月。所有统计分析均采用R软件进行。结果 最终纳入19篇文献,共9784例患者。Meta分析显示,久坐的老年人衰弱患病率为15%,高水平久坐行为与衰弱或衰弱前期有关。亚组分析显示,加速度计测量的久坐行为,衰弱患病率为7%; 问卷等自我报告的形式评估久坐行为,衰弱患病率为23%; 量表评估久坐行为,衰弱患病率为12%; 身体功能测试评估久坐行为,衰弱患病率为32%(均P<0.01)。结论 单次连续久坐行为对衰弱的影响更明显,同等时间的身体活动代替久坐行为对衰弱有积极作用。中断久坐行为干预比减少总久坐时间效果更好。年龄、共病、测量工具、久坐时间积累等是影响久坐老年人衰弱的重要因素,未来应该针对这些因素进行更深入的干预。
Abstract:
Objective To investigate the correlation between sedentary behavior(SB)and frailty in the elderly.Methods The literatures were searched from PubMed,Web of Science,Embase,The Cochrane Library,CNKI,Wanfang Data,VIP,and SinoMed with the search period from the inception to June 2022.All statistical analyses were performed with R software.Results Nineteen studies with a total of 9784 patients were included.Meta-analysis showed the prevalence of frailty in the sedentary elderly was 15%.Subgroup analysis showed that the prevalence of debilitation in accelerometer-measured SB was 7%; evaluations in the form of self-report such as questionnaires assessed SB,showed the prevalence of frailty was 23%; evaluation with scale showed the prevalence of frailty was 12%; evaluation with physical function tests showed the prevalence of frailty was 32%(all P<0.01).Conclusions Through comparative analysis of literature,it was shown that a single continuous SB had a more obvious effect on frailty,and physical activity within the same period instead of SB had a positive effect on frailty.Interrupted SB intervention is better than reducing total sedentary time.The important factors affecting the debilitation of sedentary elderly are age,comorbidity,measurement tool,sedentary time accumulation.More in-depth interventions should be carried out on these factors in the future.

参考文献/References:

[1] RUDNICKA E,NAPIERA A P,PODFIGURNA A,et al.The World Health Organization(WHO)approach to healthy ageing[J].Maturitas,2020(139):6-11.
[2] BULL F C,AL-ANSARI S S,BIDDLE S,et al.World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J].Br J Sports Med,2020,54(24):1451-1462.
[3] MOREH E,JACOBS J M,STESSMAN J.Function,and mortality in older adults[J].J Gerontol A Biol Sci Med Sci,2010,65(8):887-895.
[4] MANAS A,DEL P B,GARCIA-GARCIA F J,et al.Role of objectively measured sedentary behaviour in physical performance,frailty and mortality among older adults:a short systematic review[J].Eur J Sport Sci,2017,17(7):940-953.
[5] SONG J,LINDQUIST L A,CHANG R W,et al.Sedentary behavior as a risk factor for physical frailty independent of moderate activity:results from the osteoarthritis initiative[J].Am J Public Health,2015,105(7):1439-1445.
[6] 周英凤,顾莺,胡雁,等.JBI循证卫生保健中心对关于不同类型研究的质量评价工具——患病率及分析性横断面研究的质量评价[J].护士进修杂志,2018,33(3):219-221.
[7] NAGAI K,TAMAKI K,KUSUNOKI H,et al.Isotemporal substitution of sedentary time with physical activity and its associations with frailty status[J].Clin Interv Aging,2018(13):1831-1836.
[8] KIKUCHI H,INOUE S,AMAGASA S,et al.Associations of older adults' physical activity and bout-specific sedentary time with frailty status:compositional analyses from the NEIGE study [J/OL].[2022-11-20].https://www.sciencedirect.com/science/article/pii/S053155 6520304976.DOI:10.1016/j.exger.2020.111149.
[9] 陈影,张爽,姜宗良,等.社区老年冠心病患者久坐行为与衰弱的相关性研究[J].中国慢性病预防与控制,2021,29(10):781-785.
[10]卢霞,刘艳丽,王沙沙,等.社区老年人衰弱综合征与久坐行为的相关性[J].实用老年医学,2021,35(1):95-98.
[11]CHEN S,CHEN T,KISHIMOTO H,et al.Associations of objectively measured patterns of sedentary behavior and physical activity with frailty status screened by the frail scale in Japanese community-dwelling older adults[J].J Sports Sci Med,2020,19(1):166-174.
[12]MÁXIMO R O,LOPES I C,BRIGOLA A G,et al.Pre-frailty,frailty and associated factors in older caregivers of older adults[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC698 6866.DOI:10.11606/s1518-8787.2020054001655.
