运动对社区居住老年人的心理影响。
Psychological effects of exercise on community-dwelling older adults.
机构信息
Faculty of Health Science, Hyogo University, Kakogawa, Hyogo, Japan.
出版信息
Clin Interv Aging. 2018 Feb 13;13:271-276. doi: 10.2147/CIA.S152939. eCollection 2018.
BACKGROUND
In recent years, there have been an increasing number of older adults who suffer from mental disorders globally.
OBJECTIVE
The objective of this study was to examine the effect of an intervention that consisted of an exercise program to improve the mental health of community-dwelling older adults.
PARTICIPANTS AND METHODS
The recruited participants of this study were community-dwelling older adults aged ≥60 years who participated in a comprehensive health promotion program in Kakogawa, Japan. Participants in the intervention group received an exercise program that was developed for older adults using Thera-Band. To measure participants' mental health status, a Japanese version of the short form of the Profile of Mood States (POMS-SF) was used. Stress markers were measured, such as salivary cortisol, alpha-amylase, and sIgA levels. All participants provided salivary samples and completed psychological questionnaires at baseline and 6-month follow-up.
RESULTS
No significant differences were observed between the intervention and control groups with respect to POMS-SF score and salivary biomarker profile at baseline. After the intervention, the intervention group showed a significant decrease in the POMS-SF "fatigue" score and cortisol level. No significant changes were observed in the control group.
CONCLUSION
Simultaneous changes in feelings of fatigue and cortisol levels were observed among subjects who had received the intervention of regular exercise. Further research is needed to investigate the effectiveness of exercise intervention in improving mental health among older adults.
背景
近年来，全球范围内患有精神障碍的老年人数量不断增加。
目的
本研究旨在检验一项干预措施的效果，该干预措施包括一项锻炼计划，以改善社区居住的老年人的心理健康。
参与者和方法
本研究招募的参与者是居住在社区的≥60 岁的老年人，他们参加了日本神户的一项综合健康促进计划。干预组的参与者接受了一项针对老年人的锻炼计划，该计划使用了 Thera-Band 开发。为了衡量参与者的心理健康状况，使用了短版心境状态问卷（POMS-SF）的日语版。还测量了应激标志物，如唾液皮质醇、α-淀粉酶和 sIgA 水平。所有参与者在基线和 6 个月随访时提供唾液样本并完成心理问卷。
结果
在基线时，干预组和对照组在 POMS-SF 评分和唾液生物标志物特征方面没有显著差异。干预后，干预组 POMS-SF“疲劳”评分和皮质醇水平显著下降。对照组没有观察到显著变化。
结论
接受定期锻炼干预的受试者同时出现疲劳感和皮质醇水平的变化。需要进一步研究来探讨运动干预对改善老年人心理健康的有效性。
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