Active use of local exercise facilities can improve physical performance of community-dwelling older adults.

Yuko Sawada, Emiko Tanaka, Etsuko Tomisaki, Taeko Watanabe, Rika Okumura, Hiroshi Kinoshita, Sumio Ito, Tokie Anme
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Abstract

[Purpose] In this study, we investigated the effects of local exercise facility use on physical function of Japanese community-dwelling older adults. [Participants and Methods] We analyzed data obtained from a cohort project initiated in 1991. The study included approximately 4,800 individuals from suburban areas of central Japan; we investigated 322 older individuals residing in Municipality A, who underwent physical fitness assessments in 2018 and 2019. We recorded participants' exercise facility use frequency and physical performance, based on handgrip strength, open-eye single-leg standing, timed up-and-go, and walking speed tests. [Results] Baseline values in the open-eye single-leg standing test were significantly higher in the no-use than in the low- and high-use groups. Follow-up assessments revealed that grip strength was significantly higher in the high-use than in the no- and low-use groups. [Conclusion] Active use of exercise facilities was positively correlated with maintenance and improvement in physical fitness among participants, which highlights the benefits of easily accessible exercise facilities in maintaining long-term physical function. Future studies should focus on functions that extend beyond physical fitness to develop effective support programs that address the evolving health needs of the aging population.

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积极使用当地的锻炼设施可以提高居住在社区的老年人的身体素质。
[目的]在这项研究中,我们调查了当地运动设施的使用对日本社区老年人身体功能的影响。[参与者和方法] 我们分析了 1991 年启动的一个队列项目中获得的数据。该研究包括来自日本中部郊区的约 4,800 人;我们调查了居住在 A 市的 322 名老年人,他们在 2018 年和 2019 年接受了体能评估。我们根据手握力、睁眼单腿站立、计时起立和步行速度测试,记录了参与者的运动设施使用频率和体能表现。[结果]不使用组的睁眼单腿站立测试基线值明显高于低使用组和高使用组。后续评估显示,高使用率组的握力明显高于无使用率组和低使用率组。[结论]积极使用运动设施与参与者体能的维持和提高呈正相关,这凸显了方便使用的运动设施对维持长期身体功能的益处。未来的研究应关注体能以外的功能,以制定有效的支持计划,满足老龄人口不断变化的健康需求。
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