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老年人中太极拳练习者与非练习者的功能体能与跌倒风险

Functional fitness and fall risk in older adults practitioners or non-practitioners of Tai Chi.

作者信息

Gómez-Campos Rossana, Vidal-Espinoza Rubén, Vega-Novoa Sebastián, Silva Ramos de Lázari Marcella, Urzua-Alul Luis, Portugal Margot Rivera, De la Torre Choque Christian, Cossio-Bolaños Marco

机构信息

Department of Physical Activity Sciences, Maule Catholic University, Talca, Chile; Faculty of Education, Psychology and Sport Sciences of the University of Huelva, Huelva.

Silva Henriquez Catholic University, Santiago.

出版信息

Eur J Transl Myol. 2023 May 18;33(2):11155. doi: 10.4081/ejtm.2023.11155.

Abstract

Tai chi is a fundamental tool that has a significant influence on balance, motor function and fear of falling among older adults. The objective of the study was to verify functional fitness and fall risk in older adults (OA) practitioners and non-practitioners of Tai Chi. An ex-post-facto study was carried out in practicing and non-practicing OA of Tai chi. The sample selection was non-probabilistic (convenience). Thirty-one adults with an age range of 65 to 80 years were studied. Two study groups were formed: Group practicing Tai Chi [GPT (n= 15 subjects)] and Group not practicing Tai Chi [GNPT (n= 16 subjects)]. Age, weight, height, waist circumference were assessed. Body mass index (BMI) and fat mass (FM) were calculated. Five functional fitness tests were assessed: biceps curl (30sec), Chair stand (30sec), agility (sec), 2min walk (#rep) and 6min-1 walk (m). Fall risk was measured using a 13-item scale. The GPT showed better performance in all five functional fitness tests (biceps curl, Chair stand, agility, 2min gait and 6min walk) compared to the GPT. The effect size (ES: 0.20 to 0.48) and Cohen's d ( 0.39 to 1.10) between both groups were medium to large. There were also differences between the mean values in fall risk between both groups (GNPT: 2.1±1.7points and GNPT: 4.7±1.9points, p<0.05). This study demonstrated that the group of OA practicing Tai Chi presented better levels of functional fitness and less risk of falling in relation to their counterparts who did not practice Tai Chi. These results suggest including this type of old-time exercise in physical activity programs that promote functional fitness wellness and fall prevention among OA.

摘要

太极拳是一种对老年人的平衡能力、运动功能和跌倒恐惧有重大影响的基础工具。本研究的目的是验证太极拳练习者和非练习者中老年人的身体功能适应性和跌倒风险。对太极拳练习和不练习的老年人进行了事后回溯研究。样本选择为非概率性(便利抽样)。研究了31名年龄在65至80岁之间的成年人。形成了两个研究组:太极拳练习组[GPT(n = 15名受试者)]和非太极拳练习组[GNPT(n = 16名受试者)]。评估了年龄、体重、身高、腰围。计算了体重指数(BMI)和脂肪量(FM)。评估了五项身体功能适应性测试:二头肌卷曲(30秒)、椅子站立(30秒)、敏捷性(秒)、2分钟步行(步数)和6分钟步行(米)。使用13项量表测量跌倒风险。与GNPT相比,GPT在所有五项身体功能适应性测试(二头肌卷曲、椅子站立、敏捷性、2分钟步态和6分钟步行)中表现更好。两组之间的效应量(ES:约0.20至0.48)和科恩d值(约0.39至1.10)为中等至较大。两组之间的跌倒风险平均值也存在差异(GNPT:2.1±1.7分,GPT:4.7±1.9分,p<0.05)。本研究表明,与不练习太极拳的同龄人相比,练习太极拳的老年人群体具有更好的身体功能适应性水平和更低的跌倒风险。这些结果表明,应将这类传统运动纳入促进老年人身体功能健康和预防跌倒的体育活动计划中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10388594/abe9b8d5bcba/ejtm-33-2-11155-g001.jpg

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