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老年人最低运动量与后续肌肉力量和平衡之间的关联:一项前瞻性研究。

The Association between a Minimum Amount of Physical Activity and Subsequent Muscle Strength and Balance in Older Adults: A Prospective Study.

作者信息

Li Yuan-Yu, Hsueh Ming-Chun, Park Jong-Hwan, Lai Ting-Fu, Hung Yi-Chuan, Liao Yung

机构信息

Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Heping East Road Section 1, Taipei 106, Taiwan.

Graduate Institute of Sport Pedagogy, University of Taipei, No. 101, Sec. 2, Jhongcheng Rd., Shilin Dist., Taipei 11153, Taiwan.

出版信息

Behav Sci (Basel). 2023 Apr 6;13(4):316. doi: 10.3390/bs13040316.

Abstract

This study aimed to investigate the association between 15 min of daily moderate-to-vigorous physical activity (MVPA) and subsequent muscle strength and balance in older adults. Data concerning community-dwelling older Taiwanese adults (mean age, 69.5 years) were collected during the baseline period (2018) and at a 12-month follow-up survey (2019). Time spent performing MVPA was objectively assessed using a triaxial accelerometer (ActiGraph wGT3x-BT) at baseline. Upper and lower limb muscle strength were measured using handgrip strength and a five-times sit-to-stand test, respectively. Balance was assessed using a one-leg standing test. The 12-month variations in muscle strength and balance were calculated through subtracting follow-up data from baseline data. A forced entry-adjusted logistic regression analysis was conducted. In total, 65.2% of participants engaged in at least 15 min of daily MVPA in the baseline survey. After adjusting for confounders, older adults who achieved 15 min of daily MVPA during the baseline period were more likely to maintain or improve balance performance (odds ratio, 8.12). Performing 15 min of daily MVPA was found to benefit older adults' subsequent balance performance but not muscle strength.

摘要

本研究旨在调查老年人每日15分钟中等至剧烈身体活动(MVPA)与随后肌肉力量和平衡之间的关联。在基线期(2018年)和12个月随访调查(2019年)期间收集了有关台湾社区居住老年人(平均年龄69.5岁)的数据。在基线期使用三轴加速度计(ActiGraph wGT3x-BT)客观评估进行MVPA的时间。分别使用握力和五次坐立试验测量上肢和下肢肌肉力量。使用单腿站立试验评估平衡。通过从基线数据中减去随访数据来计算肌肉力量和平衡的12个月变化。进行了强制进入调整的逻辑回归分析。在基线调查中,总共65.2%的参与者每天进行至少15分钟的MVPA。在调整混杂因素后,在基线期每天达到15分钟MVPA的老年人更有可能维持或改善平衡表现(优势比,8.12)。发现每天进行15分钟MVPA有益于老年人随后的平衡表现,但对肌肉力量没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b60/10136239/ae6a9bae81cd/behavsci-13-00316-g001.jpg

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