Complex-tasking exercise improves fall risk in older adults

复杂任务运动可降低老年人跌倒风险

• 批准号: 21700671
• 负责人: YAMADA Minoru
• 金额: $ 2.83万
• 依托单位: Kyoto University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2009
• 资助国家: 日本
• 起止时间: 2009 至 2010
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-21700671/
• 关键词: 転倒予防; 高齢者; 障害物回避; 複数課題条件; 転倒; 障害物; 視線行動; 踏み外し; ターゲット; ディストラクター

The aim of this study was to evaluate whether a complex course obstacle negotiation exercise (CC), a 24-week exercise program, can reduce falls and fractures in older adults, as compared with a simple course obstacle negotiation exercise (SC). This trial was conducted on older adults, aged 75 years and above in Japan. In total, 157 participants were randomized into the CC group (n=78) and the SC group (n=79). Participants were enrolled in the exercise class using the CC program or the SC program for 24 weeks. The outcome measure was the number of falls and fracture rates in CC and SC groups for 12 months following the completion of the 24-week exercise class. Two participants (2.8%) in the CC group and 19 (26.0%) in the SC group experienced falls during 12 months. During the 12-month follow-up period after the intervention, the incidence rate ratio (IRR) of falls in the SC group against the CC group was 9.37 (95% CI=2.26-38.77). One participant (1.4%) in the CC group and 8 (10.9%) in the SC group had experienced fractures during 12 months after the exercise class. The IRR of fractures in the SC group against the CC group was 7.89 (95% CI=1.01-61.49). The results of this trial indicate that the participants who received individualised obstacle avoidance training under complex task combined with a traditional intervention had a lower incidence rate of falls and fractures during 12 months after the intervention.

本研究的目的是评估是否复杂的课程障碍谈判演习（CC），24周的运动计划，可以减少老年人的福尔斯和骨折，与简单的课程障碍谈判演习（SC）相比。本试验在日本75岁及以上的老年人中进行。共有157名参与者被随机分为CC组（n=78）和SC组（n=79）。参与者参加了24周的CC计划或SC计划的锻炼班。结果测量是CC组和SC组在完成24周运动课程后12个月的福尔斯次数和骨折率。在12个月内，CC组中有2名受试者（2.8%）和SC组中有19名受试者（26.0%）发生了福尔斯跌倒。干预后12个月随访期间，SC组与CC组的福尔斯发生率比（IRR）为9.37（95% CI=2.26-38.77）。CC组中有1名参与者（1.4%）和SC组中有8名参与者（10.9%）在运动课后12个月内发生骨折。SC组相对于CC组的骨折IRR为7.89（95% CI=1.01-61.49）。本试验结果表明，接受复杂任务下个性化避障训练并结合传统干预的参与者在干预后12个月内的福尔斯和骨折发生率较低。

项目成果

Geriatrics

• DOI: 10.1136/bmj.1.5448.1486-a
• 发表时间: 1965-06
• 期刊: British Medical Journal
• 作者: J. N. Agate

1年間のレジスタンストレーニングの筋量および身体機能に対する改善効果

一年阻力训练对肌肉质量和身体功能的改善效果

• 发表时间: 2011
• 作者: 山田実;青山朋樹;永井宏達;田中武一
• 通讯作者: 田中武一

転倒リスク評価のための複数課題条件下での移動能力質問紙表の開発

开发多任务条件下的移动能力问卷以评估跌倒风险

• 发表时间: 2010
• 作者: 山田実;島田裕之;竹上未紗;山田陽介;前田裕子;永井宏達;田中武一;竹岡亨;上村一樹;市橋則明
• 通讯作者: 市橋則明

Using a Smartphone while walking -a measure of dual-tasking ability as a falls risk assessment tool

走路时使用智能手机 - 作为跌倒风险评估工具的双重任务能力衡量标准

• DOI: 10.1093/ageing/afr039
• 发表时间: 2011
• 期刊: Age Ageing
• 影响因子: 6.7
• 作者: Yamada M;et al.
• 通讯作者: et al.

Effect of resistance training on physical performance and fear of falling in elderly with different levels of physical well-being

抗阻训练对不同身体健康水平老年人身体机能及跌倒恐惧的影响

• DOI: 10.1093/ageing/afr068
• 发表时间: 2011
• 期刊: Age Ageing
• 影响因子: 6.7
• 作者: Doi T;Shimada H;Makizako H;Lee S;Park H;Tsutsumimoto K;Uemura K Yoshida D;Anan Y;Suzuki T;Kazuki Uemura;Kazuki Uemura;Kazuki Uemura;Kazuki Uemura;Kazuki Uemura;Kazuki Uernura;Kazuki Uemura;Kazuki Uemura;Minoru Yamada;Minoru Yamada;Minoru Yamada;Kazuki Uemura;Koutatsu Nagai;Minoru Yamada;Kazuki Uemura;Minoru Yamada
• 通讯作者: Minoru Yamada