STUDY ON THE TRAINING PROGRAM IMPROVING IN PHYSICAL FITNESS ON LIVING AT HOME INDEPENDENTLY IN JAPANESE ELDERLY

日本老年人居家独立生活体质提高训练方案研究

• 批准号: 10838029
• 负责人: FUJIMOTO Shigeo
• 金额: $ 1.79万
• 依托单位: Osaka City University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10838029/
• 关键词: elderly; nursing home; walking ability; 6 minute walking distance (6MD); balance ability; falls; balance training; バランス訓練; 身体機能; 精神機能; 重心動揺検査; 6分歩行検査(6MD); 平衡機能; 日常生活活動(ADL); 生活の質(QOL); 在宅高齢者; 6分歩行検査; 運動能力; 生活体力; 栄養評価; 抑鬱度

The first purpose of this study was to compare the walking ability, activities of daily living (ADL), depression and quality of life (QOL) for the Japanese elderly living at home independently (independent group, n=27, age ; 67.5± 6.0) and for those in nursing home (dependent group, n=24, age ; 81.3±8.1, and to identify the factors most strongly associated with an independent lifestyle. Both groups were significantly different in age, which imposed a limitation on interpretation of these data. So we used the analysis of covariance (ANCOVA) to assess these data. Measured values of grip strength, Kraus-Weber test, sit and reach, 10 m obstacle walking and 6-min walking in independent group were significantly higher as compare to those in dependent group. Independent group also showed significantly higher values for feeling evaluated by VAS and ADL.It would be thought that the target levels of 6-min walking, grip strength, Kraus-Weber test, sit and reach, one leg balance with eyes open and … More 10 m obstacle walking for living at home independently were 350 m, 15.4 kg, 18.5 points, 5.0 cm, 21.9 sec and 9.2 sec, respectively. These results show the maintenance of physical activity above those values for elderly women might be important for living at home independently with keeping ADL and QOL.The second purpose was to investigate the effects of balance training on reducing falls of geriatric health services facility residents. Twenty-four male and female volunteers aged 76-95 years, were allocated to a balance training group (n=16) or a control group (n=8). The balance training program was performed in 45 minute sessions, three times a week for ten weeks. Each session included warm-up exercise, specific balance pad exercise and cool-down exercise. In the balance training group, functional reach, semi-tandem, timed up ＆ go, stepping and Tinetti balance subscale improved significantly.These findings suggest that 10 weeks of a balance training program adopted in this study may improve balance function, lower limb muscle function and ability of posture control, and lead prevention of falling in elderly individuals. Less

本研究的第一个目的是比较居家独立生活的日本老人的步行能力、日常生活活动能力、抑郁和生活质量（独立组，n=27，年龄; 67.5± 6.0）和疗养院组（依赖组，n=24，年龄; 81.3±8.1，并确定与独立生活方式最密切相关的因素。两组在年龄上有显著差异，这限制了对这些数据的解释。因此，我们使用协方差分析（ANCOVA）来评估这些数据。独立组的握力、Kraus-Weber测验、坐位体前屈、10 m障碍步行和6 min步行的测量值均显著高于依赖组。独立组的VAS和ADL评分也明显高于对照组，认为6 min步行、握力、Kraus-Weber试验、坐位前伸、单腿睁眼平衡和 ...更多信息 居家独立生活10 m障碍步行分别为350 m、15.4kg、18.5分、5.0cm、21.9秒、9.2秒。这些结果表明，维持体力活动高于这些值的老年妇女可能是重要的，在家里独立生活，保持ADL和QOL。第二个目的是调查平衡训练对减少老年卫生服务机构居民的福尔斯的效果。24名76-95岁的男性和女性志愿者被分配到平衡训练组（n=16）或对照组（n=8）。平衡训练计划在45分钟的时间段内进行，每周三次，持续十周。每节课包括热身运动，特定的平衡垫运动和冷却运动。平衡训练组的功能前伸、半串联、计时起身、踏步和Tinetti平衡子量表评分均显著提高，提示本研究采用的10周平衡训练计划可以改善老年人的平衡功能、下肢肌肉功能和姿势控制能力，预防跌倒。少

项目成果

K.Ishihara, S.Fujimoto, et al.: "Significance of Physical Fitness on Living at Home Independently in Japanese Elderly Women."American College of Sports Medicine.. 32 (5). S276 (2000)

K.Ishihara、S.Fujimoto 等人：“身体健康对日本老年妇女独立在家生活的重要性”。美国运动医学学院。32 (5)。

K.Ishihara,S.Fujimoto, et al.: "Effects of 12-week Exercise Training on Physical and Psychological Functions of Elderly Women"J.Educ.Health Sci. (Submitted).

K.Ishihara、S.Fujimoto 等人：“12 周运动训练对老年妇女身心功能的影响”J.Educ.Health Sci。

石原一成,藤本繁夫 他: "在宅高齢者における定期的な運動が体力,抑うつ度および主観的幸福度に及ぼす影響"体力科学. 47巻6号(Abstract). 901 (1998)

Kazunari Ishihara、Shigeo Fujimoto 等人：“定期锻炼对居家老年人的身体健康、抑郁水平和主观幸福感的影响”《身体健康科学》第 47 卷，第 6 期（摘要）。 1998）

石原一成,藤本繁夫 他: "要介護高齢者の体力,ADLと重心動揺の関連性"体力科学. 48巻6号(Abstract). 849 (1999)

Kazunari Ishihara、Shigeo Fujimoto 等人：“需要护理的老年人的身体健康、ADL 和重心摇摆之间的关系”，《身体健康科学》第 48 卷，第 6 期（摘要）。

石原一成,藤本繁夫 他: "老人保健施設における高齢者の転倒調査"関西臨床スポーツ医・科学研究会誌. 10巻. (2000)

Kazunari Ishihara、Shigeo Fujimoto 等：“老年保健机构中老年人跌倒的调查”《关西临床运动医学和科学研究会杂志》第 10 卷（2000 年）。