REDUCING FRAILTY IN OLDER ADULTS WITH ARTHRITIS

本研究的目的是确定16周的训练是否 计划旨在增加肌肉力量，灵活性，有氧 能力和完成任务的速度，以及有关的知识， 对运动的接受和支持将导致 锻炼和改善功能状态，身体活动， 自尊对于农村久坐不动的关节炎老年人的影响。 老年 患有关节炎的成年人可以在监督下安全有效地锻炼 锻炼计划。 目前尚不清楚的是，这些收益是否 转化为重要日常功能的改善， 增加活动的好处是否可以在一个 监督程序已完成。 一项随机、对照、重复测量研究将在 在东南部的一个农村县，那里关节炎的患病率很高， 贫困和残疾率很高。 108名年龄在60岁以上的男女， 有髋关节或膝关节炎的症状，久坐不动， 伴侣或朋友谁将提供鼓励运动将是 包括. 受试者最初将在 基于人群的关节炎描述性研究。 排除标准 使人们处于猝死风险的条件，或表明， 人们不太可能遵守，而已知的条件不可能遵守。 通过锻炼来改善。 将为6组9名男性和女性举办两个小时的运动课， 每周举行3次会议，持续16周，计划过渡到 自我维护。 渐进式、轻阻力练习和训练 速度和协调，为每个人量身定制，将解决所有 主要肌肉群，有氧训练逐渐建立在 强度为40-70%的心率储备。 运动与心理教育 增加知识和锻炼的可接受性的战略， 护士将提供其他人对锻炼的支持 由同伴练习促进者协助的临床医生。 支持锻炼 将从参与者的家人或朋友那里获得。 控制 将接受为期16周的护理人员培训计划。 在基线、干预结束时和4个月后， 体能（Cybex等速测力法，功能性有氧运动 通过自行车测力计，创新的临床功能测试）将 直接观察，并反映生活质量（健康）的措施 疾病影响特征和关节炎疼痛量表的状态， 自尊、身体活动和锻炼由耶鲁体育活动 量表和半结构式访谈）将通过自我报告进行描述。 将使用重复测量MANOVA检验假设。 关系 创新的临床功能测试和既定的 肌肉力量和有氧能力将通过多项式 回归和标准线性回归。

The purpose of this study is to determine whether a 16-week training program designed to increase muscle strength, flexibility, aerobic capacity, and speed of task completion, as well as knowledge about, acceptability of, and support for exercise will lead to continued exercise and improve functional status, physical activity, and self-esteem for rural sedentary older adults with arthritis. Older adults with arthritis can exercise safely and effectively in supervised exercise programs. What is not yet clear is whether or not those gains are translated into improvements in important daily functions, and whether the benefits of increased activity can be maintained after a supervised program is completed. A randomized, controlled repeated measures study will be conducted in a rural county in the Southeast, where the prevalence of arthritis, poverty, and disability is high. One hundred and eight men and women who are at least 60 years old, who have symptoms of hip or knee arthritis, who are sedentary, who have a partner or friend who will offer encouragement to exercise will be included. Subjects will have been initially identified in a population-based descriptive study of arthritis. Exclusion criteria are conditions that place people at risk for sudden death or suggest that people are unlikely to comply, and conditions that are known to not improve with exercise. Two-hour exercise classes will be held for 6 groups of 9 men and women, meeting 3 times each week for 16 weeks, with planned transition to self-maintenance. Progressive, light resistance exercises and training for speed and coordination, tailored to each individual, will address all major muscle groups, with aerobic training gradually building in intensity to 40-70% heart rate reserve. Exercise and psychoeducational strategies to increase knowledge and acceptability of exercise and to build support from others for exercise will be offered by a nurse clinician assisted by a peer exercise facilitator. Support for exercise will be elicited from participants' family member or friend. The control group will receive a 16-week caregiver training program. At baseline, at the conclusion of the intervention, and 4 months later, physical performance (isokinetic dynamometry by Cybex, functional aerobic capacity by bicycle ergometry, innovative clinical functional tests) will be directly observed, and measures that reflect quality-of-life (health status by Sickness Impact Profile and an Arthritis Pain Scale, self-esteem, physical activity and exercise by the Yale Physical Activity Scale and a semi-structured interview) will described by self report. Hypotheses will be tested with repeated measures MANOVA. Relationships between innovative clinical function tests and established measures of muscle strength and aerobic capacity will be examined by polynomial regression and standard linear regression.