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泰式瑜伽改善老年人身体功能和幸福感:一项随机对照试验。

Thai Yoga improves physical function and well-being in older adults: A randomised controlled trial.

作者信息

Noradechanunt Chaiya, Worsley Anthony, Groeller Herbert

机构信息

Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Australia; Sirindhorn College of Public Health Phitsanulok, Thailand.

Centre for Physical Activity & Nutrition Research, Deakin University, Australia.

出版信息

J Sci Med Sport. 2017 May;20(5):494-501. doi: 10.1016/j.jsams.2016.10.007. Epub 2016 Oct 27.

Abstract

OBJECTIVES

Compare two 12-week low-intensity exercise regimens on components of physical function and quality of life in community-dwelling healthy yet sedentary adults aged over 60.

DESIGN

This study used a randomised, multi-arm, controlled trial design.

METHODS

Thirty-nine sedentary participants (29 women), aged 67.7±6.7 years were randomly allocated to either a 12-week Thai Yoga (TY) or Tai Chi (TC) for 90min twice per week, or telephone counselling Control (C). A Senior Fitness Test (chair-stand, arm-curl, sit-&-reach, back-scratch, 8-foot up-&-go and 6-min walk) and Short-Form 36 Health Survey, Centre for Epidemiological Studies of Depression, Physical Activity Scale for the Elderly and the Physical Activity Enjoyment Scale were assessed at baseline, six, 12 weeks, and three months after the completion of the regimen.

RESULTS

After 12 weeks, chair-stand (mean difference, 2.69; 95% CI, 0.97-4.41; P<0.001), arm-curl (2.23; 95% CI, 0.06-4.52; P=0.009), sit-&-reach (1.25; 95% CI, 0.03-2.53; P=0.013), back-scratch (2.00; 95% CI, 0.44-3.56; P=0.005), 8-foot up-&-go (-0.43; 95% CI, -0.85 to 0.01; P=0.013), 6-min walk (57.5; 95% CI, 20.93-94.07; P<0.001), vitality (13.27; 95% CI, 2.88-23.66; P=0.050) and enjoyment (7.96; 95% CI, 3.70-12.23; P=0.001) significantly improved in TY compared to C, however no change was observed in TC compared to C. TY improved in chair-stand (2.31; 95% CI, 0.59-4.03; P=0.007), sit-&-reach (1.38; 95% CI, 0.10-2.66; P=0.007), 6-min walk (32.31; 95% CI, -4.26-68.88; P=0.015), vitality (12.88; 95% CI, 2.50-23.27; P=0.040) and enjoyment (5.65; 95% CI, 1.39-9.92; P=0.010) compared to TC after 12 weeks.

CONCLUSIONS

The findings suggest that older adults can make significant improvements in their health and well-being by engaging in low intensity Thai Yoga exercise.

摘要

目的

比较两种为期12周的低强度运动方案对60岁以上社区居住的健康但久坐不动的成年人身体功能和生活质量组成部分的影响。

设计

本研究采用随机、多组、对照试验设计。

方法

39名久坐不动的参与者(29名女性),年龄67.7±6.7岁,被随机分配到为期12周的泰国瑜伽(TY)组或太极拳(TC)组,每周两次,每次90分钟,或电话咨询对照组(C)。在基线、第6周、第12周以及运动方案结束后3个月时,对高级体能测试(坐立试验、弯臂试验、坐位体前屈、背部抓痒试验、8英尺起走试验和6分钟步行试验)、简短健康调查问卷36项、流行病学研究中心抑郁量表、老年人身体活动量表和身体活动愉悦量表进行评估。

结果

12周后,与对照组相比,泰国瑜伽组的坐立试验(平均差值2.69;95%置信区间0.97 - 4.41;P<0.001)、弯臂试验(2.23;95%置信区间0.06 - 4.52;P = 0.009)、坐位体前屈(1.25;95%置信区间0.03 - 2.53;P = 0.013)、背部抓痒试验(2.00;95%置信区间0.44 - 3.56;P = 0.005)、8英尺起走试验(-0.43;95%置信区间-0.85至0.01;P = 0.013)、6分钟步行试验(57.5;95%置信区间20.93 - 94.07;P<0.001)、活力(13.27;95%置信区间2.88 - 23.66;P = 0.050)和愉悦感(7.96;95%置信区间3.70 - 12.23;P = 0.001)有显著改善,然而与对照组相比,太极拳组未观察到变化。12周后,与太极拳组相比,泰国瑜伽组在坐立试验(2.31;95%置信区间0.59 - 4.03;P = 0.007)、坐位体前屈(1.38;95%置信区间0.10 - 2.66;P = 0.007)、6分钟步行试验(32.31;95%置信区间-4.26 - 68.88;P = 0.015)、活力(12.88;95%置信区间2.50 - 23.27;P = 0.040)和愉悦感(5.65;95%置信区间1.39 - 9.92;P = 0.010)方面有所改善。

结论

研究结果表明,老年人通过参与低强度泰国瑜伽运动可显著改善其健康状况和幸福感。

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