Duan L L, Zhao Y B, Er Y L, Ye P P, Wang W, Gao X, Deng X, Jin Y, Wang Y, Ji C R, Ma X Y, Gao C, Zhao Y H, Zhu S Q, Su S Z, Guo X E, Peng J J, Yu Y, Yang C, Su Y Y, Zhao M, Guo L H, Wu Y P, Luo Y N, Meng R L, Xu H F, Liu H Z, Ruan H H, Xie B, Zhang H M, Liao Y H, Chen Y, Wang L H
Division of Injury Prevention and Mental Health, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Shijiazhuang People's Hospital, Shijiazhuang 050031, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Feb 10;45(2):250-256. doi: 10.3760/cma.j.cn112338-20230506-00283.
To assess the effectiveness of a 6-month Ba Duan Jin exercise program in improving the balance of community-dwelling older adults. A two arms, parallel-group, cluster randomized controlled trial was conducted in 1 028 community residents aged 60-80 years in 40 communities in 5 provinces of China. Participants in the intervention group (20 communities, 523 people) received Ba Duan Jin exercise 5 days/week, 1 hour/day for 6 months, and three times of falls prevention health education, and the control group (20 communities, 505 people) received falls prevention health education same as the intervention group. The Berg balance scale (BBS) score was the leading outcome indicator, and the secondary outcome indicators included the length of time of standing on one foot (with eyes open and closed), standing in a tandem stance (with eyes open and closed), the closed circle test, and the timed up to test. A total of 1 028 participants were included in the final analysis, including 731 women (71.11%) and 297 men (28.89%), and the age was (69.87±5.67) years. After the 3-month intervention, compared with the baseline data, the BBS score of the intervention group was significantly higher than the control group by 3.05 (95%: 2.23-3.88) points (<0.001). After the 6-month intervention, compared with the baseline data, the BBS score of the intervention group was significantly higher than the control group by 4.70 (95%: 4.03-5.37) points (<0.001). Ba Duan Jin showed significant improvement (<0.05) in all secondary outcomes after 6 months of exercise in the intervention group compared with the control group. This study showed that Ba Duan Jin exercise can improve balance in community-dwelling older adults aged 60-80. The longer the exercise time, the better the improvement.
评估为期6个月的八段锦锻炼计划对改善社区居住老年人平衡能力的效果。在中国5个省份的40个社区中，对1028名年龄在60 - 80岁的社区居民进行了一项双臂、平行组、整群随机对照试验。干预组（20个社区，523人）每周进行5天八段锦锻炼，每天1小时，持续6个月，并接受3次预防跌倒健康教育，对照组（20个社区，505人）接受与干预组相同的预防跌倒健康教育。Berg平衡量表（BBS）评分是主要结局指标，次要结局指标包括单脚站立时间（睁眼和闭眼）、前后站立姿势时间（睁眼和闭眼）、闭环测试和计时起立测试。最终分析共纳入1028名参与者，其中女性731名（71.11%），男性297名（28.89%），年龄为（69.87±5.67）岁。干预3个月后，与基线数据相比，干预组的BBS评分显著高于对照组3.05分（95%：2.23 - 3.88）（<0.001）。干预6个月后，与基线数据相比，干预组的BBS评分显著高于对照组4.70分（95%：4.03 - 5.37）（<0.001）。与对照组相比，干预组在锻炼6个月后所有次要结局指标均有显著改善（<0.05）。本研究表明，八段锦锻炼可改善60 - 80岁社区居住老年人的平衡能力。锻炼时间越长，改善效果越好。
