Physiotherapy, Department of Physiology. Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, 48940, Leioa, Bizkaia, Spain.
Aging Clin Exp Res. 2019 Apr;31(4):503-510. doi: 10.1007/s40520-018-0990-1. Epub 2018 Jun 29.
Little is known about the effects of detraining in older adults, particularly those who regularly exercise.
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.
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).
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.
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.
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。
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。
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。
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。
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。