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新冠疫情期间老年人可持续健康促进:来自东京的经验教训。

Sustainable health promotion for the seniors during COVID-19 outbreak: a lesson from Tokyo.

作者信息

Aung Myo Nyein, Yuasa Motoyuki, Koyanagi Yuka, Aung Thin Nyein Nyein, Moolphate Saiyud, Matsumoto Hiromichi, Yoshioka Takashi

机构信息

Juntendo University, Tokyo, Japan.

Tokyo Ariake University,Tokyo, Japan.

出版信息

J Infect Dev Ctries. 2020 Apr 30;14(4):328-331. doi: 10.3855/jidc.12684.

DOI:10.3855/jidc.12684
PMID:32379708
Abstract

The COVID-19 pandemic is novel corona virus infection outbreak that has gone global in 2020. Current prevention policies consist of hand hygiene and social distancing. Emergencies overloaded health services and shocked the logistics chains in many countries, especially Italy and China. Having more than a quarter of its population being elderly, Japan is at high risk for COVID-19 induced morbidity and mortality. This situation cancelled schedules of all routine group exercise activities for the seniors in Japan. While the outbreak is ongoing, staying at home is safe. However, successive days of being house-ridden and limited movement can lead to excessive physical inactivity. Some elderly who are not moving much can lose a significant amount of muscle strength, flexibility and aerobic capacity. It can accelerate the frailty and dependency of the seniors, and subsequently, claiming of care and health services. Moreover, existing and new evidences showed that physical activity can promote antiviral immunity. An alternative to usual group exercise activities is crucial to keep seniors active without affecting social distancing. While staying at home for long, functional exercises maintaining basic level of physical activity and movements are urgently required to be introduced to the seniors in Tokyo and around the world to prevent functional decline. Home exercise is a practical option. Therefore, we made a home-version of the functional training exercise video with different sets of 10-minutes exercise for 7 days a week. This breakthrough alternative may sustain health promotion for the elderly persons to preserve their active aging and maintain optimal health.

摘要

2019年冠状病毒病(COVID-19)大流行是2020年爆发并蔓延至全球的新型冠状病毒感染疫情。当前的预防措施包括手部卫生和社交距离。疫情使许多国家的医疗服务不堪重负,并冲击了物流链,尤其是意大利和中国。日本老年人口占比超过四分之一,因此面临着较高的COVID-19发病和死亡风险。这种情况取消了日本所有针对老年人的常规集体锻炼活动计划。在疫情持续期间,待在家里是安全的。然而,连续多日居家和活动受限会导致身体过度缺乏运动。一些活动量不大的老年人可能会显著丧失肌肉力量、灵活性和有氧运动能力。这会加速老年人的身体虚弱和依赖程度,进而增加对护理和医疗服务的需求。此外,现有及新的证据表明,体育活动可以增强抗病毒免疫力。在不影响社交距离的前提下,找到常规集体锻炼活动的替代方式对于保持老年人的活力至关重要。在长时间居家期间,迫切需要向东京及世界各地的老年人介绍能维持基本身体活动水平和动作的功能性锻炼,以防止功能衰退。居家锻炼是一个切实可行的选择。因此,我们制作了一个家庭版的功能性训练锻炼视频,每周7天,每天有不同的10分钟锻炼组合。这种突破性的替代方式可能有助于促进老年人的健康,以保持他们积极老龄化并维持最佳健康状态。

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