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无监督低强度居家锻炼作为改善社区老年人身体活动和身体能力的有效干预措施。

Unsupervised low-intensity home exercises as an effective intervention for improving physical activity and physical capacity in the community-dwelling elderly.

作者信息

Uchida Kenichi, Hashidate Hiroyuki, Sugawara Kenichi, Nakata Tomoe, Kurosawa Chihiro, Minamimura Yukiyo, Matsuo Yuko, Yatsunami Mitsunobu

机构信息

Gratuate School of Kyorin University: 5-4-1 Shimorenjyaku, Mitaka, Tokyo 181-8612, Japan.

School of Health and Social Work, Kanagawa University of Human Services, Japan.

出版信息

J Phys Ther Sci. 2020 Mar;32(3):215-222. doi: 10.1589/jpts.32.215. Epub 2020 Mar 11.

Abstract

[Purpose] The purpose of this study was to examine the effectiveness of unsupervised low-intensity home exercises in improving physical activity and physical capacity for daily activities among the community-dwelling elderly. [Participants and Methods] We included 24 female older participants and divided them into two groups: 14 in the resistance training group and 10 in the fast walking group. The resistance training group performed shoulder joint flexion and abduction exercises using a resistance tube twice daily (in the morning and afternoon). Participants in the fast walking group walked fast for 3,000 steps once daily. Both groups continued the exercise intervention for 6 months. We measured the forced vital capacity, respiratory muscle strength, physical activity, walking distance in the 6-min walk test, grip strength, and knee extension strength before and after the intervention. [Results] The forced vital capacity significantly increased in the resistance training group, whereas the moderate-intensity physical activity time significantly increased in both groups and the vigorous-intensity physical activity time increased in the fast walking group only. We observed no intergroup differences in respiratory muscle strength, 6-min walking distance, grip strength, or knee extension strength. [Conclusion] The results of this study suggest that low-intensity home exercises can improve pulmonary function and physical activity and should be recommended for promoting health in the community-dwelling elderly.

摘要

[目的]本研究旨在探讨无监督的低强度家庭锻炼对提高社区居住老年人的身体活动能力和日常活动身体机能的有效性。[参与者与方法]我们纳入了24名老年女性参与者,并将她们分为两组:14名在阻力训练组,10名在快走组。阻力训练组每天使用阻力管进行两次肩关节屈曲和外展练习(上午和下午)。快走组的参与者每天快走3000步。两组均持续进行6个月的运动干预。我们在干预前后测量了用力肺活量、呼吸肌力量、身体活动、6分钟步行试验中的步行距离、握力和膝关节伸展力量。[结果]阻力训练组的用力肺活量显著增加,而两组的中等强度身体活动时间均显著增加,仅快走组的高强度身体活动时间增加。我们观察到两组在呼吸肌力量、6分钟步行距离、握力或膝关节伸展力量方面没有差异。[结论]本研究结果表明,低强度家庭锻炼可以改善肺功能和身体活动,应推荐用于促进社区居住老年人的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/7064349/f8a34fb01c97/jpts-32-215-g001.jpg

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