Effects of a laughter and exercise program on physiological and psychological health among community-dwelling elderly in Japan: Randomized controlled trial

Effects of a laughter and exercise program on physiological and psychological health among community-dwelling elderly in Japan: Randomized controlled trial
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DOI:
10.1111/j.1447-0594.2012.00877.x
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发表时间:
2013-01-01
影响因子:
3.3
通讯作者:
Iso, Hiroyasu
Iso, Hiroyasu
中科院分区:
医学3区
文献类型:
--
作者:
Hirosaki, Mayumi;Ohira, Tetsuya;Iso, Hiroyasu

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目的:探讨每周一次的欢笑与运动计划对社区老人身心健康的影响。作为一个定期的锻炼计划可以很难维持,我们提供了一个更愉快的程序,以提高坚持exercise.Methods:共27个人年龄在60岁或以上,没有残疾,被随机分配到一个立即治疗组(n = 14)或延迟治疗组(n = 13)。干预是一个120分钟的会议,包括笑声和运动,每周进行一次,连续10周。在基线,3个月和6个月的测量包括体重,身高,体脂,瘦体重,骨矿物质密度,血红蛋白A1 c(HbA 1c),葡萄糖,高密度脂蛋白和低密度脂蛋白胆固醇,甘油三酯,以及自我评价的健康和心理factors.Results:所有参与者完成了3个月的计划。在前3个月,即刻治疗组的骨密度较延迟治疗组显著增加(P < 0.001)。此外,HbA 1c显著下降(P = 0.001),自测健康显著增加(P = 0.012)。结论:大笑与锻炼相结合的计划可能对老年人的生理和心理健康有益。笑可能是激励老年人参与体育活动的有效策略。Geriatr Gerontol Int 2013; 13:152-160.
Aim: To examine the effects of a once-weekly laughter and exercise program on physical and psychological health among elderly people living in the community. As a regular exercise program can be difficult to maintain, we provided a more enjoyable program to enhance adherence to exercise.Methods: A total of 27 individuals aged 60 years or older, without disabilities, were randomly assigned to either an immediate treatment group (n = 14) or a delayed treatment group (n = 13). The intervention was a 120-min session consisting of laughter and exercise, carried out once a week for 10 consecutive weeks. Measurements taken at baseline, 3 and 6 months included bodyweight, height, body fat, lean mass, bone mineral density, hemoglobin A1c (HbA1c), glucose, high-density lipoprotein and low-density lipoprotein cholesterol, and triglycerides, as well as self-rated health and psychological factors.Results: All participants completed the 3-month program. Bone mineral density increased significantly in the immediate treatment group compared with the delayed treatment group during the first 3 months (P < 0.001). In addition, HbA1c decreased significantly (P = 0.001), and self-rated health increased significantly (P = 0.012).Conclusions: The combination of a laughter and exercise program might have physiological and psychological health benefits for the elderly. Laughter might be an effective strategy to motivate the elderly to participate in physical activity. Geriatr Gerontol Int 2013; 13: 152-160.