Effects of comprehensive exercise program for the prevention of geriatric syndrome with multiple symptoms in community-dwelling elderly persons

社区老年人多发老年综合征患病率为15.3%。多个老年综合征与害怕摔倒和通常的步行速度显著相关。我们进行了一项随机对照试验，以评估多维锻炼的效果，这些锻炼的目标是减少社区老年女性的功能下降、尿失禁和对跌倒的恐惧。61名参与者被随机分配到干预组(n=31)或对照组(n=30)。干预组功能下降率由干预前的50.0%降至干预后的16.7%(q=16.67，p&lt；0.001)。对于尿失禁，干预组从基线的66.7%下降到干预后的23.3%和随访时的40.0%(q=13.56p=0.001)，而对照组没有改善。在表现出MSG状态改善的受试者中，在随访时表现出最大步行速度增加的比例明显更高(q=6.5，p=0.039)。这些结果表明，多维运动是减少老年人群老年综合征的有效策略。步行能力的提高可能有助于MSGS的改善。

The prevalence of multiple geriatric syndromes was 15.3% in community-dwelling elderly. The multiple geriatric syndromes were significantly associated with fear of falling and usual walking speed. We conducted a randomized and controlled trial to evaluate the effects of the multidimensional exercises targeted at reducing the symptoms of functional decline, urinary incontinence, and fear of falling in community-dwelling elderly Japanese women with multiple symptoms of geriatric syndrome (MSGS). Sixty-one participants were randomly assigned either to an intervention (n=31) or to a control group (n=30). The functional decline of the intervention group decreased from 50.0% at baseline to 16.7% after intervention and follow-up (Q=16.67, p<0.001). For urinary incontinence, the intervention group decreased from 66.7% at baseline to 23.3% after intervention and 40.0% at follow-up (Q=13.56, p=0.001), whereas the control group showed no improvement. Within the subjects that showed improvement to normal status of MSGS, a significantly higher proportion demonstrated increased maximum walking speed at follow-up (Q=6.50, p=0.039). These results suggest that multidimensional exercise is an effective strategy for reducing geriatric syndromes in elderly population. An increase in walking ability may contribute to the improvement of MSGS.