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

社区老年人多发性老年综合征的患病率为15.3%。多种老年综合征与害怕跌倒和平时步行速度显著相关。我们进行了一项随机和对照试验，以评估多方面运动的效果，旨在减少功能下降，尿失禁，并害怕跌倒的症状，在社区居住的老年日本妇女与老年综合征（MSGS）的多种症状。61名参与者被随机分配到干预组（n = 31）或对照组（n = 30）。干预组功能下降率从基线时的50.0%下降到干预后和随访时的16.7%（Q = 16.67，p <0.001）。对于尿失禁，干预组从基线时的66.7%下降到干预后的23.3%和随访时的40.0%（Q = 13.56，p = 0.001），而对照组没有改善。在显示MSGS正常状态改善的受试者中，随访时最大步行速度增加的比例显著较高（Q = 6.50，p = 0.039）。这些结果表明，多维运动是一种有效的策略，以减少老年人的老年综合征。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.