本文由小咖机器人翻译整理

期刊来源：Nat Med

原文链接：https://doi.org/10.1038/s41591-023-02739-0

摘要内容如下：

使用视频游戏来促进锻炼的锻炼游戏训练可以针对跌倒的认知和身体风险因素进行调整，是预防老年人跌倒的一种很有前途的方法。在此，我们使用Smart±Step游戏系统进行了一项随机临床试验，以检验两种基于家庭的电脑游戏干预（坐式认知训练和Step Exergame训练）对社区老年人预防跌倒的有效性，并与最小干预对照组进行比较。在社区中独立生活的65岁或以上的参与者（n=769，71%为女性）被随机分为三组：（1）坐着时使用电脑触摸板进行认知训练，（2）在电脑垫子上进行运动台阶训练，或（3）对照组（提供关于健康老龄化和预防跌倒的教育手册）。与对照组相比，运动训练组在12个月内每月报告的跌倒率（试验的主要结果）显著降低（发生率比=0.74，95%置信区间=0.56-0.98），但认知训练组和对照组之间没有统计学差异（发生率比=0.86，95%置信区间=0.65-1.12）。未发现干预措施对身体和认知功能的次要结果产生有益影响，也未报告严重的干预相关不良事件。这项试验的结果支持在社区老年人中使用Exergame Step训练来预防跌倒。由于这种干预措施可以在家中进行，并且只需要最少的设备，因此它具有作为公共卫生干预措施的扩展潜力，以解决日益严重的跌倒和跌倒相关伤害问题。澳大利亚和新西兰临床试验注册标识符：ACTRN12616001325493。

英文原文如下：

Abstracts

Exergame training, in which video games are used to promote exercise, can be tailored to address cognitive and physical risk factors for falls and is a promising method for fall prevention in older people. Here, we performed a randomized clinical trial using the smart±step gaming system to examine the effectiveness of two home-based computer game interventions, seated cognitive training and step exergame training, for fall prevention in community-dwelling older people, as compared with a minimal-intervention control group. Participants aged 65 years or older (n = 769, 71% female) living independently in the community were randomized to one of three arms: (1) cognitive training using a computerized touchpad while seated, (2) exergame step training on a computerized mat or (3) control (provided with an education booklet on healthy ageing and fall prevention). The rate of falls reported monthly over 12 months-the primary outcome of the trial-was significantly reduced in the exergame training group compared with the control group (incidence rate ratio = 0.74, 95% confidence interval = 0.56-0.98), but was not statistically different between the cognitive training and control groups (incidence rate ratio = 0.86, 95% confidence interval = 0.65-1.12). No beneficial effects of the interventions were found for secondary outcomes of physical and cognitive function, and no serious intervention-related adverse events were reported. The results of this trial support the use of exergame step training for preventing falls in community-dwelling older people. As this intervention can be conducted at home and requires only minimal equipment, it has the potential for scalability as a public health intervention to address the increasing problem of falls and fall-related injuries. Australian and New Zealand Clinical Trial Registry identifier: ACTRN12616001325493 .

-----------分割线---------

点击链接：https://www.mediecogroup.com/community/user/vip/categories/ ，成为医咖会员，获取12项专属权益。

现在购买可享受最大优惠（买一年送三个月，买两年送一年），2024年2月10日起将不再享有该优惠。