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加载和未加载高速抗阻训练对社区居住老年人功能性体能的影响。

The effects of loaded and unloaded high-velocity resistance training on functional fitness among community-dwelling older adults.

机构信息

Health, Human Performance, and Recreation, University of Arkansas, Fayetteville, AR, USA.

出版信息

Age Ageing. 2015 Nov;44(6):926-31. doi: 10.1093/ageing/afv081. Epub 2015 Jul 11.

Abstract

BACKGROUND

Physical function declines up to 4% per year after the age of 65. High-velocity training is important for maintaining muscular power and ultimately, physical function; however, whether performing high-velocity training without external resistance increases functional fitness among older adults remains unclear.

OBJECTIVE

The purpose of this investigation was to evaluate loaded and unloaded high-velocity training on lower body muscular power and functional fitness in older adults.

SUBJECTS

Fifty-seven community-dwelling older adults (n = 16 males, n = 41 females) participated in this study. Inclusion criteria comprised ≥65 years of age, ≥24 on the Mini-mental state examination and no falls within past year.

METHODS

Two groups completed a 20-week high-velocity training intervention. The non-weighted group (UNLOAD, n = 27) performed the protocol without external load while the intervention group (LOAD, n = 30) used external loads via exercise machines. Functional fitness was assessed using the Short Physical Performance Battery (SPPB), Senior Fitness Test (SFT), hand-grip and lower body power measures.

RESULTS

Multivariate ANOVA revealed that both groups had significant improvements for average (17.21%) and peak (9.26%) lower body power, along with the SFT arm curl (16.94%), chair stand (20.10%) and 8 ft. up-and-go (15.67%). Improvements were also noticed for SPPB 8 ft. walk (25.21%). However, improvements for all functional fitness measures were independent of training group.

CONCLUSIONS

Unloaded high-velocity training increased functional fitness and power the same as loaded training. The ability of high-velocity movements to elicit gains in functional fitness without external loads may help health professionals develop fitness programs when time/space is limiting factor.

摘要

背景

65 岁以后,人体的身体机能每年会下降 4%左右。高强度训练对于维持肌肉力量,最终维持身体机能非常重要;然而,在没有外部阻力的情况下进行高强度训练是否能提高老年人的功能性体能尚不清楚。

目的

本研究旨在评估负重和无负重的高强度训练对老年人下肢肌肉力量和功能性体能的影响。

受试者

57 名居住在社区的老年人(n=16 名男性,n=41 名女性)参与了本研究。纳入标准包括年龄≥65 岁,简易精神状态检查≥24 分,且过去一年无跌倒。

方法

两组受试者均完成 20 周的高强度训练干预。无负重组(UNLOAD,n=27)在无外部负荷的情况下完成方案,而干预组(LOAD,n=30)则使用运动器械施加外部负荷。功能性体能通过短体适能测试(SPPB)、老年人体能测试(SFT)、握力和下肢力量测量来评估。

结果

多变量方差分析显示,两组的平均(17.21%)和峰值(9.26%)下肢力量以及 SFT 手臂卷曲(16.94%)、椅子站立(20.10%)和 8 英尺起身行走(15.67%)都有显著提高。SPPB 8 英尺行走(25.21%)也有改善。然而,所有功能性体能测试的改善都与训练组无关。

结论

无负重的高强度训练和负重训练一样,都能提高功能性体能和力量。高强度运动在没有外部负荷的情况下能够提高功能性体能,这可能有助于健康专业人员在时间/空间有限的情况下制定健身计划。

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