Seco Jesús, Abecia Luis Carlos, Echevarría Enrique, Barbero Ismael, Torres-Unda Juan, Rodriguez Vicente, Calvo Jose Ignacio
Department of Nursing and Physical Therapy, Institute of Biomedicine (IBIOMED), University of León, León, Spain.
Rehabil Nurs. 2013 Jan-Feb;38(1):37-47. doi: 10.1002/rnj.64.
Physical activity training programs in older adults have recognized health benefits. Evidence suggests that training should include a combination of progressive resistance, balance, and functional training. Our aim was to assess the effects of a simple physical activity program working on strength, flexibility, cardiovascular fitness, and balance in older adults, as well as the effects of a detraining period, at various different ages.
This was longitudinal prospective study, including a convenience sample of 227 independent older adults (54 men, 173 women) who completed a simple 9-month training program and 3-month detraining follow-up. The subjects were categorized into two age groups (65-74 [n = 180], and >74 years [n = 47]). At the beginning of the study (baseline), the end of the training period, and 3 months later (postdetraining), body mass index, body fat percentage, triceps skinfold thickness, hand grip strength, lower limb and trunk flexibility, resting heart rate, heart rate after exercise, and balance were measured, while VO(2 max) was estimated using the Rockport fitness test and/or measured directly.
Significant improvements in strength (p < .0001), flexibility (p < .0001), heart rate after exercise (p < .0001), and balance (p < .0001) were observed at the end of the training program. Flexibility and balance (p < .0001) improvements were maintained at the end of the detraining.
A simple long-term physical activity training program increases strength in both sexes, improves flexibility in women, and improves balance in older adults. The results also indicate the importance of beginning early in old age and maintaining long-term training.
老年人的体育活动训练计划已被证实对健康有益。有证据表明,训练应包括渐进性阻力训练、平衡训练和功能训练的组合。我们的目的是评估一项简单的体育活动计划对老年人力量、柔韧性、心血管健康和平衡的影响,以及在不同年龄段进行停训期的影响。
这是一项纵向前瞻性研究,包括一个由227名独立老年人(54名男性,173名女性)组成的便利样本,他们完成了一个简单的为期9个月的训练计划和3个月的停训随访。受试者被分为两个年龄组(65 - 74岁[n = 180],以及>74岁[n = 47])。在研究开始时(基线)、训练期结束时以及3个月后(停训后),测量体重指数、体脂百分比、肱三头肌皮褶厚度、握力、下肢和躯干柔韧性、静息心率、运动后心率以及平衡能力,同时使用罗克波特健身测试和/或直接测量来估计最大摄氧量(VO₂max)。
在训练计划结束时,观察到力量(p < .0001)、柔韧性(p < .0001)、运动后心率(p < .0001)和平衡能力(p < .0001)有显著改善。在停训结束时,柔韧性和平衡能力(p < .0001)的改善得以维持。
一项简单的长期体育活动训练计划可增强男女两性的力量,改善女性的柔韧性,并提高老年人的平衡能力。结果还表明了在老年早期开始并维持长期训练的重要性。