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家庭物理锻炼可改善老年人的功能性移动能力和生活质量:一项 CONSORT 前瞻性、随机对照临床试验。

Home physical exercise improves functional mobility and quality of life in the elderly: A CONSORT-prospective, randomised controlled clinical trial.

机构信息

Bahiana School of Medicine and Public Health, Salvador, Brazil.

Department of Education (DEDC-VII), UNEB, University of the State of Bahia, Senhor do Bonfim, Brazil.

出版信息

Int J Clin Pract. 2021 Aug;75(8):e14347. doi: 10.1111/ijcp.14347. Epub 2021 Jun 4.

DOI:10.1111/ijcp.14347
PMID:33977587
Abstract

AIMS

To test the hypothesis of a semi-supervised home physical exercise programme that is likely to improve the functional mobility and quality of life (QOL) of elderly in the community.

METHODS

This trial included elderly adults (88% female) aged 60 years or older and who were sedentary and without cognitive decline. The participants were randomly assigned to an intervention group (IG, home physical exercise and sleep hygiene) and a control group (CG, sleep hygiene). The International Questionnaire on Physical Activity, mental state mini-exam, World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) and the Timed Up and Go (TUG) tests were conducted before and after the 12-week intervention period.

RESULTS

The study was concluded with 125 elderly participants. Anthropometric data were indicative of pre-obesity, with a mean body mass index of 27.3 ± 4, a low-income socio-economic profile (78% ≤ 2 SM) and low schooling rates (76% ≤ 3 years of study). Most of the elderly (87%) were considered physically active with IPAQ > 150 min/week. The group of elderly people who performed the home physical exercise programme showed a significant improvement in functional mobility according to the time of execution of the TUG test before (9.1 ± 2) and after (7.1 ± 1) with an average reduction of 2 ± 1 s (P < .01). The difference in the QOL of the elderly who participated in the exercise protocol was also observed, verified through the WHOQOL-OLD global score, which presented an initial score of 85 ± 10, changing to 90.4 ± 9 after the intervention.

CONCLUSION

Semi-supervised physical home exercise is safe and effective in improving the functional mobility and QOL of sedentary elderly people in the community.

摘要

目的

检验半监督家庭体育锻炼方案的假设,即该方案可能提高社区内老年人的功能性移动能力和生活质量(QOL)。

方法

本试验纳入了年龄在 60 岁及以上、久坐且无认知能力下降的老年成年人(88%为女性)。参与者被随机分配到干预组(IG,家庭体育锻炼和睡眠卫生)和对照组(CG,睡眠卫生)。在 12 周干预期前后进行了国际体力活动问卷、精神状态迷你考试、世界卫生组织生活质量测定量表 - 老年人模块(WHOQOL-OLD)和计时起立行走(TUG)测试。

结果

本研究最终纳入了 125 名老年人。人体测量数据表明存在前肥胖,平均体重指数为 27.3±4,社会经济状况较差(78%≤2 个 SM)和受教育程度较低(76%≤3 年)。大多数老年人(87%)被认为具有身体活动能力,IPAQ>150 分钟/周。进行家庭体育锻炼方案的老年人组在 TUG 测试的执行时间上(9.1±2 秒和 7.1±1 秒)显示出功能性移动能力的显著改善,平均减少 2±1 秒(P<0.01)。参与锻炼方案的老年人的 QOL 也有差异,通过 WHOQOL-OLD 总体评分得到验证,初始评分为 85±10,干预后变为 90.4±9。

结论

半监督家庭体育锻炼安全且有效,可提高社区内久坐老年人的功能性移动能力和生活质量。

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