A Study on Comprehensive Health Assessment Adopting Biological Rhythm in Elderly People.

本研究的目的是考察长期锻炼对老年人的生理和心理影响，并评估轻度锻炼计划和生活质量的影响。研究对象为23名老年人，平均年龄(64.1±6.0)岁。他们每周参加一次老年健身课，为期17个月。大约每四个月进行一次身体和心理测量。同时采用WHO/Q0L26进行生活质量测评，采用GHQ-30量表和R-R间期频谱分析进行心理效应测评。参与者自己记录步数、活动小时数和睡眠小时数。在体格测量中，左右大腿围、握力和坐位躯干屈曲均有明显改善。GHQ30、R-R间期和WHO/Q0L26无明显变化，但GHQ30睡眠障碍高分者的比例约为30%。各因子得分均高于其他因子。步数、活动时数和睡眠时数随季节变化。从这些结果可以看出，生理指标比心理指标更能清楚地反映人群的变化，每三个人中就有一个经历了睡眠障碍。然而，试图测量生活质量对于评估个体的变化是必要的。北方地区冬季参加锻炼计划的人数减少，这一事实可能会影响结果。

The purpose of this study was to examine the physical and psychological effects of long-term exercise for elderly people, and assess the effects of the light exercise program and QOL. Subjects in this study were 23 elderly people with a mean age of 64.1±6.0. They participated in a senior fitness class once a week for 17 months. Physical and psychological measurements were taken about once every four months. QOL was measured at the same time by WHO/Q0L26 and psychological effect was measured by GHQ 30 and using spectral analyses of R-R interval. Participants recorded step count, active hours and sleeping hours by themselves. In the physical measurements, left and right thigh girth, grip strength and sitting trunk flexion significantly improved. GHQ30, R-R interval and WHO/Q0L26 did not change significantly but the ratio of the person with a high score of sleep disturbance in GHQ30 was about 30 percent. It was higher than in the other factors. The step count, active hours and sleeping hours changed in seasons. From these results, it was suggested that the physical indices are a clearer index of change in the group than psychological indices, and one in three persons experienced a sleeping disorder. Yet, attempting to measure QOL is necessary to assess changes in individuals. The fact that participation in the exercise program decreases during the winter season in northern regions may affect the results.