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Implication of Exercise for Healthy Longevity in Older People 运动对老年人健康长寿的影响
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000350
M. Yamada, H. Arai
As the aging population is increasing substantially worldwide, extending the healthy life expectancy of older people has become a challenging issue. The structure and function of skeletal muscle decline with age, and this change has been shown to be involved in the development of various adverse health outcomes. In recent years, sarcopenia, a disease that is associated with age-related skeletal muscle mass loss and muscle weakness, has been attracting attention, and disuse muscle atrophy is also an important condition. For these diseases, it is recommended to increase exercise and physical activity, especially resistance exercise. In addition to conducting further research, it is necessary to widely disseminate information regarding the significance of exercise and physical activity as cost-effective interventions to the general public as well as health care professionals.
随着全球人口老龄化的大幅增加,延长老年人的健康预期寿命已成为一个具有挑战性的问题。骨骼肌的结构和功能随着年龄的增长而下降,这种变化已被证明与各种不良健康后果的发展有关。近年来,肌肉减少症,一种与年龄相关的骨骼肌质量损失和肌肉无力有关的疾病,一直备受关注,废用性肌肉萎缩也是一种重要的疾病。对于这些疾病,建议增加锻炼和体育活动,尤其是抵抗力运动。除了进行进一步的研究外,有必要向公众和卫生保健专业人员广泛传播关于锻炼和体育活动作为具有成本效益的干预措施的重要性的信息。
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引用次数: 0
Effects of a Physically Active Lifestyle Modification (PALM) Program for Independent Taiwanese Older Adults 运动生活方式改变计划对台湾独立老年人之影响
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000356
Chang-Chih Kuo, Hui-Jen Shyu, Daniel Park, Pei‐Chun Tsai, Yu-Hsien Li
This pilot study investigated a manualized lifestyle-based intervention, Physically Active Lifestyle Modification (PALM) program, designed to increase physical activity in the daily life routines of Taiwanese older adults and improve their quality of life. Thirty older adults who attended a Senior Citizens Learning Camp in Taiwan participated in the program. Quantitative measures and qualitative interviews were employed to study the intervention's effect on quality of life and to capture participants' subjective experiences in the program. Results revealed significant improvement in both physical and mental component summary of the RAND 36-Item Short Form Health Survey. Interview data revealed 4 key themes: change in action, self-awareness of occupational pattern, acquisition of health information, and social participation.
本研究旨在探讨一种以生活方式为基础的人工干预,即体力活动生活方式改变(physical Active Lifestyle Modification, PALM)计划,旨在增加台湾老年人日常生活中的体力活动,并改善他们的生活质量。三十位在台湾参加长者学习营的长者参与了这个计划。采用定量测量和定性访谈来研究干预对生活质量的影响,并捕捉参与者在该计划中的主观体验。结果显示,在RAND 36项简短健康调查中,身心成分总结均有显著改善。访谈数据揭示了4个关键主题:行动改变、职业模式自我意识、健康信息获取和社会参与。
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引用次数: 1
Walking Promotes Physical Fitness of Community-Dwelling Older Adults 步行促进社区居住老年人的身体健康
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000351
Siriluk Sithichoksakulchai, Meng-Chin Chen, Kuei‐Min Chen
Physical activity is positively associated with the health of older adults. Walking is a simple activity that can be applied to older adults. This article aims to systematically review and meta-analyze the effects of walking on physical fitness in older adults. Studies were searched from 13 databases. Results showed that walking could improve aerobic endurance (21.04, 95% CI [13.82, 28.27]), lower body strength (2.77, 95% CI [1.46, 4.09]), static balance (6.07, 95% CI [3.34, 8.79]), and agility and dynamic balance (1.52, 95% CI [0.23, 2.80]). Walking is effective and should be promoted to improve the physical function of older adults.