[13]SEBASTIÀO E.Activity behavior and cognitive performance in older adults living in a senior housing facility:the impact of frailty status[J].Aging Clin Exp Res,2020,32(4):703-709.
[14]DA SILVA V,TRIBESS S,MENEGUCI J,et al.Time spent in sedentary behaviour as discriminant criterion for frailty in older adults[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068470/.DOI:10.3390/ijerph15071336.
[15]VIRTUOSO JÙNIOR J S,ROZA L B,TRIBESS S,et al.Time spent sitting is associated with changes in biomarkers of frailty in hospitalized older adults:a cross sectional study[J/OL].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534441.DOI:10.3389/fphys.2017.00505.
[16]DA SILVA COQUEIRO R,DE QUEIROZ B M,OLIVEIRA D S,et al.Cross-sectional relationships between sedentary behavior and frailty in older adults[J].J Sports Med Phy Fitness,2017,57(6):825-830.
[17]JANSEN F M,PRINS R G,ETMAN A,et al.Physical activity in non-frail and frail older adults[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409218.DOI:10.1371/journal.pone.0123168.
[18]LI T,PAN Y,HE Q,et al.Associations between sedentary behaviour,physical activity and frailty in older Chinese women:a cross-sectional study[J].J Clin Nurs,2023,32(5-6):825-833.
[19]TORNERO-QUIÑONES I,SÁEZ-PADILLA J,DÍAZ A E,et al.Functional ability,frailty and risk of falls in the elderly:relations with autonomy in daily living[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037456/.DOI:10.3390/ijerph17031006.
[20]SANTOS I,SILVA C,OHARA D G,et al.Association between frailty syndrome and sedentary behavior among community-dwelling older adults in the Amazon region:a cross-sectional study[J].Sao Paulo Med J,2021,139(3):226-233.
[21]RODRÍGUEZ-GÓMEZ I,MAÑAS A,LOSA-REYNA J,et al.Relationship between physical performance and frailty syndrome in older adults:the mediating role of physical activity,sedentary time and body composition[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794741/.DOI:10.3390/ijerph18010203.
[22]MAÑAS A,DEL POZO-CRUZ B,RODRÍGUEZ-GÓMEZ I,et al.Dose-response association between physical activity and sedentary time categories on ageing biomarkers[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794876/.DOI:10.1186/s12877-019-1284-y.
[23]MAÑAS A,POZO-CRUZ B D,RODRÍGUEZ-GÓMEZ I,et al.Can physical activity offset the detrimental consequences of sedentary time on frailty?A moderation analysis in 749 older adults measured with accelerometers[J].J Am Med Dir Assoc,2019,20(5):634-638.
[24]MAÑAS A,DEL POZO-CRUZ B,GUADALUPE-GRAU A,et al.Reallocating accelerometer-assessed sedentary time to light or moderate-to vigorous-intensity physical activity reduces frailty levels in older adults:an isotemporal substitution approach in the TSHA study[J].J Am Med Dir Assoc,2018,19(2):e1-e6.
[25]DEL POZO-CRUZ B,MAÑAS A,MARTÍN-GARCÍA M,et al.Frailty is associated with objectively assessed sedentary behaviour patterns in older adults:evidence from the toledo study for healthy aging(TSHA)[J/OL].[2022-11-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593182.DOI:10.1371/journal.pone.0183911.
[26]TOLLEY A,RAMSEY K A,ROJER A,et al.Objectively measured physical activity is associated with frailty in community-dwelling older adults:a systematic review[J].J Clin Epidemiol,2021(137):218-230.
[27]HALLAL P C,GOMEZ L F,PARRA D C,et al.Lessons learned after 10 years of IPAQ use in Brazil and Colombia[J].J Phys Act Health,2010,7(Suppl 2):S259-S264.
[28]EKELUND U,STEENE-JOHANNESSEN J,BROWN W J,et al.Does physical activity attenuate,or even eliminate,the detrimental association of sitting time with mortality?A harmonised meta-analysis of data from more than 1 million men and women[J].Lancet,2016,388(10051):1302-1310.
[29]刘迎春,张文杰.成人静态行为与健康的相关研究进展[J].解放军护理杂志,2021,38(6):69-71.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-12-06 【 修回日期 】 2023-06-26
【 基金项目 】 国家自然科学基金(72064038); 河南省高校科技创新团队(22IRTSTHN027)
【 作者简介 】 宋辛颖,硕士在读,电话:0371-86565001
【 通信作者 】 张伟宏,电话:0371-86565001
更新日期/Last Update: 2023-08-15