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八段锦锻炼对认知衰弱的社区老年人平衡功能的影响:一项随机对照试验方案。

Baduanjin exercise for balance function in community-dwelling older adults with cognitive frailty: a randomized controlled trial protocol.

机构信息

Shanghai University of Medicine and Health Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.

College of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, Shanghai, 201318, China.

出版信息

BMC Complement Med Ther. 2022 Nov 17;22(1):295. doi: 10.1186/s12906-022-03764-1.

Abstract

BACKGROUND

Balance function provides a physiological link between the physical and cognitive function, and is a potential predictor for cognitive frailty. As a gentle mind-body exercise, Baduanjin can develop flexibility and co-ordination, thus would be is helpful for the improvement of balance function. This trial will evaluate the effect of Baduanjin on balance function in older adults with CF.

METHODS/DESIGN: A total of 72 community-dwelling older adults with CF will be recruited and randomly allocated (1:1) into the Baduanjin exercise group or usual physical activity control group. All participants will undergo a health education program on nutrition and diet-related knowledge for 6 sessions (30 min per session) during the intervention period. Moreover, participants in the Baduanjin exercise group will receive a 24-week Baduanjin training course of 60 min per session and 3 sessions per week, while those in the usual physical activity control group will be required to maintain their original physical activity. Primary and secondary outcomes will be measured at baseline and after the 24-week intervention period. A mixed linear model will be constructed to analyse the intervention effects.

DISCUSSION

This protocol presents an objective design of a randomized, single-blind trial that will evaluate the effectiveness and safety of traditional Chinese mind-body exercise Baduanjin training on the balance ability of community-dwelling older adults with cognitive frailty. If the results are as expected, this trial will provide evidence of the effect of Baduanjin exercise on balance in an older community-based population.

TRIAL REGISTRATION

This trial was registered in the Chinese Clinical Trial Registry with code ChiCTR2100050857 and was approved on 5 September 2021.

摘要

背景

平衡功能为身体功能和认知功能提供了生理联系,是认知脆弱的潜在预测指标。八段锦作为一种柔和的身心锻炼方式,可以增强柔韧性和协调性,从而有助于改善平衡功能。本试验旨在评估八段锦对认知脆弱老年人平衡功能的影响。

方法/设计:共纳入 72 名社区居住的认知脆弱老年人,将其随机分配(1:1)至八段锦锻炼组或常规身体活动对照组。所有参与者将在干预期间接受 6 次(每次 30 分钟)营养和饮食相关知识健康教育课程。此外,八段锦锻炼组将接受 24 周、每周 3 次、每次 60 分钟的八段锦训练课程,而常规身体活动对照组将保持其原有的身体活动。主要和次要结局将在基线和 24 周干预后进行测量。将构建混合线性模型来分析干预效果。

讨论

本方案设计了一项随机、单盲试验,旨在评估传统中医身心锻炼八段锦训练对认知脆弱的社区居住老年人平衡能力的有效性和安全性。如果结果如预期,本试验将为八段锦运动对老年人社区人群平衡的影响提供证据。

试验注册

本试验于 2021 年 9 月 5 日在中国临床试验注册中心注册,注册号 ChiCTR2100050857,并获得批准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ed/9670484/4f7a11304fb0/12906_2022_3764_Fig1_HTML.jpg

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