Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults.
Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults.
复制标题
两种身体活动计划对老年人测量和感知的身体功能以及其他健康相关生活质量结果的比较影响。
DOI：
10.1093/gerona/55.2.m74
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Haskell,WL
中科院分区：
文献类型：
--
作者：
King,AC;Pruitt,LA;Phillips,W;Oka,R;Rodenburg,A;Haskell,WL
背景：尽管缺乏运动是老年人功能受损和残疾的一个重要因素，但人们对老年人身体功能和幸福感的改善如何与所进行的体力活动类型有关的了解很少。方法：将103名65岁及以上的老年人随机分为两组，分别进行12个月的社区基础中等强度耐力与强化训练(Fit&Strong)或伸展与柔韧训练(Stretch&Flex)。研究人员采用了课堂和家庭相结合的锻炼方式。在干预前和干预后对测量和自我评定的身体表现以及感知的功能和幸福感进行评估。结果：与Stretch&Flex受试者相比，Fit&Strong受试者在测量和自我评估的耐力和力量方面在12个月内都有更大的改善。Stretch&Flex受试者报告的身体疼痛有更大的改善，而Stretch&Flex受试者的柔韧性比Fit&Strong受试者有更大的改善。尽管两种锻炼条件下的总体锻炼依从性都很高(约80%)，但两种锻炼条件下的受试者对其运动处方中以家庭为基础的部分的依从性要好于以课堂为基础的部分。结论：注重中等强度耐力和加强锻炼或灵活性锻炼的社区计划可以通过多种形式的组合提供，从而改善重要的功能和福祉结果。这是首批报告了一项重要的生活质量结果--身体疼痛--显著改善的研究之一，在社区的老年人样本中，定期进行伸展和柔韧锻炼。
BACKGROUND: Although inactivity is an important contributor to impairedfunctioning and disability with age, little is known concerning howimprovements in physical functioning and well-being in older adults varywith the type of physical activity undertaken. METHODS: One hundred threeadults age 65 years and older, recruited via population- based methods,were randomized to 12 months of community-based, moderate-intensityendurance and strengthening exercises (Fit & Firm) or stretching andflexibility exercises (Stretch & Flex). A combination of class- andhome-based exercise formats was used. Measured and self- rated physicalperformance along with perceived functioning and well- being were assessedpre- and postintervention. RESULTS: Fit & Firm subjects showed greater12-month improvements in both measured and self- rated endurance andstrength compared to Stretch & Flex subjects. Stretch & Flexsubjects reported greater improvements in bodily pain, and Stretch &Flex men evidenced greater improvements in flexibility relative to Fit& Firm subjects. Although overall exercise adherence was high in bothexercise conditions (approximately 80%), subjects in both conditions showedbetter adherence to the home- versus class-based portions of their exerciseprescriptions. CONCLUSIONS: Community-based programs focusing onmoderate-intensity endurance and strengthening exercises or flexibilityexercises can be delivered through a combination of formats that result inimprovement in important functional and well-being outcomes. Thisrepresents one of the first studies to report significant improvements inan important quality of life outcome-bodily pain-with a regular regimen ofstretching and flexibility exercises in a community-based sample of olderadults.