The intervention study on health promotion and prevention of disability among the elderly living in farming and mountain village

本论文由两个干预研究组成。一方面，本研究旨在评价习惯锻炼对农村和山村老年人生活方式相关疾病和身体机能影响的体检指标。研究对象为老年女性，有肥胖、高血压、高血脂、高血糖等危险因素。干预对象为34名从事有氧运动和耐力训练指导的女性，为期20周至3年2次以上。测量的医学参数为体重指数、收缩压、总胆固醇、高密度脂蛋白胆固醇、甘油三酯、空腹血糖和糖化血红蛋白。干预组对高血压、高脂血症、高血糖等症状有改善作用。这些结果表明，在适当的运动处方的基础上，进行运动指导和持续的日常运动计划，对改善生活方式相关疾病的功能和控制危险因素是有效的。另一方面是评价水上运动对中度脑血管病患者的影响。他们每周接受一次指导，为期两年。两年后的评估表明，所有性能测试都有显著改善。ADL状况显示Barthel指数问卷显着增加。因此，水上运动对体能的改善反映在中度脑血管病患者ADL功能状态的改善上

This thesis is made up of two intervention study. One side is the study was to evaluate the effects of habitual exercise on medical examination parameters as risk factors for the lifestyle-related diseases and physical functions among the elderly living in farming and mountain village. Subjects were 64 elderly women posses risk factors of obesity or hypertension or hyperlipidemia or hyperglycemia. The intervention subjects were 34 women provided instruction on aerobic exercise and resistance training for 20 weeks to over two times in the 3 years. Measured medical parameters were body mass index, systolic blood pressure, total cholesterol, high density lipoprotein cholesterol, triglyceride, fasting Blood sugar and HbA1c. Intervention group was the improvement on the pathema of hypertension, hyperlipidemia and hyperglycemia. These results suggest that exercise instruction and continued daily exercise program, based on an appropriate exercise prescription, are effective in improving function and controlling the risk factors for the lifestyle-related diseases. The other side is the study was to evaluate the effects of aquatic exercise in patients with moderate cerebrovascular disease. They were provided instruction one time per week for 2 years. The evaluation after 2 years demonstrated a significant improvement in all performance testing. ADL status revealed a significant increase in the Barthel Index questionnaire. Thus improvement in physical performance by aquatic exercise was reflected in the improvement of ADL function status on moderate cerebrovascular disease patients