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基于家庭的肌肉训练对老年骨质疏松女性的疗效:日常肌肉训练对生活质量(QoL)的影响。

The efficacy of home-based muscle training for the elderly osteoporotic women: the effects of daily muscle training on quality of life (QoL).

机构信息

Department of Rehabilitation, Tokyo Metropolitan Geriatric Hospital 35-2 Sakaecho, Itabashiku, Tokyo 173-0015, Japan.

出版信息

Arch Gerontol Geriatr. 2010 Sep-Oct;51(2):169-72. doi: 10.1016/j.archger.2009.10.003. Epub 2009 Nov 7.

Abstract

There is little evidence that home-based muscle training through exercise improves the muscle strength and QoL of elderly osteoporotic women. The efficacy of home-based daily exercise on muscle strength of the upper and lower extremities and QoL were examined in elderly osteoporotic women by means of a case-controlled study that was designed and conducted between 2005 and 2006. Sixty-three osteoporotic women over 60 years of age were randomly assigned to 12 months of muscle exercise or to no intervention. The outcomes were changes in muscle strength and quality of life (QoL). Ultimately, sixty-two participants completed the 12 months program. Before the start of home-exercise training, the lumbar spine bone mineral density (BMD) and femoral neck BMD values in the intervention group were significantly lower than those in the control group (p<0.05). Grip strength and maximum walking speed increased significantly in the intervention group (p<0.05). In terms of QoL, physical functioning was improved by home-based exercise in the intervention group (p=0.05), while there were no improvements in any of the categories of Short-Form 36 in the control group. Our results suggest that home-based training is effective for elderly osteoporotic women in improving not only muscle strength in upper and lower extremities but also physical functioning in QoL.

摘要

家庭为基础的肌肉训练对改善老年骨质疏松症女性的肌肉力量和生活质量的作用甚微。本病例对照研究设计并于 2005 年至 2006 年期间开展,旨在探讨家庭日常锻炼对老年骨质疏松症女性上下肢肌肉力量和生活质量的疗效。将 63 名 60 岁以上的骨质疏松症女性随机分为 12 个月的肌肉锻炼组和无干预组。结果为肌肉力量和生活质量(QoL)的变化。最终,62 名参与者完成了 12 个月的计划。在开始家庭锻炼训练之前,干预组的腰椎骨密度(BMD)和股骨颈 BMD 值明显低于对照组(p<0.05)。干预组握力和最大步行速度显著增加(p<0.05)。在生活质量方面,家庭锻炼改善了干预组的身体机能(p=0.05),而对照组的任何 36 项简短形式的类别均无改善。我们的结果表明,家庭训练不仅对改善老年骨质疏松症女性的上下肢肌肉力量有效,而且对提高生活质量的身体机能也有效。

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