Effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and quality of life in very elderly people with minor disabilities: an intervention study.

Effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and quality of life in very elderly people with minor disabilities: an intervention study.
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DOI:
10.2188/jea.je20081033
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发表时间:
2010
影响因子:
4.7
通讯作者:
Tanaka K
Tanaka K
中科院分区:
医学3区
文献类型:
--
作者:
Taguchi N;Higaki Y;Inoue S;Kimura H;Tanaka K

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虽然研究表明,运动训练可以改善老年人的身体表现和健康相关的生活质量(HRQOL),但大多数研究都调查了相对健康的人。本研究的目的是确定一个12个月的多组分运动计划对身体表现,日常体力活动和HRQOL非常老年人轻微残疾的影响。受试者包括65名长者(中位年龄:84岁),他们被证明接受长期护理的形式,只有支持或1级护理(所需的最低水平的护理); 31人被分配到干预组和34个控制组。干预组每周参加一次有监督的锻炼,持续12个月,并参加家庭锻炼。锻炼计划包括与柔韧性、肌肉力量、平衡和有氧性能相关的各种锻炼。经过12个月的运动训练,干预组在下肢力量和坐位体前伸测试方面有显著改善;这些效果在对照组中没有观察到。对照组的握力、6分钟步行距离、步行速度和步长显著下降;干预组没有观察到这些下降。两组间HRQOL测量值或体力活动变化无明显差异。为期12个月的多成分运动计划可以有效地改善和维持轻微残疾的老年人的身体表现。
Although studies suggest that exercise training improves physical performance and health-related quality of life (HRQOL) among elderly people, most of these studies have investigated relatively healthy persons. The objective of the present study was to determine the effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and HRQOL among very elderly people with minor disabilities. The subjects consisted of 65 elders (median age: 84 years) who were certified to receive long-term care in the form of support only or Level 1 care (the lowest level of care required); 31 were allocated to the intervention group and 34 to the control group. The intervention group participated in supervised exercises once a week for 12 months and in home-based exercises. The exercise program consisted of various exercises related to flexibility, muscle strength, balance, and aerobic performance. After 12 months of exercise training, the intervention group had significant improvements in lower-limb strength and on the sit-and-reach test; these effects were not observed in the control group. The control group had significant decreases in grip strength, 6-minute walking distance, walking speed, and stride length; these decreases were not observed in the intervention group. No clear differences in HRQOL measurements or changes in physical activity were detected between groups. The 12-month multicomponent exercise program may effectively improve and maintain the physical performance of very elderly individuals with minor disabilities.
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