Effects of home-based tele-exercise on sarcopenia among community-dwelling elderly adults: Body composition and functional fitness
Effects of home-based tele-exercise on sarcopenia among community-dwelling elderly adults: Body composition and functional fitness
复制标题
DOI：
10.1016/j.exger.2016.11.002
复制
发表时间：
2017-01-01
影响因子：
3.9
通讯作者：
Kong, Hyoun-Joong
中科院分区：
文献类型：
--
作者：
Hong, Jeeyoung;Kim, Jeongeun;Kong, Hyoun-Joong
目的：本研究的目的是开发一种远程锻炼的形式，使运动教练和社区居住的老年人之间的实时互动，并调查其对改善老年人身体成分和功能健身的肌肉减少症相关因素的影响。设计：随机对照试验，干预期为12周。在韩国首尔江西区的社区居住的老年人。参与者：参与者是23名老年人（远程锻炼组：11，对照组：12），年龄69至93岁。所有功能于一身的个人电脑和视频会议软件（Skype（TM）），与宽带互联网连接。远程锻炼组在家中进行每周三次，每天20-40分钟的监督阻力锻炼，持续12周。远程指导员在干预期间为每位参与者提供一对一的指导。对照组保持他们的生活方式，没有任何特殊的intervention.Measurements：sarcoseponia相关因素的身体成分和功能健身进行了检查之前，以及以下，12周的干预期。数据进行了分析与双向重复测量AN0VA.Results：有显着改善下肢肌肉质量（p = 0.017），apapricular瘦软组织（p = 0.032），总肌肉质量（p = 0.033），和椅子坐，并达到长度（p = 0.019）的远程锻炼组相比，对照组。结论：基于视频会议的监督性抗阻运动对社区老年人的全身骨骼肌质量、四肢瘦软组织、下肢肌肉质量和椅子坐姿和前伸评分等肌肉减少症相关因素具有积极影响。这些结果表明，远程锻炼可以是一个新的和有效的干预方法，增加骨骼肌质量和下肢的身体功能，从骨骼肌减少症的改善老年人的角度。(C)2016 Elsevier Inc. All rights reserved.
Objectives: This study aims to develop a form of tele-exercise that would enable real-time interactions between exercise instructors and community-dwelling elderly people and to investigate its effects on improvement of sarcopenia-related factors of body composition and functional fitness among the elderly.Design: Randomized, controlled trial, with a 12-week intervention period.Setting: Community-dwelling senior citizens in Gangseo-gu, Seoul, South Korea.Participants: The participants were 23 elderly individuals (tele-exercise group: 11, control group: 12), aged 69 to 93 years.Intervention: The tele-exercise program was developed utilizing a 15-in. all-in-one PC and video conferencing software (Skype(TM)), with broadband Internet connectivity. The tele-exercise group performed supervised resistance exercise at home for 20-40 min a day three times per week for 12 weeks. The remote instructor provided one-on-one instruction to each participant during the intervention. The control group maintained their lifestyles without any special intervention.Measurements: The sarcopenia-related factors of body composition and functional fitness were examined prior to, as well as following, a 12-week intervention period. The data were analyzed with a two-way repeated measures ANOVA.Results: There were significant improvements in lower limb muscle mass (p = 0.017), appendicular lean soft tissue (p = 0.032), total muscle mass (p = 0.033), and chair sit-and-reach length (p = 0.019) for the tele-exercise group compared to the control group. No group x time interaction effects were detected for the 2-min step, chair stand, and time effects (p < 0.05).Conclusion: Video conferencing-based supervised resistance exercise had positive effects on sarcopenia-related factors such as total-body skeletal muscle mass, appendicular lean soft tissue, lower limb muscle mass, and the chair sit-and-reach scores among community-dwelling elderly adults. These results imply that tele-exercise can be a new and effective intervention method for increasing skeletal muscle mass and the physical functioning of the lower limbs from the perspective of sarcopenia improvement among the elderly. (C) 2016 Elsevier Inc. All rights reserved.