Department of Frailty Research, Research Institute, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan.
Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba 263-8522, Chiba, Japan.
Int J Environ Res Public Health. 2022 May 28;19(11):6609. doi: 10.3390/ijerph19116609.
This study presents a single-arm intervention that aimed to determine the feasibility of a three-month home-based exercise program to prevent the progression of frailty during COVID-19. We recruited four groups of Kayoi-no-ba, or community salons for frailty prevention, and a total of 69 community-dwelling older women who belonged to one of the Kayoi-no-ba in a preliminary study for a follow-up study. The intervention program was developed on the basis of the 5A approach, and the focus group by the volunteer leaders of Kayoi-no-ba. We adapted the National Center for Geriatrics and Gerontology Home Exercise Program for Older People for 10-min daily home-based exercise. For feasibility outcomes, 91.3% of the participants completed the intervention program, whereas the percentage of exercise performed was 86.5% during the intervention period. For health-related outcomes, the five times sit-to-stand test exhibited significant improvement after the intervention. The results of feasibility outcomes indicate that the program may be feasible due to the high rates of completion and exercise performed. Additionally, improvement was noted for the health indicators of the five times sit-to-stand test, which may help prevent frailty. The feasibility trial has provided the necessary data to design a future-cluster randomized controlled trial.
本研究采用单臂干预方法,旨在确定为期三个月的居家运动方案在预防 COVID-19 期间虚弱进展方面的可行性。我们招募了四组预防虚弱的社区沙龙,即 Kayoi-no-ba,以及初步研究中属于一个 Kayoi-no-ba 的 69 名社区居住的老年女性,作为后续研究的随访研究。干预方案是基于 5A 方法和 Kayoi-no-ba 志愿者领导者的焦点小组制定的。我们改编了国立老年医学和老年学中心老年人 10 分钟日常居家运动方案,以进行 10 分钟的日常居家运动。对于可行性结果,91.3%的参与者完成了干预方案,而在干预期间,运动的完成率为 86.5%。对于健康相关结果,五次坐站测试在干预后表现出显著改善。可行性结果表明,由于完成率和运动完成率较高,该方案可能是可行的。此外,五次坐站测试的健康指标也有所改善,这可能有助于预防虚弱。可行性试验为设计未来的集群随机对照试验提供了必要的数据。