Both resistance and agility training reduce back pain and improve health-related quality of life in older women with low bone mass
Both resistance and agility training reduce back pain and improve health-related quality of life in older women with low bone mass
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DOI：
10.1007/s00198-005-1842-3
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发表时间：
2005-11-01
影响因子：
4
通讯作者：
McKay, HA
中科院分区：
文献类型：
--
作者：
Liu-Ambrose, TYL;Khan, KM;McKay, HA
该研究的目的是比较三种不同类型的团体锻炼计划（阻力训练、敏捷性训练和一般伸展运动）对骨量低（即骨质减少或骨质疏松症）的老年（75-85 岁）社区居住女性的背痛和健康相关生活质量的影响。该设计是一项为期 25 周的随机对照试验。参与研究的是 98 名年龄在 75 岁至 85 岁之间的低骨量社区女性。我们评估了背痛及其相关的残疾和健康相关的生活质量。所有三种类型的团体锻炼计划都显着减少了背痛及其相关残疾，但只有阻力和敏捷性训练显着改善了社区居住的低骨量老年女性的健康相关生活质量。基线身体活动水平和上课出勤率是健康相关生活质量变化的重要预测因素。 25周运动干预后背痛及其相关残疾的变化与健康相关生活质量的变化以及疼痛和身体功能领域的变化显着相关。阻力和敏捷性训练显着提高了与健康相关的生活质量，可能是通过增加社交互动和支持、增强身体能力的自我效能和改变背痛经历来实现的。这些数据为了解低骨量老年女性运动处方的具体细节提供了宝贵的见解。未来的研究可能希望使用个体化的生活质量测量来进一步描述不同类型的运动对低骨量老年人生活质量的影响。
The purpose of the study was to compare the effects of three different types of group-based exercise programs (resistance training, agility training and general stretching) on back pain and health-related quality of life in older (aged 75-85 years) community-dwelling women with low bone mass (i.e., osteopenia or osteoporosis). The design was a 25-week randomized controlled trial. Participating were 98 community-dwelling women with low bone mass between the ages of 75 to 85 years old. We assessed back pain and its related disability and health-related quality of life. All three types of group-based exercise programs significantly reduced back pain and its related disabilities, but only resistance and agility training significantly improved health-related quality of life in community-dwelling older women with low bone mass. Baseline physical activity level and class attendance were significant predictors of change in health-related quality of life. Change in back pain and its related disabilities after 25 weeks of exercise intervention was significantly correlated with change in health-related quality of life and changes in the domains of pain and physical function. Resistance and agility training significantly enhanced health-related quality of life and may have done so by increasing social interactions and support, enhancing self-efficacy of physical abilities and modifying the experience of back pain. These data provide valuable insight into the specifics of exercise prescription for older women with low bone mass. Future studies may wish to use individualized quality of life measures to further delineate the effects of different types of exercise on quality of life in older adults with low bone mass.