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老年女性膝关节伸肌力量与肺功能之间的关联

Association between knee extensor strength and pulmonary function in the female elderly.

作者信息

Lee Jaeseok, Han Dongwook

机构信息

Department of Physical Therapy, College of Health and Welfare, Silla University: 700 Beon-gil, 140 Baegyang-daero, Sasang-gu, Busan 46958, Republic of Korea.

出版信息

J Phys Ther Sci. 2018 Feb;30(2):234-237. doi: 10.1589/jpts.30.234. Epub 2018 Feb 20.

DOI:10.1589/jpts.30.234
PMID:29545684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5851353/
Abstract

[Purpose] The purpose of this study is to study the impact of knee extensor strength, which is an index of the degree of physical activity on lung capacity in older women. [Subjects and Methods] Thirty-three older women who participated in the exercise program hosted by a senior citizen center and S University located in Busan. Force vital capacity (FVC) was measured with digital spirometry (Pony FX, COSMED Inc., Italy). Three rounds of measurements were taken for each participant, with one-minute rests between the tests. The means were computed for analysis. Knee extensor strength was measured with a hand-held dynamometer (HHD, MicroFET2, Hogan Health Industries, Inc., UT, USA). Three rounds of measurements were taken for each knee extensor muscle, after which the mean of the measurements was taken for each side. The higher knee extensor muscle strength value was used for the analysis. [Results] Knee extensor muscle strength had significant positive correlations with Forced vital capacity (FVC), Forced expiratory volume in 1 second (FEV), Peak expiratory flow (PEF), and Forced expiratory flow (FEF 25-75%). Association between knee extensor muscle strength and pulmonary function suggested that weakening of the elderly's knee extensor muscle strength has an adverse effect on pulmonary function, although the explanatory power was weak. [Conclusion] Knee extensor muscle weakness in elderly females restricts their physical activity and mobility, thereby serving as a key factor in decreasing their lung capacity.

摘要

[目的] 本研究旨在探讨膝关节伸肌力量这一身体活动程度指标对老年女性肺容量的影响。[对象与方法] 33名参与位于釜山的某老年中心和S大学所举办的锻炼项目的老年女性。用力肺活量(FVC)采用数字式肺量计(意大利COSMED公司的Pony FX)进行测量。每位参与者进行三轮测量,两次测试之间休息1分钟。计算平均值用于分析。膝关节伸肌力量采用手持式测力计(美国犹他州Hogan Health Industries公司的MicroFET2)进行测量。每块膝关节伸肌进行三轮测量,之后取每侧测量值的平均值。分析采用较高的膝关节伸肌力量值。[结果] 膝关节伸肌力量与用力肺活量(FVC)、第1秒用力呼气量(FEV)、呼气峰值流速(PEF)以及用力呼气流量(FEF 25 - 75%)呈显著正相关。膝关节伸肌力量与肺功能之间的关联表明,老年女性膝关节伸肌力量减弱对肺功能有不利影响,尽管解释力较弱。[结论] 老年女性膝关节伸肌无力限制了她们的身体活动和行动能力,从而成为降低其肺容量的关键因素。

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本文引用的文献

1
The change of lung capacity in elderly women caused by life span.寿命导致老年女性肺容量的变化。
J Phys Ther Sci. 2017 Apr;29(4):658-661. doi: 10.1589/jpts.29.658. Epub 2017 Apr 20.
2
Comparative assessment of knee extensor and flexor muscle strength measured using a hand-held vs. isokinetic dynamometer.使用手持测力计与等速测力计对膝伸肌和屈肌力量进行的比较评估。
J Phys Ther Sci. 2016 Sep;28(9):2445-2451. doi: 10.1589/jpts.28.2445. Epub 2016 Sep 29.
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Effect of pelvic floor muscle exercises on pulmonary function.
J Phys Ther Sci. 2015 Oct;27(10):3233-5. doi: 10.1589/jpts.27.3233. Epub 2015 Oct 30.
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J Physiol Anthropol. 2015 Aug 28;34(1):31. doi: 10.1186/s40101-015-0069-z.
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Longitudinal changes in handgrip strength, hyperinflation, and 6-minute walk distance in patients with COPD and a control group.COPD 患者和对照组的握力、过度充气和 6 分钟步行距离的纵向变化。
Chest. 2015 Oct;148(4):986-994. doi: 10.1378/chest.14-2878.
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Age and gender, two key factors in the associations between physical activity and strength during the ageing process.年龄和性别是体力活动与衰老过程中力量之间关联的两个关键因素。
Maturitas. 2014 Jun;78(2):106-12. doi: 10.1016/j.maturitas.2014.03.007. Epub 2014 Mar 25.
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Respiratory impairment and dyspnea and their associations with physical inactivity and mobility in sedentary community-dwelling older persons.呼吸功能损害和呼吸困难及其与久坐不动的社区居住老年人身体活动不足和移动能力的关系。
J Am Geriatr Soc. 2014 Apr;62(4):622-8. doi: 10.1111/jgs.12738. Epub 2014 Mar 17.
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The aging lung.衰老的肺。
Clin Interv Aging. 2013;8:1489-96. doi: 10.2147/CIA.S51152. Epub 2013 Nov 6.
9
A study on the relationship between muscle function, functional mobility and level of physical activity in community-dwelling elderly.社区居住老年人肌肉功能、功能活动能力与身体活动水平之间的关系研究。
Rev Bras Fisioter. 2011 Jan-Feb;15(1):15-22.
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Quadriceps strength predicts mortality in patients with moderate to severe chronic obstructive pulmonary disease.股四头肌力量可预测中重度慢性阻塞性肺疾病患者的死亡率。
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