Welfare Health Section, Eiheiji Town Office, Fukui, Japan.
Gerontology. 2013;59(4):355-67. doi: 10.1159/000346763. Epub 2013 Apr 23.
Recent interventional studies have indicated that some exercise programs have beneficial physical and immunological effects for older people. Some evidence suggests that exercise programs involving music and/or a rhythmic movement component may be particularly beneficial.
To assess the effects of a new type of movement music therapy (MMT) on physical, immunological, hormonal and psychosocial health parameters among older adults.
112 elderly female subjects (average age 73.62 ± 5.50 years) who performed little habitual exercise participated in this randomized, controlled, single-blinded intervention trial. The subjects were divided into two groups which participated in different exercise programs (experimental group: MMT; control group: simple exercise program). We assessed a comprehensive range of indices before and after the interventions, which lasted a total of 8 weeks. These indices included (1) the Philadelphia Geriatric Center morale scale, (2) self-rated health status, (3) physical function tests (e.g. blood pressure, pulmonary function, body balance, gait ability, muscle endurance, muscle-strength, and functional mobility), and (4) saliva analysis for physiological function indices (e.g. secretory immunoglobulin A (SIgA), chromogranin A, cortisol, and total protein).
In comparisons between the MMT and control interventions in younger elderly subjects (≤74 years old), systolic blood pressure decreased (p = 0.02), pulmonary function improved (p = 0.05) and body balance improved (p = 0.04) in the MMT group, but not in the control group. The SIgA secretion rate of the experimental group remained significantly elevated (p = 0.02) 15 min after exercise compared with before exercise. There were no significant differences between interventions in psychosocial indices. In contrast, no significant differences were detected between interventions in any measures in the older elderly group (≥75 years old).
These results indicate that the MMT, even with a short (8-week) intervention period, improves physical and physiological functions to a significantly greater extent in younger elderly individuals compared with a control intervention without music.
最近的介入研究表明，一些运动方案对老年人有有益的身体和免疫效果。一些证据表明，涉及音乐和/或有节奏运动成分的运动方案可能特别有益。
评估一种新型运动音乐疗法（MMT）对老年人身体、免疫、激素和社会心理健康参数的影响。
112 名老年女性受试者（平均年龄 73.62 ± 5.50 岁），他们很少进行习惯性运动，参与了这项随机、对照、单盲干预试验。这些受试者被分为两组，分别参加不同的运动方案（实验组：MMT；对照组：简单运动方案）。我们在干预前后评估了一系列综合指标，干预总共持续了 8 周。这些指标包括（1）费城老年中心士气量表，（2）自我评定的健康状况，（3）身体功能测试（如血压、肺功能、身体平衡、步态能力、肌肉耐力、肌肉力量和功能移动性），以及（4）唾液分析生理功能指标（如分泌型免疫球蛋白 A（SIgA）、嗜铬粒蛋白 A、皮质醇和总蛋白）。
在年轻老年组（≤74 岁）中，与对照组干预相比，MMT 干预组收缩压降低（p = 0.02）、肺功能改善（p = 0.05）和身体平衡改善（p = 0.04），但对照组没有改善。实验组的 SIgA 分泌率在运动后 15 分钟仍显著升高（p = 0.02），与运动前相比。社会心理指标在干预之间没有显著差异。相比之下，在年龄较大的老年组（≥75 岁）中，任何测量指标在干预之间都没有差异。
这些结果表明，与没有音乐的对照组干预相比，即使干预时间较短（8 周），MMT 也能更显著地改善年轻老年人的身体和生理功能。
