运动锻炼对老年人睡眠干预效果分析 --基于Meta系统综述  

Effects of Exercise on Sleep Intervention in Elderly People:A Meta-systematic Review

作　　者：谢璞 马园艳 聂应军 XIE Pu;MA Yuanyan;NIE Yingjun(School of P.E.,Wuhan Sports Univ.,Wuhan 430079,China;School of P.E.,Central China Normal Univ.,Wuhan 430079,China)

机构地区：[1]武汉体育学院体育教育学院,湖北武汉430079 [2]华中师范大学体育学院,湖北武汉430079

出　　处：《武汉体育学院学报》2023年第7期69-78,共10页Journal of Wuhan Sports University

基　　金：湖北省教育厅人文社会科学研究重点项目(22D102);教育部人文社会科学研究青年基金项目(20YJC890017);湖北省教育厅科学研究计划项目(B2022228);武汉体育学院中青年科研团队(21KT13)。

摘　　要：目的:运用Meta分析方法系统评价运动锻炼对老年人睡眠的干预效果,为老年人睡眠的实践干预提供有力的证据支持。方法:(1)于Web of Science、Pubmed、The Cochrane Library数据库检索文献,运用Cochrane量表评价纳入文献质量;(2)采用Revman5.3软件进行发表偏倚评价、异质性检验、亚组分析和Meta回归分析等。结果:(1)研究样本:16项RCT研究纳入本Meta分析,其中8项为健康老年人群,8项为非健康老年人群,共包含样本1116例;Cochrane量表评价项基本处于低风险,纳入文献总体方法学质量较好。(2)干预效果:①运动锻炼对老年人睡眠的综合改善效果为大效应量程度(P<0.05),其中对睡眠时间干预效应不显著(P>0.05);②身心健康状况对运动干预老年人睡眠效果的影响呈高异质性(I^(2)=84%,P<0.01),运动锻炼对身心健康老年人群睡眠(MD=-2.70,P<0.01)的干预效应量高于非健康老年人群(MD=-2.38,P<0.01)。(3)干预方案:①异质性检测表明运动锻炼方案中的运动内容、强度、单次持续时间、干预周频率、周期是影响老年人睡眠运动干预效果的重要因素(P<0.01);②对老年人睡眠的干预效应量大小依次为有氧运动(MD=-2.39,P<0.01)有氧与抗阻组合锻炼(MD=-1.92,P<0.01)和抗阻锻炼(MD=-1.37,P<0.05);③中等运动强度获得了改善老年人睡眠的最大干预效应(MD=-2.01,P<0.01),低到中等强度(MD=-1.76,P<0.01)与低强度(MD=-1.58,P<0.01)均为大干预效应,高强度为中等干预效应(MD=-0.62,P<0.05);④单次干预持续30~60 min(MD=-2.20,P<0.01)获得了对改善老年人睡眠的最大干预效,明显优于≤20 min(MD=-1.23,P<0.01)和70~90 min(MD=-0.91,P<0.05);⑤3次/周(MD=-1.95,P<0.01)获得改善老年人睡眠的最大干预效应,2次/周(MD=-1.62)和4次/周(MD=-1.78)为大干预效应(P<0.01),5次/周(MD=-0.71,P<0.05)为中等干预效应,大于5次/周的干预效应不显著(P>0.05);⑥12周运动周期获得了改善老年人睡眠的最大效应(MD=-1.7In this study,meta-analysis was used to systematically evaluate the effect of exercise interventions on sleep in the elderly so as to providing reference for practical interventions on sleep in the elderly.Papers were searched in the Web of Science,Pubmed,and the Cochrane library databases.The Cochrane Quality Evaluation Scale was used for evaluation of the quality of the papers.Revman5.3 software was used for publication bias evaluation,heterogeneity test,subgroup analysis and meta regression analysis.It was shown that a total of 16 RCT studies were included in this Meta-analysis,8 in the healthy elderly population and 8 in the non-healthy elderly population,containing a total sample of 1116 cases.The Cochrane scale evaluations were largely at low risk and the overall methodological quality of the included literature was good.Exercise intervention effect revealed that the combined effect of exercise on sleep improvement of the elderly was at large effect level(P<0.05),of which the intervention effect on sleep duration was not significant(P>0.05).The effect of physical and mental health status on the exercise intervention for the sleep of the elderly was highly heterogeneous(I^(2)=84%,P<0.01).The intervention effect size on the sleep of healthy elderly group(MD=-2.70,P<0.01)was higher than that of non-healthy elderly group(MD=-2.38,P<0.01).For exercise intervention program,the heterogeneity test showed that the exercise content(I^(2)=85.3%),intensity(I^(2)=82.4%),single session duration(I^(2)=69.6%),frequency of intervention weeks(I^(2)=53.5%)and periodicity(I^(2)=45.8%)were significant factors influencing the effect of exercise interventions on sleep in the elder(P<0.01).The order of intervention effect on sleep in the elderly was aerobic exercise(MD=-2.39,P<0.01),combined aerobic and resistance exercises(MD=-1.92,P<0.01)and resistance exercises(MD=-1.37,P<0.05).Exercise intensity and moderate intensity obtained the maximum intervention effect for improving sleep in the elderly(MD=-2.01,P<0.01)Low to moderate in

关 键 词：运动锻炼 睡眠 老年人 效应量 META分析 

分 类 号：G806[文化科学—运动人体科学]