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不同类型的身体锻炼对轻度至中度认知障碍的虚弱、住院老年患者身体和认知功能的影响。一项随机对照试验。

The effects of different types of physical exercise on physical and cognitive function in frail institutionalized older adults with mild to moderate cognitive impairment. A randomized controlled trial.

机构信息

Departament of Special Didactics, University of Vigo, Faculty of Education Science and Sports, Pontevedra, E-36005, Spain.

Departament of Special Didactics, University of Vigo, Faculty of Education Science and Sports, Pontevedra, E-36005, Spain.

出版信息

Arch Gerontol Geriatr. 2019 Jul-Aug;83:223-230. doi: 10.1016/j.archger.2019.05.003. Epub 2019 May 8.

DOI:10.1016/j.archger.2019.05.003
PMID:31100545
Abstract

BACKGROUND

The continuous increase in the life expectancy of older adults (elderly people) has generated interest in research into frail-aged people and their physical and mental well-being.

OBJECTIVES

To verify the different effects of two programs of physical exercise (strength training-TG, and callisthenic training-MG) on the cognitive state, functionality, stability and general health of frail-aged institutionalized older adults.

DESIGN

This study was a block randomized controlled trial.

SETTING

The study was conducted in geriatric units of the San Rosendo Foundation.

PARTICIPANTS

A total of 77 institutionalized frail-aged people (70.1% female, aged 84.8±7.9) took part.

INTERVENTIONS

The TG carried out a strength program with therabands®; The MG performed an exercise program of multi-callisthenics, and the CG did not carry out any physical exercise.

MEASUREMENTS

The following measurements were used: Minimental test, Pfeiffer test, SF-12, Barthel test, Five times sit-to-stand and a pressure platform.

RESULTS

The TG program generated some improvement in cognitive state and functional independence, while in the physical and mental component of the S-12, significant improvement was generated. The program undertaken by MG demonstrated a tendency to the stabilization of the above mentioned parameters, while the GC demonstrated a tendency to deterioration.

CONCLUSION

Physical exercise, whether it be the strength program, or the multi-calisthenics program, is an effective method for improving and maintaining health, cognitive state, functional independence and stability in frail-aged institutionalized people.

摘要

背景

老年人预期寿命的持续增加引起了人们对虚弱老年人及其身心健康的研究兴趣。

目的

验证两种身体锻炼计划(力量训练组-TG 和体操训练组-MG)对虚弱老年人认知状态、功能、稳定性和总体健康的不同影响。

设计

这是一项随机分组对照试验。

地点

研究在圣罗森多基金会的老年病房进行。

参与者

共有 77 名虚弱的老年住院患者(70.1%为女性,年龄 84.8±7.9 岁)参与了研究。

干预措施

TG 进行了一项带有阻力带的力量训练计划;MG 进行了一项多体操运动训练计划,CG 则不进行任何体育锻炼。

测量

使用了以下测量方法:简易精神状态检查、Pfeiffer 测试、SF-12、巴氏量表、五次坐站测试和压力平台。

结果

TG 计划在认知状态和功能独立性方面产生了一些改善,而在 S-12 的身体和心理成分方面,产生了显著的改善。MG 组的方案表现出上述参数稳定化的趋势,而 GC 组则表现出恶化的趋势。

结论

无论进行力量训练还是多体操训练,体育锻炼都是改善和维持虚弱老年人认知状态、功能独立性和稳定性以及整体健康的有效方法。

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