Comparison Between Multicomponent Exercise and Walking Interventions in Long-Term Nursing Homes: A Randomized Controlled Trial
Comparison Between Multicomponent Exercise and Walking Interventions in Long-Term Nursing Homes: A Randomized Controlled Trial
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DOI：
10.1093/geront/gnz177
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发表时间：
2020-10-01
期刊：
影响因子：
5.7
通讯作者：
Maria Gil, Susana
中科院分区：
文献类型：
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作者：
Rezola-Pardo, Chloe;Rodriguez-Larrad, Ana;Maria Gil, Susana
背景和目标：有证据表明，运动干预抵消了长期疗养院（LTNH）居民所经历的功能和认知能力下降。为了确定最有效的运动干预，我们比较了多成分运动干预和步行干预对生活在LTNHs中的老年人的身体和认知表现、习惯性身体活动、情感功能和生活质量的影响。研究设计和方法：这项为期3个月的单盲随机对照试验（NCT 03996083）涉及9个LTNH的81名参与者，这些参与者被随机分配到多组分（MG）或步行（WG）组。MG参加了为期3个月的每周两次的个性化和渐进式计划，包括力量和平衡练习。工作组也是个性化的，参与者每天步行20分钟。主要结局是短期体能成套测验（SPPB）的评分。次要结果包括其他体能测试，习惯性体力活动，认知能力，情感功能和生活质量。结果：与WG相比，MG组在体能方面表现出更大的改善，包括SPPB（p
Background and Objectives: There is evidence that exercise interventions counteract the functional and cognitive decline experienced by long-term nursing home (LTNH) residents. To determine the most effective exercise intervention, we compared the effects of a multicomponent exercise intervention and a walking intervention on physical and cognitive performance, habitual physical activity, affective function, and quality of life among older adults living in LTNHs.Research Design and Methods: This 3-month single-blind randomized controlled trial (NCT03996083) involved 81 participants at 9 LTNHs randomly assigned to a multicomponent (MG) or a walking (WG) group. The MG participated in a twice-a-week individualized and progressive program composed of strength and balance exercises for 3 months. The WG was also individualized and participants walked up to 20 min per day. The primary outcome was the score on the short physical performance battery (SPPB). Secondary outcomes included other physical performance tests, habitual physical activity, cognitive performance, affective function, and quality of life.Results: Compared with the WG, the MG group showed greater improvements in physical performance, including the SPPB (p