Effects of a physical activity intervention on measures of physical performance: Results of the lifestyle interventions and independence for Elders Pilot (LIFE-P) study.
Effects of a physical activity intervention on measures of physical performance: Results of the lifestyle interventions and independence for Elders Pilot (LIFE-P) study.
复制标题
DOI：
10.1093/gerona/61.11.1157
复制
发表时间：
2006-11
期刊：
影响因子：
--
通讯作者：
Marco Pahor;Steven N. Blair;M. Espeland;Roger A. Fielding;Thomas M. Gill;Jack M. Guralnik;Evan C Hadley;Abby C. King;S. B. Kritchevsky;C. Maraldi;Michael E. Miller;Anne B. Newman;W. Rejeski;S. Romashkan;Stephanie A. Studenski
中科院分区：
文献类型：
--
作者：
Marco Pahor;Steven N. Blair;M. Espeland;Roger A. Fielding;Thomas M. Gill;Jack M. Guralnik;Evan C Hadley;Abby C. King;S. B. Kritchevsky;C. Maraldi;Michael E. Miller;Anne B. Newman;W. Rejeski;S. Romashkan;Stephanie A. Studenski
背景 短期身体机能测试 (SPPB) 包括步行、平衡和椅子站立测试，可独立预测行动障碍和日常生活活动障碍。然而，迄今为止，随机对照试验还没有明确的证据表明 SPPB 分数可以提高。我们的目标是评估综合身体活动 (PA) 干预对 SPPB 和其他身体表现指标的影响。方法 共有 424 名有残疾风险的久坐人群（年龄 70-89 岁）被随机分配接受中等强度 PA 干预或成功老龄化 (SA) 健康教育干预，并平均随访 1.2 年。结果 平均基线 SPPB 评分为 7.5，评分范围为 0-12，其中 12 对应最高表现。第 6 个月和 12 个月时，PA 组与 SA 组调整后的 SPPB（+/- 标准误差）评分分别为 8.7 +/- 0.1 与 8.0 +/- 0.1，以及 8.5 +/- 0.1 与 7.9 +/- 0.2 (p < .001)。 PA组的400米步行速度也显着提高。 PA 组主要行动障碍（定义为无法完成 400 米步行）的发生率较低（风险比 = 0.71，95% 置信区间 = 0.44-1.20）。结论 结构化 PA 干预改善了 SPPB 评分和其他身体表现指标。改善 SPPB 表现的干预措施还可能对更远端的健康结果（例如行动障碍）带来益处。
BACKGROUND The Short Physical Performance Battery (SPPB), which includes walking, balance, and chair stands tests, independently predicts mobility disability and activities of daily living disability. To date, however, there is no definitive evidence from randomized controlled trials that SPPB scores can be improved. Our objective was to assess the effect of a comprehensive physical activity (PA) intervention on the SPPB and other physical performance measures. METHODS A total of 424 sedentary persons at risk for disability (ages 70-89 years) were randomized to a moderate-intensity PA intervention or a successful aging (SA) health education intervention and were followed for an average of 1.2 years. RESULTS The mean baseline SPPB score on a scale of 0-12, with 12 corresponding to highest performance, was 7.5. At 6 and 12 months, the PA versus SA group adjusted SPPB (+/- standard error) scores were 8.7 +/- 0.1 versus 8.0 +/- 0.1, and 8.5 +/- 0.1 versus 7.9 +/- 0.2, respectively (p < .001). The 400-meter walking speed was also significantly improved in the PA group. The PA group had a lower incidence of major mobility disability defined as incapacity to complete a 400-meter walk (hazard ratio = 0.71, 95% confidence interval = 0.44-1.20). CONCLUSIONS A structured PA intervention improved the SPPB score and other measures of physical performance. An intervention that improves the SPPB performance may also offer benefit on more distal health outcomes, such as mobility disability.