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3 个月停训对经常锻炼的老年人功能体能和生活质量的影响。

Effects of 3 months of detraining on functional fitness and quality of life in older adults who regularly exercise.

机构信息

Physiotherapy, Department of Physiology. Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, 48940, Leioa, Bizkaia, Spain.

出版信息

Aging Clin Exp Res. 2019 Apr;31(4):503-510. doi: 10.1007/s40520-018-0990-1. Epub 2018 Jun 29.

Abstract

BACKGROUND

Little is known about the effects of detraining in older adults, particularly those who regularly exercise.

AIMS

To determine the consequences of 3 months of cessation of a habitual supervised exercise on functional fitness and quality of life in aged adults and to explore the associations among those parameters.

METHODS

Thirty-eight women and 11 men (mean age 75.5 ± 5.7 years) took part in a physical exercise program for 9 months, followed by a 3-month detraining period. Participants completed physical function tests and questionnaires regarding the quality of life and leisure-time physical activity at the end of the exercise program (baseline) and 3 months later (detraining).

RESULTS

After the detraining period, performance in the 8 Foot Up and Go test (p < 0.001) and the physical and mental components of the quality of life (p < 0.001) declined. Significant correlations were observed when comparing the 8 Foot Up and Go test (p < 0.05), Chair Stand test (p < 0.05), and the 6-min Walk test (p < 0.001) to the physical component of the quality of life after the detraining period.

CONCLUSION

Three months of a detraining period in older people who habitually undertake supervised activities is enough to produce a decline in dynamic balance and also quality of life. To avoid the deleterious effect of periods of cessation of supervised exercise, as a suggestion, specifically designed exercises could be prescribed for an older population, with emphasis on balance exercises.

摘要

背景

对于老年人(尤其是经常锻炼的老年人)脱训的影响知之甚少。

目的

确定停止习惯性监督锻炼 3 个月对老年人功能健身和生活质量的影响,并探讨这些参数之间的关联。

方法

38 名女性和 11 名男性(平均年龄 75.5±5.7 岁)参加了为期 9 个月的体育锻炼计划,随后进行了 3 个月的脱训期。参与者在锻炼计划结束时(基线)和 3 个月后(脱训)完成了身体功能测试和生活质量以及休闲时间体育活动的问卷。

结果

脱训期后,8 英尺上下测试(p<0.001)和生活质量的身体和心理成分(p<0.001)的表现下降。在比较脱训后 8 英尺上下测试(p<0.05)、椅子站立测试(p<0.05)和 6 分钟步行测试(p<0.001)与生活质量的身体成分时,观察到显著相关性。

结论

习惯性接受监督活动的老年人脱训 3 个月足以导致动态平衡和生活质量下降。为避免监督锻炼停止的有害影响,建议为老年人群专门设计锻炼计划,重点是平衡锻炼。

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