深圳市中轻度残疾人社区康复健身活动及其健康效益研究OA北大核心CSTPCD

Objective To investigate the effect of community-based rehabilitation exercise and physical activity on the physical ac-tivity levels,functional states,and quality of life for people with mild and moderate disabilities in community set-tings,to ascertain the health benefits of their engagement in such fitness sports activities,anchoring in the WHO"Global Action Plan on Physical Activity 2018-2030:More Active People for a Healthier World"and the guide-lines tailored for people with disabilities,using the theoretical framework and methodology of the International Classification of Functioning,Disability and Health(ICF). Methods Aligning with the WHO guidelines for people with disabilities and the ICF,a community-based rehabilitation exercise and physical activity program was designed for individuals with mild to moderate disabilities,featuring activities like fitness training(aerobic and resistance exercises),skill exercises(such as balance and coordina-tion),as well as sports and recreational games(ball and games,etc.).A total of 230 people with mild and moder-ate disabilities were recruited from 20 communities in Shenzhen,with types of disabilities including physical,speech,intellectual,and mental.Professional rehabilitation fitness instructors implemented and supervised the program.The activities were of low to moderate intensity,30 to 50 minutes per session,five times a month for six months.The community-based rehabilitation exercise and physical activity progress of these individuals was surveyed using the International Physical Activity Questionnaire(IPAQ),and their overall functioning was evalu-ated with WHODAS 2.0.The health-related quality of life was measured with WHOQOL-BREF.The health ben-efits from participation in community-based rehabilitation exercise and physical activity were assessed in terms of functioning,activity involvement,and quality of life. Results After the fitness activities,participation levels significantly increased in IPAQ domains of work-related,trans-port-related,domestic and gardening activity,and leisure time(|t|>3.391,P<0.001).The scores significantly de-creased in the domains of cognition,activity,self-care,getting along,life activities and participation;and overall scores also decreased in WHODAS 2.0(t>6.639,P<0.001).The scores significantly increased in the four di-mensions of WHOQOL-BREF(|t|>7.486,P<0.001). Conclusion After participating in a six-month community-based rehabilitation exercise and physical activity program of mild to moderate intensity,individuals with mild to moderate disabilities have improved in physical activity and engagement levels,and the overall functioning and quality of life.