Dr Agathe Daria Jadczak, PhD, Adelaide Geriatrics Training and Research with Aged Care (G-TRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia. Basil Hetzel Institute for Translational Health Research, 37 Woodville Rd, Woodville South, South Australia 5011, Australia. Email:
J Frailty Aging. 2024;13(1):1-9. doi: 10.14283/jfa.2023.17.
This study aimed to explore the feasibility (including recruitment, safety and adherence) and the effects of a twice weekly supervised Judo-based exercise program over eight weeks on mobility, balance, physical performance, quality of life, fear of falling and physical activity (including by frailty status) in community-dwelling older people aged ≥65 years.
Pre-post study.
A total of 17 participants (mean age 74.3±6.2; range 66-87 years; 76.5% female).
A Judo-based exercise program conducted twice weekly for 60 minutes per session over eight weeks.
Pre and post assessments included the Timed Up and Go (TUG); the Berg Balance Scale (BBS); the Short Physical Performance Battery (SPPB); the Short Form Health Survey-36 (SF-36); the Falls Efficiency Scale International (FES-I); and an ActivPal accelerometer to measure participants' physical activity.
Most participants had low (≤3) Charlson's Comorbidity Index scores (n=17, 100%), were well nourished (n=16, 94.1%), not sarcopenic (n=16, 94.1%), and not cognitively impaired (n=13, 76.5%), anxious or depressed (n=14, 82.4%). Ten participants (58.8%) were non-frail and seven were pre-frail (41.2%). Significant improvements (p<0.05) were seen for mobility (TUG), balance (BBS) and physical performance (SPPB). Pre-frail participants showed greater improvement in mobility (TUG) than non-frail participants (p=0.020). No changes (p≥0.05) were seen in quality of life, fear of falling, or physical activity. Participants' adherence (i.e., attending sessions) was high (i.e., ≥81.2%). No serious adverse events or withdrawals were reported.
Findings suggest that the eight week Judo-based exercise program can be delivered safely to older adults aged ≥65 years, including those at-risk of frailty, as long as there is close supervision with individualisation of the program in response to emergent health symptoms and the program is conducted on requisite Judo mats. This Judo-based exercise program is effective in improving physical function with potential to prevent falls and frailty risk.
本研究旨在探讨每周两次、为期八周的监督式柔道运动方案对 65 岁及以上社区居住老年人的移动能力、平衡能力、身体表现、生活质量、跌倒恐惧和身体活动（包括虚弱状况）的可行性（包括招募、安全性和依从性）和效果。
前后研究。
共有 17 名参与者（平均年龄 74.3±6.2；年龄范围 66-87 岁；76.5%为女性）。
每周两次、每次 60 分钟的柔道运动方案，持续八周。
预评估和后评估包括计时起立行走测试（TUG）；伯格平衡量表（BBS）；简短身体表现电池（SPPB）；简短健康调查 36 项（SF-36）；跌倒效率量表国际版（FES-I）；以及 ActivPal 加速度计来测量参与者的身体活动。
大多数参与者的 Charlson 合并症指数评分较低（n=17，100%），营养状况良好（n=16，94.1%），无肌肉减少症（n=16，94.1%），无认知障碍（n=13，76.5%），无焦虑或抑郁（n=14，82.4%）。10 名参与者（58.8%）无虚弱，7 名参与者为虚弱前期（41.2%）。移动能力（TUG）、平衡能力（BBS）和身体表现（SPPB）均有显著改善（p<0.05）。虚弱前期参与者的移动能力（TUG）改善程度大于无虚弱参与者（p=0.020）。生活质量、跌倒恐惧或身体活动无变化（p≥0.05）。参与者的依从性（即参加课程）很高（即≥81.2%）。没有报告严重不良事件或退出。
研究结果表明，只要对方案进行密切监督，并根据突发健康症状对方案进行个体化调整，同时在必要的柔道垫上进行，每周两次、为期八周的监督式柔道运动方案可以安全地提供给 65 岁及以上的老年人，包括有虚弱风险的老年人。该柔道运动方案能有效改善身体功能，降低跌倒风险和虚弱风险。
