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身体、认知和社会衰弱与中等至剧烈强度的运动性和非运动性身体活动之间的关系。

Relationships between physical, cognitive, and social frailty and locomotive and non-locomotive physical activity of moderate to vigorous intensity.

作者信息

Tsujishita Soma, Nagamatsu Masaki, Sanada Kiyoshi

机构信息

Department of Physical Therapy, Faculty of Rehabilitation, Kobe International University: 9-1-6 Koyocho-naka, Higashinada-ku, Kobe, Hyogo 658-0032 Japan.

Organization of Science and Technology, Faculty of Research, Ritsumeikan University, Japan.

出版信息

J Phys Ther Sci. 2023 Jun;35(6):426-434. doi: 10.1589/jpts.35.426. Epub 2023 Jun 1.

Abstract

[Purpose] The purpose of this study was to examine the relationships between physical, cognitive, and social frailty and locomotive and non-locomotive physical activity of moderate to vigorous intensity in community-dwelling older adults and to explore effective intervention methods for preventing frailty. [Participants and Methods] Participants were 82 community-dwelling Japanese older males and females. Measurement items included basic information (age, gender, height, weight, body mass index, and the number of underlying diseases), physical activity, and assessment of physical, cognitive, and social frailty. Associations of physical, cognitive, and social frailty with physical activity were analyzed by group comparisons and multivariate analyses. [Results] The comparisons of physical activity indices for each frailty type revealed that physical frailty was associated with the number of steps and locomotive physical activity of moderate to vigorous intensity, whereas cognitive frailty and social frailty were not. Two overlapping types of frailty were associated with locomotive physical activity. When adjusted for age and gender, step counts and locomotive physical activity were each associated with physical frailty. [Conclusion] Future interventions to increase step counts and locomotive physical activity of moderate to vigorous intensity may be effective for preventing physical frailty; however, interventions other than simple physical activity need to be considered for the prevention of cognitive and social frailty.

摘要

[目的] 本研究旨在探讨社区居住的老年人身体、认知和社会衰弱与中等至剧烈强度的 locomotive 和非 locomotive 身体活动之间的关系,并探索预防衰弱的有效干预方法。[参与者与方法] 参与者为 82 名居住在社区的日本老年男性和女性。测量项目包括基本信息(年龄、性别、身高、体重、体重指数和基础疾病数量)、身体活动以及身体、认知和社会衰弱评估。通过组间比较和多变量分析来分析身体、认知和社会衰弱与身体活动之间的关联。[结果] 对每种衰弱类型的身体活动指数进行比较后发现,身体衰弱与步数以及中等至剧烈强度的 locomotive 身体活动相关,而认知衰弱和社会衰弱则不然。两种重叠的衰弱类型与 locomotive 身体活动相关。在对年龄和性别进行调整后,步数和 locomotive 身体活动各自与身体衰弱相关。[结论] 未来增加步数和中等至剧烈强度的 locomotive 身体活动的干预措施可能对预防身体衰弱有效;然而,预防认知和社会衰弱需要考虑除简单身体活动之外的其他干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/10231973/c6e6acc22713/jpts-35-426-g001.jpg

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