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保持活力,保持健康:巴塞罗那养老院中老年人身体活动水平对健康参数影响的横断面研究

Stay Active, Stay Healthy: A Cross-Sectional View of the Impact of Physical Activity Levels on Health Parameters of Older Adults Institutionalized in Nursing Homes of Barcelona.

作者信息

Rodríguez-Rodríguez Sergi, Oviedo Guillermo R, López-de-Celis Carlos, Bosch-Sabater Joan, Jovell-Fernández Esther, Pérez-Bellmunt Albert, Cuadra-Llopart Leonor, Rodríguez-Sanz Jacobo

机构信息

Department of Medicine, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain.

Actium Functional Anatomy Research Group, Sant Cugat del Vallès, 08195 Barcelona, Spain.

出版信息

Life (Basel). 2025 Mar 6;15(3):412. doi: 10.3390/life15030412.

Abstract

(1) Background: Institutionalized older adults represent a vulnerable population. It is important to understand that higher levels of physical activity in older adults are associated with less risk of cardiovascular diseases, better cognition, and lower inflammaging and sarcopenia levels. The main objective was to evaluate the differences in health parameters in institutionalized older adults who perform different levels of weekly physical activity. The secondary objective was to analyze if weekly physical activity levels are a predictor of health parameters. (2) Methods: A cross-sectional observational study was conducted in nursing homes with adults over 75 years of age. A total of 76 participants was divided into three groups based on their weekly physical exercise frequency (1 day/week, 2 days/week, and 3 days/week). We measured demographic and anthropometric variables, along with cognitive level through the Mini Exam of Lobo. Handgrip strength, leg muscle strength, and power were also evaluated, and C-reactive protein levels were assessed through blood tests. Physical performance was measured using the Short Physical Performance Battery and walking speed. (3) Results: Significant differences were found in body mass index ( < 0.01; ES = 0.96), muscular strength ( < 0.01; ES = 0.70), and power ( < 0.01; ES = 1.09), Short Physical Performance Battery ( < 0.01; ES = 1.46) and walking speed ( < 0.01; ES = 0.87), cognitive function ( < 0.01; ES = 1.21), and C-reactive protein levels ( < 0.01; ES = 1.73), favoring the group who performed 3 days/week of physical activity. (4) Conclusions: Institutionalized older adults with three days per week of physical activity have greater physical and muscle function and less cognitive decline. Three days of weekly physical activity is associated with systemic inflammation and better cognitive status in institutionalized older adults.

摘要

(1) 背景:机构养老的老年人是弱势群体。重要的是要明白,老年人较高的身体活动水平与心血管疾病风险降低、认知功能改善以及较低的炎症衰老和肌肉减少症水平相关。主要目的是评估每周进行不同水平身体活动的机构养老老年人的健康参数差异。次要目的是分析每周身体活动水平是否是健康参数的预测指标。(2) 方法:在养老院对75岁以上的成年人进行了一项横断面观察研究。根据每周体育锻炼频率(每周1天、每周2天和每周3天),将76名参与者分为三组。我们测量了人口统计学和人体测量学变量,以及通过洛波迷你测试评估的认知水平。还评估了握力、腿部肌肉力量和功率,并通过血液检测评估了C反应蛋白水平。使用简短身体功能测试电池和步行速度来测量身体表现。(3) 结果:在体重指数(<0.01;效应量=0.96)、肌肉力量(<0.01;效应量=0.70)、功率(<0.01;效应量=1.09)、简短身体功能测试电池(<0.01;效应量=1.46)和步行速度(<0.01;效应量=0.87)、认知功能(<0.01;效应量=1.21)以及C反应蛋白水平(<0.01;效应量=1.73)方面发现了显著差异,有利于每周进行3天体育活动的组。(4) 结论:每周进行三天体育活动的机构养老老年人具有更强的身体和肌肉功能,认知衰退更少。每周三天的体育活动与机构养老老年人的全身炎症和更好的认知状态相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de6e/11943667/c3516266e852/life-15-00412-g001.jpg

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