Long-term participation in community group exercise improves lower extremity muscle strength and delays age-related declines in walking speed and physical function in older adults.

Long-term participation in community group exercise improves lower extremity muscle strength and delays age-related declines in walking speed and physical function in older adults.
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DOI:
10.1186/s11556-021-00260-2
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发表时间:
2021-05-28
期刊:
European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity
影响因子:
--
通讯作者:
Mashino S
Mashino S
中科院分区:
其他
文献类型:
--
作者:
Hayashi C;Ogata S;Okano T;Toyoda H;Mashino S

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集体锻炼对社区老年人身体功能的影响尚不清楚。通过多水平建模,确定了表示愿意参加社区体育锻炼小组的老年人的腿部肌肉力量、起跑计时(TUG)时间和运动适能量表(MFS)随时间的变化。我们分析了2010年4月至2019年12月期间2407名老年人的数据,这些数据来自社区体育锻炼小组的身体测试登记。我们进行了一项回溯性队列研究,以评估体育锻炼对下肢肌力、拖拽时间和MFS评分的影响。通过参加体能测试的频度来评估锻炼的持续时间。仅在短期参与者组中发现了腿部肌肉力量的恶化。但在中长期参与组中,下肢肌力呈改善趋势。根据参与时间的长短,两组患者的拔河时间和MFS评分与年龄的增长呈负相关。然而,长期参与组的恶化速度较慢。小腿肌力、拖拽时间和MFS评分随着年龄的增长而下降,恶化的斜率取决于参与社区集体锻炼的时间长短。参加集体锻炼改善了居住在社区的老年人的腿部肌肉力量、拖拽时间和MFS得分。集体锻炼的积极效果依赖于长期的参与。网上版载有补充材料,可在10.1186/s11556-021-00260-2查阅。
The effects of group exercise on the physical function of community-dwelling older adults remain unclear. The changes in lower extremity muscle strength, timed up and go (TUG) time, and the motor fitness scale (MFS), over time, among older adults who expressed a willingness to participate in community-based physical exercise groups, were determined using multilevel modelling. We analyzed data of 2407 older adults between April 2010 and December 2019 from the registry of physical tests of community-based physical exercise groups. We conducted a retrospective cohort study to assess the effect of physical exercise on lower extremity muscle strength, TUG time, and MFS scores. The durations of the exercises were evaluated by frequency of physical test’s participate. A deterioration in lower extremity muscle strength was found in the short-term participant group only. However, in the mid-term and long-term participation groups, lower extremity muscle strength showed a trend of improvement. The TUG time and the MFS score were negatively correlated with increasing age in both groups divided by the duration of participation. However, there was a slower rate of deterioration in the long-term participation group. Lower extremity muscle strength, TUG time, and MFS scores decline with increasing age and there were differences in the slope of deterioration that depended on the duration of participation in community-based group exercise. Participation in group exercise improved lower extremity muscle strength, TUG time, and MFS scores of older adults living in a community. The positive effects of group exercise were dependent on long-term participation. The online version contains supplementary material available at 10.1186/s11556-021-00260-2.
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