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趣味性体育活动对养老院老年居民肌肉减少症进展的影响:一项随机对照试验

The Effect of Fun Physical Activities on Sarcopenia Progression among Elderly Residents in Nursing Homes: a Randomized Controlled Trial.

作者信息

Najafi Zohre, Kooshyar Hadi, Mazloom Reza, Azhari Amin

机构信息

Department of Nursing, Student Research Committee, Nursing and Midwifery Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Medical Surgical Nursing, Nursing and Midwifery Faculty, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Caring Sci. 2018 Sep 1;7(3):137-142. doi: 10.15171/jcs.2018.022. eCollection 2018 Sep.

Abstract

Immobilization in the elderly can reduce the size and strength of muscle mass and ultimately lead to sarcopenia, the severity and progression of which can be prevented by exercise. However, due to physical and mental conditions, the elderly may be unable to take full advantage of regular exercise. Therefore, fun exercise through motivation and effective participation of older adults is likely to have positive effects on decreasing the volume and power of muscle mass. The aim of this study was to determine the effect of fun physical activities on the progression of sarcopenia among elderly residents in nursing homes. This study was a two-group randomized controlled trial conducted in 2014. Sixty three older adults were recruited by the random sampling. The elderly in the fun physical exercise group did the exercise for 8 weeks, three times a week for 20 minutes at a time, and in the control group, the adults did the routine exercises. The Berg Balance Scale, a dynamometer, and the Six-Minute Walk Test were used to measure sarcopenia criteria (balance, muscle strength, distance traveled).The statistical analysis was done by SPSS version 13. The results showed that the mean score of the sarcopenia criterion (balance, distance walked, muscles strength) was significantly increased in the fun physical exercise group than in the control group. The fun physical activity reduces sarcopenia progression through improving balance, increasing distances walked, and strengthening muscles.

摘要

老年人的身体活动受限会减小肌肉质量的大小并降低其强度,最终导致肌肉减少症,而运动可以预防其严重程度和进展。然而,由于身体和精神状况,老年人可能无法充分利用常规运动。因此,通过激发老年人的积极性并使其有效参与的趣味性运动,可能会对减少肌肉质量的体积和力量产生积极影响。本研究的目的是确定趣味性体育活动对养老院老年居民肌肉减少症进展的影响。 本研究是2014年进行的两组随机对照试验。通过随机抽样招募了63名老年人。趣味性体育锻炼组的老年人进行了8周的锻炼,每周三次,每次20分钟,而在对照组中,成年人进行常规锻炼。使用伯格平衡量表、测力计和六分钟步行测试来测量肌肉减少症标准(平衡、肌肉力量、行走距离)。统计分析使用SPSS 13版完成。结果表明,趣味性体育锻炼组的肌肉减少症标准(平衡、行走距离、肌肉力量)的平均得分显著高于对照组。趣味性体育活动通过改善平衡、增加行走距离和增强肌肉来减少肌肉减少症的进展。

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