台湾南部农村社区老年人的功能体能规范：一项横断面研究。

Functional Fitness Norms of Community-Dwelling Older Adults in Southern Rural Taiwan: A Cross-Sectional Study.

作者信息

Wang Chun-Wei, Yeh Jia-Ling, Li Shuk-Fong, Chen Chun-Ming, Wang Hsiu-Hua, He Cheng-Shiun, Lin Hsin-Tzu

机构信息

Department of Sport Performance, National Taiwan University of Sport, Taichung 404401, Taiwan.

Department of Adult and Continuing Education, National Chung Cheng University, Minxiong 621301, Taiwan.

出版信息

Healthcare (Basel). 2024 Jan 15;12(2):213. doi: 10.3390/healthcare12020213.

DOI:10.3390/healthcare12020213

PMID:38255100

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10815020/

Abstract

BACKGROUND

Physical activity (PA) and functional fitness (FF) are crucial for promoting independent living and healthy aging in older adults. However, there is a lack of normative values for the Senior Fitness Test (SFT) among older adults (aged 55-90) living in southern rural Taiwan, particularly in the Chiayi region, which has been relatively underserved in terms of health-related resources compared to northern Taiwan.

PURPOSE

This study aimed to determine the age- and gender-specific normative fitness scores for a large representative population of community-dwelling older adults in southern rural Taiwan.

METHODS

A cross-sectional descriptive study was conducted to obtain normative FF scores for 3332 community-dwelling elderly people (1057 men and 2275 women) in Chiayi, through the implementation of functional fitness tests across 72 Chiayi communities. The developed normative data served as a reference for exercise prescription for the elderly in southern Taiwan.

RESULTS

The study showed that the average normative values of all functional fitness tests declined significantly with increasing age ( < 0.05). Sex differences were also found in all measures of FF tests, with elderly women scoring significantly better than men on flexibility (scratch back: -1.34 ± 9.03 vs. -6.54 ± 11.07; chair sit and reach: 6.56 ± 9.44 vs. 0.56 ± 10.40) ( < 0.05), while men scored significantly higher than women on strength (grip strength: 30.83 ± 8.06 vs. 21.82 ± 5.32; bicep curl: 19.25 ± 5.44 vs. 17.64 ± 4.98) ( < 0.05). Furthermore, four FF normative scores in southern rural Taiwan were found to be significantly higher than their counterparts living in northern Taiwan.

CONCLUSION

These findings contribute positively to the evaluation of fitness levels among older adults in southern rural Taiwan and provide a concrete reference for developing sound PA programs for this population. The results suggest that strategies aimed at promoting increased participation in PA among older adults need to consider age-, sex-, and region-specific factors.

摘要

背景

身体活动（PA）和功能性体能（FF）对于促进老年人的独立生活和健康老龄化至关重要。然而，台湾南部农村地区（55 - 90岁）的老年人，尤其是嘉义地区的老年人，缺乏针对老年人体适能测试（SFT）的标准值。与台湾北部相比，嘉义地区在健康相关资源方面相对匮乏。

目的

本研究旨在确定台湾南部农村地区大量具有代表性的社区居住老年人的年龄和性别特异性体能标准分数。

方法

进行了一项横断面描述性研究，通过在嘉义的72个社区对老年人进行功能性体能测试，获得了3332名嘉义社区居住老年人（1057名男性和2275名女性）的FF标准分数。所建立的标准数据为台湾南部老年人的运动处方提供了参考。

结果

研究表明，所有功能性体能测试的平均标准值均随年龄增长而显著下降（<0.05）。在FF测试的所有指标中也发现了性别差异，老年女性在柔韧性方面得分显著高于男性（背部抓挠：-1.34±9.03对-6.54±11.07；坐椅体前屈：6.56±9.44对0.56±10.40）（<0.05），而男性在力量方面得分显著高于女性（握力：30.83±8.06对21.82±5.32；二头肌弯举：19.25±5.44对17.64±4.98）（<0.05）。此外，发现台湾南部农村地区的四个FF标准分数显著高于居住在台湾北部的老年人。