Exercise - It's never too late: The Strong-for-Life program
Exercise - It's never too late: The Strong-for-Life program
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DOI：
10.2105/ajph.89.1.66
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发表时间：
1999-01-01
影响因子：
12.7
通讯作者：
Krebs, D
中科院分区：
文献类型：
--
作者：
Jette, AM;Lachman, M;Krebs, D
目标。这项调查确定了家庭阻力训练项目是否对残疾老年人的健康有益。一项随机对照试验比较了将215名老年人分配到以家庭为基础的抗阻运动训练组和等候名单对照组的效果。在基线和随机分组后3个月和6个月进行评估。该项目包括用不同厚度的松紧带进行锻炼的录像。运动坚持率很高，89%的推荐运动时间超过6个月。与对照组相比，在6个月的随访中，参与该计划的受试者下肢力量改善了6%至12%，串联步态改善了20%，身体和整体残疾减少了15%至18%。未发现不良的健康影响。这些发现提供了重要的证据，证明为残疾老年人设计的以家庭为基础的阻力运动项目有望成为一种有效的公共卫生策略。
Objectives. This investigation determined whether an in-home resistance training program achieved health benefits in older adults with disabilities.Methods. A randomized controlled trial compared the effects of assigning 215 older persons to either a home-based resistance exercise training group or a waiting list control group. Assessments were conducted at baseline and at 3 and 6 months following randomization. The program consisted of videotaped exercise routines performed with elastic bands of varying thickness.Results. High rates of exercise adherence were achieved, with 89% of the recommended exercise sessions performed over 6 months. Relative to controls, subjects who participated in the program achieved statistically significant lower extremity strength improvements of 6% to 12%, a 20% improvement in tandem gait, and a 15% to 18% reduction in physical and overall disability at the 6-month follow-up. No adverse health effects were encountered.Conclusions. These findings provide important evidence that home-based resistance exercise programs designed for older persons with disabilities hold promise as an effective public health strategy.