体育活动与老年人的健康呈正相关。散步是一项简单的活动,可以应用于老年人。本文旨在系统地回顾和荟萃分析步行对老年人体质的影响。研究从13个数据库中进行了检索。结果表明,步行可提高有氧耐力(21.04,95%CI[13.82,28.27])、下半身力量(2.77,95%CI[1.46,4.09])、静态平衡(6.07,95%CI[3.34,8.79])、灵活性和动态平衡(1.52,95%CI[0.23,2.80])。步行是有效的,应促进其改善老年人的身体功能。
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引用次数: 0
Home-Based Pulmonary Rehabilitation in Aged Individuals With Lung Tumor After Thoracoscopic Surgery 老年胸腔镜术后肺肿瘤患者的家庭肺康复
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000352
Nai-Ying Kuo, Jui-Fang Liu, Hung-I Lu, C. Lo, Li-Chiu Hsien, Chia-Ling Chang, Miaoju Hsu
Background: Objective of this study was to investigate the effect of home-based pulmonary rehabilitation in older individuals with lung tumors after video-assisted thoracoscopic surgery. Method: Thirty-six subjects were recruited. The control group received standard care, whereas the experimental group underwent a 6-week home-based pulmonary rehabilitation additionally. Assessments were conducted at 2, 6, and 12 weeks after discharge from the hospital. Results: Exercise capacity significantly improved in the rehabilitation group at 2-week follow-up. Inspiratory muscle strength and lung expansion capacity significantly improved at 2- and 6-week follow-ups. Conclusion: Home-based pulmonary rehabilitation could shorten the recovery time of certain physical functions.
背景:本研究的目的是探讨家庭肺康复对老年胸腔镜手术后肺部肿瘤患者的影响。方法:招募36名受试者。对照组接受标准治疗,实验组在此基础上进行为期6周的家庭肺康复治疗。在出院后2周、6周和12周进行评估。结果:随访2周,康复组运动能力明显改善。在2周和6周的随访中,吸气肌力量和肺扩张能力显著改善。结论:家庭肺康复可缩短患者某些身体功能的恢复时间。
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引用次数: 0
Relative Importance of Physical Activity and Body Composition on Insulin Resistance in Older Adult Population 体力活动和身体成分对老年人胰岛素抵抗的相对重要性
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000358
P. Tsai, Chih-Hsuan Wang, Caralise W. Hunt, Sarah O Watts, Katilya Ware
This secondary data analysis project examined the relative importance of physical activity (PA) and body composition on homeostatic model assessment of insulin resistance (HOMA-IR) in older adults and investigated possible racial and/or ethnic differences in these relationships. The analysis included 717 participants from the 2017-2018 National Health and Nutrition Examination Survey study who were 55 years of age or older without diabetes. Results show that HOMA-IR increased with increasing levels of recreational PA, with 1 exception: HOMA-IR decreased with increasing levels of recreational PA in individuals with lower body mass index levels. Racial/ethnic differences in these relationships were identified.
该二级数据分析项目检查了身体活动(PA)和身体成分对老年人胰岛素抵抗稳态模型评估(HOMA-IR)的相对重要性,并调查了这些关系中可能存在的种族和/或民族差异。该分析包括2017-2018年国家健康和营养检查调查研究的717名参与者,他们年龄在55岁或55岁以上,没有糖尿病。结果显示,HOMA-IR随着娱乐性PA水平的增加而增加,只有1个例外:在体重指数水平较低的个体中,HOMA-IR随着娱乐型PA水平的升高而降低。确定了这些关系中的种族/民族差异。
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引用次数: 1
The Effectiveness of Short-Term Lifestyle Intervention Programs on Physical Function, Cognition, and Quality of Life Among Community Older Adults 社区老年人短期生活方式干预计划对身体功能、认知和生活质量的影响
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000357
A. Tsai, Ting-Shiuan Sun, Ming-De Chen, Chang-Chih Kuo, Pei-Chi Su, Y. Chou
The objective of this study was to explore whether (1) the 2 short-term lifestyle intervention programs (ie, lifestyle modification for the elderly [LiME] and prescription for a healthy life [PHL]) increase behavioral outcome in meaningful activity participation, and health outcomes in physical function, cognition, and health-related quality of life and (2) the multimodule program (LiME) has better outcomes? Twenty-one community older adults were recruited to join the 2 programs: 9 in LiME and 12 in PHL. Both programs conducted 12 weekly group sessions, including 1 outing. LiME showed positive within-group outcomes in physical, mental, and quality of life. PHL did not demonstrate any significant health outcome. Neither program had noted behavior outcome. The results of LiME and PHL at any time point did not show a significant between-group difference. LiME was a rarely seen short-term (3 months) lifestyle intervention program that demonstrated positive outcomes on physical function, cognition, and quality of life among community older adults.
