Long-term participation in community-based group resistance exercises delays the transition from robustness to frailty in older adults: a retrospective cohort study.
Long-term participation in community-based group resistance exercises delays the transition from robustness to frailty in older adults: a retrospective cohort study.
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DOI：
10.1186/s12199-021-01028-x
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发表时间：
2021-10-20
影响因子：
4.7
通讯作者：
Mashino S
中科院分区：
文献类型：
--
作者：
Hayashi C;Toyoda H;Ogata S;Okano T;Mashino S
以社区为基础的群体抵抗运动如何影响从强健到脆弱的转变仍然不清楚。因此，我们进行了一项回顾性队列研究，以确定随年龄增长从健壮到虚弱的轨迹是否因参与团体运动的持续时间而异。我们分析了2010年4月至2019年12月期间参加社区团体抵抗运动的兵库县洲本市社区居住老年居民的Kihon检查表（KCL）评分。最后，2567老年人进行了分析，采用多层次模型。感兴趣的解释变量是使用KCL测量的每个个体的虚弱评分，其中0-3、4-7和≥8分分别表示稳健、虚弱前和虚弱。我们认为年龄、性别、收缩压、脉搏、参与时间和KCL评分较基线的变化是可能的混杂因素。根据参与练习的持续时间，将参与者分为以下几类：<3次，短期参与组; 4-6次，中期参与组; 7-13次，长期参与组。总样本自基线体格检查的平均持续时间为2.35年（SD=2.51）。受试者基线时的平均KCL总分为4.9±3.7。多水平模型分析显示，KCL评分每增加一岁变化0.82分（p<0.001），长期参与组变化-0.93分（p<0.001）。短期参与组的KCL评分的估计边缘均值（EMM）为3.98（95%CI：3.69，4.28）分，在70岁时显著差于长期参与组（p=0.001）。中期参与组75岁时的EMM为4.49（95%CI：4.24，4.74），显著差于长期参与组。长期参与组的EMM为3.87（95%CI：3.57，4.16），显著优于短期（p<0.001）和中期（p=0.002）参与组。参与社区团体抵抗运动有助于从强壮到脆弱的转变。在75岁时，长期参与组基线时KCL评分的改善仍在稳健范围内，这表明在功能下降发生前开始参与的重要性。在线版本包含补充材料，可通过10.1186/s12199-021-01028-x获得。
How community-based group resistance exercises affect the transition from robustness to frailty remains unclear. Thus, we conducted a retrospective cohort study to determine whether the trajectory from robustness to frailty over age differed depending on the duration of participation in group exercises. We analyzed the Kihon Checklist (KCL) score of community-dwelling elderly residents of Sumoto city, Hyogo prefecture, who participated in community-based group resistance exercises between April 2010 and December 2019. Finally, 2567 older individuals were analyzed using multilevel modeling. The explanatory variables of interest were the frailty score measured using the KCL for each individual, where 0–3, 4–7, and ≥8 points denoted robustness, pre-frailty, and frailty, respectively. We considered age, sex, systolic blood pressure, pulse, duration of participation, and change in KCL score from baseline as possible confounders. Participants were classified as follows based on the duration of participation in the exercises: <3 times, short-term participation group; 4–6 times; mid-term participation group; and 7–13 times, long-term participation group. The mean duration from the baseline physical test for the total sample was 2.35 years (SD=2.51). The participants’ mean total KCL score at baseline was 4.9±3.7. Multilevel modeling analysis revealed that the KCL scores changed by 0.82 points for each additional year of age (p<0.001) and changed by − 0.93 points for long-term participate group (p<0.001). The Estimated Marginal Means (EMM) of the KCL score was 3.98 (95%CI: 3.69, 4.28) points in the short-term participation group and was significantly worse than that of the long-term participation group at 70 years of age (p=0.001). The EMM was 4.49 (95%CI: 4.24, 4.74) at 75 years of age in the mid-term participation group and was significantly worse than that of the long-term participation group. The EMM was 3.87 (95%CI: 3.57, 4.16) in the long-term participation group and significantly better than that of the short-term (p<0.001) and mid-term (p=0.002) participation groups. Participation in community-based group resistance exercises prolongs the transition from robustness to frailty. The improved KCL scores at baseline in the long-term participation group remained in the robust range at 75 years of age, which suggests the importance of initiating participation before the onset of functional decline. The online version contains supplementary material available at 10.1186/s12199-021-01028-x.
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日本年长的成年人的社会参与和身体培训：Shimane Cohre研究。
影响因子：
3.7
作者：
Abe T;Okuyama K;Kamada M;Yano S;Toyama Y;Isomura M;Nabika T;Sakane N;Ando H;Miyazaki R
通讯作者：
Miyazaki R
影响因子：
4.1
作者：
Gordon, S. J.;Baker, N.;Grimmer, K. A.
通讯作者：
Grimmer, K. A.
影响因子：
4.5
作者：
Aida J;Kondo K;Hirai H;Subramanian SV;Murata C;Kondo N;Ichida Y;Shirai K;Osaka K
通讯作者：
Osaka K
影响因子：
4.6
作者：
Kanamori S;Takamiya T;Inoue S;Kai Y;Kawachi I;Kondo K
通讯作者：
Kondo K
DOI：
10.1186/s11556-021-00260-2
发表时间：
2021-05-28
期刊：
European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity
影响因子：
--
作者：
Hayashi C;Ogata S;Okano T;Toyoda H;Mashino S
通讯作者：
Mashino S