Department of Physical Therapy, College of Health Science, Korea University, Seoul, South Korea.
Department of Physical Therapy, College of Health Science, Korea University, Seoul, South Korea.
Arch Gerontol Geriatr. 2017 Nov;73:227-233. doi: 10.1016/j.archger.2017.07.028. Epub 2017 Aug 2.
Little is known about the optimal retraining time for regaining functional fitness through multicomponent training following long-term detraining in older adults. This study first investigated the time course of functional fitness changes during 12-month multicomponent training, 12-month detraining, and 9-month retraining in 18 older adults (68.33±3.46) and then determined the optimal retraining time for regaining the post-training functional fitness level after a 12-month detraining period.
Functional fitness, including lower and upper limb strength, lower and upper limb flexibility, aerobic endurance, and dynamic balance, was assessed at baseline, 12 months post-training, 12 months post-detraining, and 3, 6, and 9 months post-retraining.
There were significant increases in all of the functional fitness components except upper limb flexibility at post-training and no significant decreases at post-detraining. For lower and upper limb strength and lower limb flexibility, a 3-month period was required to regain the post-training condition. For aerobic endurance and dynamic balance, a retraining period ≥9months was necessary to regain the post-training functional fitness condition.
To regain the post-training condition of all functional fitness components, a retraining period ≥9months was required. This information might be useful for health professionals to encourage older adults not to interrupt retraining until they regain their post-training functional fitness condition.
关于在老年人长期停训后通过多组分训练恢复功能适应性的最佳再训练时间知之甚少。本研究首先调查了 18 名老年人(68.33±3.46)在 12 个月多组分训练、12 个月停训和 9 个月再训练期间功能适应性变化的时间过程,然后确定了在 12 个月停训后恢复训练后功能适应性水平的最佳再训练时间。
功能适应性,包括下肢和上肢力量、下肢和上肢灵活性、有氧耐力和动态平衡,在基线、训练后 12 个月、停训后 12 个月以及再训练后 3、6 和 9 个月进行评估。
除了上肢灵活性外,所有功能适应性成分在训练后都有显著增加,而在停训后没有显著下降。对于下肢和上肢力量以及下肢灵活性,需要 3 个月的时间才能恢复到训练后的状态。对于有氧耐力和动态平衡,需要≥9 个月的再训练期才能恢复到训练后的功能适应性状态。
要恢复所有功能适应性成分的训练后状态,再训练期≥9 个月是必要的。这些信息可能对健康专业人员有用,以鼓励老年人不要中断再训练,直到他们恢复到训练后的功能适应性状态。