Effects of Intervention Using a Community-Based Walking Program for Prevention of Mental Decline: A Randomized Controlled Trial
Effects of Intervention Using a Community-Based Walking Program for Prevention of Mental Decline: A Randomized Controlled Trial
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DOI：
10.1111/j.1532-5415.2011.03838.x
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发表时间：
2012-03-01
影响因子：
6.3
通讯作者：
Yamaguchi, Haruyasu
中科院分区：
文献类型：
--
作者：
Maki, Yohko;Ura, Chiaki;Yamaguchi, Haruyasu
目的：评估日本公共长期护理保险法下的步行计划对预防智力下降的有效性。设计：随机对照试验。地点：高崎市。参加者：150名72.0 ± 4.0岁的社区成员被随机分为干预组（n = 75）和对照组（n = 75）。该计划鼓励参与者定期步行，并逐渐增加每天的步数。在大约6个小组进行干预，因此结合运动和社会交往的好处expected.MEASUREMENTS：认知功能进行了评估，集中在五个领域的九个测试：记忆，执行功能，文字流畅性，视觉空间能力，和持续的注意力。生活质量（QOL）、抑郁状态、功能能力、活动范围和社会网络使用问卷进行评估，并对运动功能进行评估。干预组和对照组在与额叶功能相关的词汇流畅性方面存在显著差异（F（1，128）= 6.833，P = .01），生活质量（F（1，128）= 9.751，P =.002），功能能力，包括社会交往（F（1，128）= 13.055，P
OBJECTIVES: To evaluate the efficacy of a municipalityled walking program under the Japanese public Long-Term Care Insurance Act to prevent mental decline.DESIGN: Randomized controlled trial.SETTING: The city of Takasaki. PARTICIPANTS: One hundred fifty community members aged 72.0 +/- 4.0 were randomly divided into intervention (n = 75) and control (n = 75) groups.INTERVENTION: A walking program was conducted once a week for 90 minutes for 3 months. The program encouraged participants to walk on a regular basis and to increase their steps per day gradually. The intervention was conducted in small groups of approximately six, so combined benefits of exercise and social interaction were expected.MEASUREMENTS: Cognitive function was evaluated focusing on nine tests in five domains: memory, executive function, word fluency, visuospatial abilities, and sustained attention. Quality of life (QOL), depressive state, functional capacity, range of activities, and social network were assessed using questionnaires, and motor function was evaluated.RESULTS: Significant differences between the intervention and control groups were shown in word fluency related to frontal lobe function (F(1, 128) = 6.833, P = .01), QOL (F(1,128) = 9.751, P =.002), functional capacity including social interaction (F(1,128) = 13.055, P