本研究的目的是探讨(1)两项短期生活方式干预计划(即老年人生活方式改变[LiME]和健康生活处方[PHL])是否会增加有意义的活动参与的行为结果,以及身体功能、认知、,和健康相关的生活质量,以及(2)多模块计划(LiME)有更好的结果?21名社区老年人被招募加入这两个项目:9名在LiME,12名在PHL。这两个项目每周进行12次小组会议,其中包括1次外出活动。LiME在身体、心理和生活质量方面显示出积极的组内结果。PHL没有显示任何显著的健康结果。两个项目都没有注意到行为结果。LiME和PHL在任何时间点的结果都没有显示出组间的显著差异。LiME是一项罕见的短期(3个月)生活方式干预计划,在社区老年人的身体功能、认知和生活质量方面取得了积极成果。
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引用次数: 1
An Exploratory Study to Assess the Impact of a Chair-Based Dance Intervention Among Older People With Depressive Symptoms in Residential Care 一项评估以椅子为基础的舞蹈干预对有抑郁症状的老年人在住宿护理中的影响的探索性研究
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000354
Vanessa Ho, Xiang Li, Graeme Smith
Objectives: The aim of this study was to develop and evaluate the psychological impact of a chair-based dance intervention for older people with depressive symptoms in residential care in Macau. In addition, feasibility and acceptability of this complex intervention were explored. Methods: An exploratory phase quasiexperimental study with pre- and posttest intervention was used. Psychological data for the study were collected using several self-reported questionnaires, including the Geriatric Depression Scale (GDS) Short-Form, Multidimensional Scale of Perceived Social Support (MSPSS), University of California, Los Angeles Loneliness Scale (UCLA-LS), and Connor-Davidson Resilience Scale-10 item (CD-RISC-10). In addition, sociodemographic characteristics were collected from the 13 residents who fully completed the study. Results: After receiving chair-based dance intervention, the mean GDS score (P = .001), mean MSPSS score (P = .000), mean UCLA-LS score (P = .000), and mean CD-RISC-10 score (P = .012) of the group improved with statistical significance. From the scores of the primary outcome, the GDS-15, item 2 “dropped many of your activities and interests” improved the most (−46%), followed by item 5 “in good spirits” (−43%), then item 3 “life is empty” (−33%) and item 7 “feel happy” (−33%). Conclusion: Our chair-based dance intervention may have a positive effect on decreasing symptoms of depression and improving other aspects of psychological well-being in older Chinese people in long-term residential care. In addition, chair-based dance would appear to be a safe, inexpensive, feasible, and acceptable form of intervention for rehabilitation in this setting. These findings provide valuable information to inform a full randomized controlled trial.
目的:本研究旨在开发和评估以椅子为基础的舞蹈干预对澳门住院护理中有抑郁症状的老年人的心理影响。此外,还探讨了这种复杂干预措施的可行性和可接受性。方法:采用试验前和试验后干预的探索性准实验研究。该研究的心理数据是使用几种自我报告的问卷收集的,包括老年抑郁量表(GDS)简表、感知社会支持多维量表(MSPSS)、加州大学洛杉矶分校孤独感量表(UCLA-LS)和康纳·戴维森复原力量表-10项目(CD-RISC-10)。此外,还收集了13名完全完成研究的居民的社会人口学特征。结果:在接受基于椅子的舞蹈干预后,该组的平均GDS评分(P=0.001)、平均MSPSS评分(P=0.000)、平均UCLA-LS评分(P=.000)和平均CD-RISC-10评分(P=.012)均有统计学意义的改善。从主要结果的得分来看,GDS-15中,第2项“放弃了许多活动和兴趣”的改善幅度最大(−46%),其次是第5项“精神良好”(−43%),然后是第3项“生活空虚”(−33%)和第7项“感到幸福”(−33%)。结论:我们以椅子为基础的舞蹈干预可能对长期住院护理的中国老年人减少抑郁症状和改善其他方面的心理健康产生积极影响。此外,在这种情况下,以椅子为基础的舞蹈似乎是一种安全、廉价、可行和可接受的康复干预形式。这些发现为全面随机对照试验提供了有价值的信息。
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引用次数: 0
The Influence of a New Intervention Model of Community-Based Physical Fitness Exercise on the Older Adults' Adherence to Physical Activity and the Improvement of Functional Fitness 社区体适能运动干预新模式对老年人体适能坚持及功能改善的影响
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000355
Hui-Chu Hsu, Jing-Min Liang, I. Chu, Jyh-Jong Chang, Wen-Lan Wu
Purpose: This single-arm clinical study aimed to design a new exercise intervention strategy based on the transtheoretical model and discuss its influence for elders at different stages of the behavior change. Methods: Fifteen participants in the maintenance stage (MP) and 15 participants under the maintenance stage (MPb) participated in a 12-week structured exercise and a 12-week autonomous group class training. Results and Conclusions: The new intervention model successfully improved the amount, efficiency, and adherence of physical activity, and enhanced the functional fitness for both groups. The exercise behavior for MPb group successfully progressed to the next stage.
