■为了调查45岁以上脊髓损伤(SCI)患者的休闲时间体力活动(LTPA)量,并确定频率,持续时间,强度,和LTPA执行的模态。
■我们搜索了5个主要的电子数据库(CINAHL,Scopus,EMBASE,MEDLINE,和PubMed)从成立到2023年3月。
■横截面,在45岁以上的参与者中评估LTPA的纵向研究和对照试验,SCI。我们在综述中纳入了19项研究,在荟萃分析中纳入了11项研究。
■我们遵循PRISMA清单进行系统评论。两位综述作者独立评估了偏倚的风险,并提取了参与者的人口统计学数据,损伤特征,和LTPA参与纳入的研究。使用JoanneBriggs研究所的横断面研究关键评估工具评估偏倚风险。任何冲突都由第三作者解决。
■我们发现,45岁及以上的SCI患者在LTPA参与方面存在相当大的差异。估计有27%-64%的参与者没有参加任何LTPA。对于每周以分钟为单位报告总或中重度LTPA得分的研究,完成了随机效应荟萃分析模型。总的来说,参与者(n=1675)参加260[205;329](平均[95%CI])分钟/周的总LTPA。那些参加中重强度LTPA(n=364)的人每周完成173[118;255](平均[95%CI])分钟。LTPA模式包括步行,轮转,手骑自行车,篮球,游泳,在其他人中。
虽然许多患有SCI的老年人似乎正在达到建议的每周体育锻炼量,许多人仍然久坐不动。报告频率有显著差异,强度,LTPA的持续时间和模式报告有限。由于报告的差异,比较不同研究的结果是具有挑战性的.数据限制阻止了截瘫和四肢瘫痪之间LTPA差异的亚组分析。
UNASSIGNED: To investigate the amount of Leisure-Time Physical Activity (LTPA) that people over 45 years with a spinal cord injury (SCI) performed and to determine the frequency, duration, intensity, and modality of LTPA performed.
UNASSIGNED: We searched 5 major electronic databases (CINAHL, SCOPUS, EMBASE, MEDLINE, and PubMed) from inception to March 2023.
UNASSIGNED: Cross-sectional, longitudinal studies and control arm of controlled trials that assessed LTPA in participants over 45 years old, with a SCI. We included 19 studies in the review and 11 in the meta-analysis.
UNASSIGNED: We followed the PRISMA checklist for Systematic Reviews. Two review authors independently assessed the risk of bias and extracted data on participants\' demographics, injury characteristics, and LTPA participation of the included studies. Risk of bias was assessed using the Joanne Briggs Institute critical appraisal tool for cross-sectional studies. Any conflicts were resolved by a third author.
UNASSIGNED: We found considerable variability in LTPA participation in adults 45 years and older with SCI. An estimated 27%-64% of participants did not take part in any LTPA. A random effects meta-analysis model was completed for studies that reported total or moderate-to-heavy LTPA scores in minutes per week. Overall, participants (n=1675) engaged in 260 [205;329] (mean [95% CI]) mins/week of total LTPA. Those participating in moderate-heavy intensity LTPA (n=364) completed 173 [118; 255] (mean [95% CI]) mins/week. LTPA modalities included walking, wheeling, hand-cycling, basketball, and swimming, among others.
UNASSIGNED: While many older adults with SCI seem to be meeting the recommended weekly physical activity volume, many still remain sedentary. There was significant variation in reporting of frequency, intensity, and duration of LTPA and reporting on modality was limited. Because of differences in reporting, it was challenging to compare results across studies. Data constraints prevented subgroup analysis of LTPA disparities between paraplegia and tetraplegia.