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长期护理机构中应对身体机能衰退的运动指南:做什么以及如何做?

Exercise Guidelines to Counteract Physical Deconditioning in Long-Term Care Facilities: What to Do and How to Do It?

作者信息

Peyrusqué Eva, Buckinx Fanny, Kergoat Marie-Jeanne, Aubertin-Leheudre Mylène

机构信息

Département des sciences de l'activité physique, Groupe de recherche en activité physique adaptée, Université du Québec à Montréal, Montréal, Québec, Canada; Centre de Recherche de l'Institut universitaire de gériatrie de Montréal, Montréal, Québec, Canada.

Centre de Recherche de l'Institut universitaire de gériatrie de Montréal, Montréal, Québec, Canada; Faculté de Médecine, département de médecine, Université de Montréal, Montréal, Québec, Canada.

出版信息

J Am Med Dir Assoc. 2023 May;24(5):583-598. doi: 10.1016/j.jamda.2023.01.015. Epub 2023 Feb 20.

DOI:10.1016/j.jamda.2023.01.015
PMID:36822232
Abstract

With age, older adults experience a decrease in muscle function and changes in body composition, which raise the risk of functional incapacity and loss of autonomy. These declines are more pronounced in older adults living in long-term care (LTC) facilities than those living in the community (ie, sarcopenia prevalence: ∼41% vs ∼10%; obesity prevalence: 30% vs17%). The main cause of these declines is chronic diseases, which are a driver of higher rates of sedentary behavior (85% of time in LTC). Exercise, however, is recognized to help counteract age-related decline, yet it is not integrated into clinical practice.

摘要

随着年龄增长,老年人会出现肌肉功能下降和身体成分变化,这增加了功能丧失和自主能力丧失的风险。与居住在社区的老年人相比,长期护理(LTC)机构中的老年人这些衰退更为明显(即肌肉减少症患病率:约41%对约10%;肥胖患病率:30%对17%)。这些衰退的主要原因是慢性病,慢性病是久坐行为发生率较高的一个驱动因素(在长期护理机构中85%的时间处于久坐状态)。然而,运动被认为有助于抵消与年龄相关的衰退,但运动并未纳入临床实践。

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