目的:本单臂临床研究旨在设计一种基于跨理论模型的新的运动干预策略,并探讨其对处于不同行为改变阶段的老年人的影响。方法:15名处于维持阶段(MP)和15名处于维持阶段(MPb)的参与者分别进行为期12周的结构化训练和为期12周的自主小组课堂训练。结果与结论:新的干预模式成功地改善了两组患者的体力活动量、效率和依从性,并增强了两组患者的功能适合度。MPb组运动行为顺利进入下一阶段。
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引用次数: 0
Multidomain Integrated Exercises Decreased the Risk of Falls of Community-Dwelling Older Adults 多领域综合锻炼降低社区老年人跌倒风险
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-04-01 DOI: 10.1097/TGR.0000000000000353
Chun-Feng Lee, S. Hsiao
Aims: To determine effects of a multidomain health promotion (MDHP) scheme for the community elderly in reducing fall risks. Methods: Database from older persons using the scheme was analyzed and categorized as high and low risk of fall groups retrospectively. The main measures included the 30-second chair-stand, 8-ft Up-and-Go, and single-leg stance tests. The effects of training were examined and compared across different age groups. Results: Balance was significantly improved in the high-risk group, especially the young-old and old-old groups. Conclusions: The MDHP program at least 1 hour per week for the older people was promising in reducing the risk of falls.
目的:确定社区老年人多领域健康促进(MDHP)计划在降低跌倒风险方面的效果。方法:对使用该方案的老年人数据库进行回顾性分析,并将其分为跌倒高危组和低危组。主要措施包括30秒的椅子站立、8英尺的上下和单腿站立测试。对不同年龄组的训练效果进行了检查和比较。结果:高风险组的平衡能力明显改善,尤其是年轻老年组和老年老年组。结论:针对老年人的MDHP计划每周至少1小时,有望降低跌倒风险。
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引用次数: 0
Correlation Analysis of Lower-Limb Muscle Function With Clinical Status, Balance Tests, and Quality of Life in People With Parkinson Disease 帕金森病患者下肢肌肉功能与临床状态、平衡测试和生活质量的相关性分析
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2022-01-01 DOI: 10.1097/TGR.0000000000000343
Rafael de Almeida Sá, A. S. Ferreira, Thiago B. N. Lemos, L. A. S. de Oliveira
Aim: To investigate the correlation of lower-limb muscle function with clinical status, balance, and quality of life in individuals with Parkinson disease (PD). Methods: Twenty-five participants were included. Outcome measures were assessed through scales and questionnaires. Quadriceps muscle function was assessed through a maximal isometric voluntary contraction. Spearman's correlation coefficient (ρ) analysis was performed. Results: Quadriceps peak force was negatively correlated with scores of the Unified Parkinson's Disease Rating Scale (UPDRS) part III (ρ= 0.610) but positively correlated with scores of the Mini-BESTest (ρ= 0.484) and the Timed Up and Go test (ρ= 0.528). The rate of force development was negatively correlated with scores of the UPDRS II (ρ=−0.437) and III (ρ=−0.577). Force variability was positively correlated with the quality of life (Parkinson's Disease Questionnaire 39; ρ= 0.455). Conclusion: Better quadriceps muscle function is associated with better clinical status, balance, and quality of life in people with PD.
目的:探讨帕金森病患者下肢肌肉功能与临床状态、平衡和生活质量的相关性。方法:25名参与者被纳入研究。通过量表和问卷对结果指标进行了评估。通过最大等长自主收缩评估股四头肌功能。进行Spearman相关系数(ρ)分析。结果:股四头肌峰值力与联合帕金森病评定量表(UPDRS)第三部分的得分呈负相关(ρ=0.610),但与Mini-BESTest(ρ=0.484)和Timed Up and Go测试(ρ=0.528)的得分呈正相关。力量发展率与UPDRS II(ρ=-0.437)和III(ρ=-0.577)的得分呈阴性相关。力量变异性与生活质量呈正相关(帕金森病问卷39;ρ=0.455)。结论:帕金森病患者股四头肌功能的改善与临床状态、平衡和生活质量的改善有关。
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引用次数: 1
期刊
Topics in Geriatric Rehabilitation
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