Li Yue, Li Shasha, Weng Xu, Yang Xinyu, Bao Jianyi, Liao Shufang, Xi Yingxue, Song Xiaofang, Guo Guojing
Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.
Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China..
Exp Gerontol. 2025 Feb;200:112670. doi: 10.1016/j.exger.2024.112670. Epub 2025 Jan 2.
The study aimed to explore the short and long-term effects of the Vivifrail-B multicomponent exercise based on society ecosystems theory on physical function in community-dwelling frail older adults.
59 older adults were randomly assigned to the intervention (n = 30) and control (n = 29) groups. The exercise was performed thrice a week for 12 weeks, with one offline group training and two at home training. The Tilburg Frailty Indicator (TFI), the Short Physical Performance Battery (SPPB), Handgrip strength (HGS), the Physical Self-Maintenance Scale (PSMS), and the Instrumental Activities of Daily Living Scale (IADL) were assessed at baseline, 6 weeks, 12 weeks, 18 weeks, and 24 weeks. Exercise compliance assessments and satisfaction surveys were conducted at post intervention. Generalized estimating equations was used to compare outcome measures.
At T1 (6-week), SPPB (P = 0.040) and PSMS (P = 0.042) of subjects in the intervention group were statistically different from the control group. At T2 (12-week), T3 (18-week) and T4 (24-week), all variables were significantly improved compared to the control group (all, P < 0.05), except for IADL (P = 0.181, P = 0.192, P = 0.163). The short and long-term effects of the intervention were significant compared to the baseline level. However, the differences in Psychology (P = 0.699) and Society (P = 0.644) before and after the intervention were not significant.
Vivifrail-B multicomponent exercise based on society ecosystems theory improved physical function of community-dwelling frail older adults, and the older adults' exercise compliance and satisfaction were high.
本研究旨在探讨基于社会生态系统理论的Vivifrail - B多组分运动对社区体弱老年人身体功能的短期和长期影响。
59名老年人被随机分为干预组（n = 30）和对照组（n = 29）。运动每周进行三次，共12周，包括一次线下小组训练和两次居家训练。在基线、6周、12周、18周和24周时评估蒂尔堡衰弱指标（TFI）、简短身体性能测试（SPPB）、握力（HGS）、身体自我维持量表（PSMS）和日常生活活动能力量表（IADL）。干预后进行运动依从性评估和满意度调查。使用广义估计方程比较结果指标。
在T1（6周）时，干预组受试者的SPPB（P = 0.040）和PSMS（P = 0.042）与对照组有统计学差异。在T2（12周）、T3（18周）和T4（24周）时，与对照组相比，所有变量均有显著改善（均P < 0.05），IADL除外（P = 0.181、P = 0.192、P = 0.163）。与基线水平相比，干预的短期和长期效果显著。然而，干预前后心理（P = 0.699）和社会（P = 0.644）方面的差异不显著。
基于社会生态系统理论的Vivifrail - B多组分运动改善了社区体弱老年人的身体功能，且老年人的运动依从性和满意度较高。
