[Intervention effects of inclusive support in an "exercise and a nutritional community-based prevention program" for pre-frail elderly individuals].
[Intervention effects of inclusive support in an "exercise and a nutritional community-based prevention program" for pre-frail elderly individuals].
复制标题
[“运动和营养社区预防计划”中包容性支持对体弱老年人的干预效果]。
DOI：
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
H. Yanagi
中科院分区：
文献类型：
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作者：
T. Fukasaku;J. Okuno;S. Tomura;S. Seino;Mi;N. Yabushita;T. Okura;Kiyoji Tanaka;H. Yanagi
目标
本研究的目的是通过比较干预组（运动与营养护理）和对照组（运动无营养护理），以检查以社区为基础的预防计划对体弱前老年人的干预效果。
方法
本研究在日本茨木县的Y市和S市进行。受试者包括161名社区预防项目中的体弱前老年人，他们被分为两组，干预组（N = 81，Y镇，平均年龄：76.2 +/- 5.7岁）和对照组（N = 81，S市，平均年龄76.2 +/- 4.7岁）。调查项目包括年龄、性别、日常生活活动能力、功能能力和膳食多样性评分（DVS）。在干预开始和结束时评估功能性健康测量项目（握力、交替步、5次重复坐立、睁眼单腿平衡、串联站姿、功能性前伸（FR）、坐立前伸、5 m习惯性步行和定时起立和行走（TUG））和血液数据。
结果
干预组DVS较对照组明显改善（P < 0.01）。其中，干预组鱼类贝类、肉类、蛋类、奶类、水果、油脂类的食物频率显著增加（P < 0.01），豆制品、紫菜、土豆的食物频率也显著增加（P < 0.05）。另一方面，在对照组中，仅在鱼类和贝类，肉类和牛奶的频率中观察到显着增加。在干预结束时，干预组在五次重复坐立、串联站立、FR、坐位和前伸以及TUG方面均有显著改善。此外，即使调整了研究开始时不同的年龄、性别和功能性体能测量项目，干预组的睁眼单腿平衡能力也有显著改善（P < 0.05）。
结论
这项研究表明，运动和营养计划相结合的前体弱老年人改善他们的食物摄入量和功能健身。
OBJECTIVES
The purpose of this study was to examine intervention effects of a community-based prevention program for pre-frail elderly individuals by comparing an intervention group (exercise with nutritional care) with a control group (exercise without nutritional care).
METHODS
The study was conducted in Y town and S city in Ibaraki Prefecture in Japan. The subjects comprised 161 pre-frail elderly individuals in the community-based prevention program, who were divided into two groups, the intervention group (N = 81, Y town, mean age : 76.2 +/- 5.7 years), and the control group (N = 81, S city, mean age 76.2 +/- 4.7 years). The items surveyed included age, gender, activities of daily living, functional capacity, and dietary variety score (DVS). Functional fitness measurement items (grip strength, alternate step, 5-repetition sit-to-stand, one-leg balance with eyes open, tandem stance, functional reach (FR), sit and reach, 5-m habitual walk, and timed up and go (TUG)) and blood data were assessed at the beginning and end of the intervention.
RESULTS
The DVS of the intervention group was significantly improved compared to that of the control group (P < 0.01). In particular, the food frequencies of fish and shellfish, meat, eggs, milk, fruits, and fat and oil (P < 0.01) were significantly increased in the intervention group, as were those of soybean products, seaweed, and potatoes (P < 0.05). On the other hand, significant increases were seen only in the frequencies of fish and shellfish, meat, and milk in the control group. The intervention group showed significant improvement in five-repetition sit-to-stand, tandem stance, FR, sit and reach, and TUG by the end of the intervention. In addition, the intervention group's performance on one-leg balance with eyes open (P < 0.05) was significantly improved even after adjusting for age, gender, and the functional fitness measurement items which were different at the beginning of the study.
CONCLUSION
This study suggests that a combined exercise and nutrition program for pre-frail elderly individuals improves their food intake and functional fitness.