Tadatoshi Inoue, Sawamura Shogo, Nakagawa Chinatsu, Sera Tatsuya, Nagai Takashi, Takenaka Takahiro, Kohiyama Kengo, Nakamura Takashi
Department of Rehabilitation, Heisei College of Health Sciences, Gifu, JPN.
Elderly Welfare Section, Ito City Hall, Ito, JPN.
Cureus. 2024 Dec 27;16(12):e76488. doi: 10.7759/cureus.76488. eCollection 2024 Dec.
The purpose of this study was to clarify the impact of an intervention combining exercise, lifestyle guidance, and community-building activities on the walking function of community-dwelling elderly individuals.
A total of 391 elderly participants (362 females, 29 males), aged 65 and above, were involved in a one-year intervention consisting of physical activities in a health exercise club, community-building activities, and dementia cafes. The walking function was assessed using an artificial intelligence (AI)-based gait analysis tool and health status was evaluated using a questionnaire. Pre- and post-intervention walking function and questionnaire scores were compared.
After the intervention, walking speed improved, and both gait regularity and left-right asymmetry also showed improvements. The questionnaire scores also improved, and the number of frail elderly individuals decreased. Walking speed improved from 3.86 seconds to 3.09 seconds, and gait regularity improved from 6.96% to 5.75%.
It is believed that muscle strength training and increased social interaction contributed to the improvement of walking function. Furthermore, community-based participatory activities played an important role in enhancing health status and psychological stability, suggesting an improvement in quality of life.
本研究的目的是阐明将运动、生活方式指导和社区建设活动相结合的干预措施对社区居住老年人步行功能的影响。
共有391名65岁及以上的老年参与者（362名女性，29名男性）参与了一项为期一年的干预活动，该活动包括在健康运动俱乐部进行体育活动、社区建设活动和开设痴呆症咖啡馆。使用基于人工智能（AI）的步态分析工具评估步行功能，并通过问卷调查评估健康状况。比较干预前后的步行功能和问卷得分。
干预后，步行速度提高，步态规律性和左右不对称性也有所改善。问卷得分也有所提高，体弱老年人的数量减少。步行速度从3.86秒提高到3.09秒，步态规律性从6.96%提高到5.75%。
据信肌肉力量训练和社交互动增加有助于步行功能的改善。此外，基于社区的参与性活动在提高健康状况和心理稳定性方面发挥了重要作用，表明生活质量有所提高。
