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一项为期 6 个月的基于家庭的远程技术解决方案实施的抗阻运动在健康老年人中的可行性和有效性研究。

Feasibility and effectiveness of a 6-month, home-based, resistance exercise delivered by a remote technological solution in healthy older adults.

机构信息

University of Verona, Department of Neurosciences, Biomedicine and Movement Sciences, 37131 Verona, Italy; University of Urbino, Department of Biomolecular Sciences, 61029 Urbino, Italy.

University of Verona, Department of Neurosciences, Biomedicine and Movement Sciences, 37131 Verona, Italy.

出版信息

Arch Gerontol Geriatr. 2024 Dec;127:105559. doi: 10.1016/j.archger.2024.105559. Epub 2024 Jul 5.

DOI:10.1016/j.archger.2024.105559
PMID:39018967
Abstract

BACKGROUND

Aging is characterized by a physiological decline in physical function, muscle mass, strength, and power. Home-based resistance training interventions have gained increasing attention from scientists and healthcare system operators, but their efficacy is yet to be fully determined.

AIMS

to verify the safety, feasibility, and efficacy of a home-based resistance training program delivered by innovative technological solution in healthy older adults.

METHODS

73 participants (36 females) were randomly allocated to either a control (C) or an intervention (I) group consisting of a 6-months home-based resistance training program delivered through an innovative technological solution, which included a wearable inertial sensor and a dedicated tablet. The safety and feasibility of the intervention were assessed by recording training-related adverse events and training adherence. Body composition, standing static balance, 10-meter walking, and loaded 5 sit-to-stand tests were monitored to quantify efficacy.

RESULTS

No adverse events were recorded. Adherence to the training program was relatively high (61 % of participants performed the target 3 sessions) in the first trimester, significantly dropping during the second one. The intervention positively affected walking parameters (p < 0.05) and maximal force (p = 0.009) while no effect was recorded on body composition, balance, and muscle power.

CONCLUSIONS

The home-based device-supported intervention was safe and feasible, positively affecting walking parameters and lower limbs' maximal force. This approach should be incentivized when barriers to participation in traditional resistance exercise programs are present.

摘要

背景

衰老的特征是身体机能、肌肉质量、力量和力量的生理性下降。基于家庭的抗阻训练干预措施引起了科学家和医疗保健系统操作人员的越来越多的关注,但它们的疗效尚未得到充分确定。

目的

验证通过创新技术解决方案提供的基于家庭的抗阻训练计划在健康老年人中的安全性、可行性和疗效。

方法

73 名参与者(36 名女性)被随机分配到对照组(C)或干预组(I),包括 6 个月的基于家庭的抗阻训练计划,通过创新的技术解决方案提供,其中包括可穿戴惯性传感器和专用平板电脑。通过记录与训练相关的不良事件和训练依从性来评估干预措施的安全性和可行性。监测身体成分、站立静态平衡、10 米步行和负载 5 次坐立试验,以量化疗效。

结果

未记录到不良事件。在第一个三个月中,对训练计划的依从性相对较高(61%的参与者完成了目标 3 次),在第二个三个月中显著下降。该干预措施对行走参数(p<0.05)和最大力(p=0.009)产生了积极影响,而对身体成分、平衡和肌肉力量没有影响。

结论

基于家庭的设备支持的干预措施是安全且可行的,对行走参数和下肢最大力产生了积极影响。当存在参与传统抗阻运动计划的障碍时,应鼓励采用这种方法。

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