身体活动的老年妇女生理性震颤与认知功能的关系

W. Park, B. Kim, Jaesung Lee, Gyuseog Hong, Jonghoon Park
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摘要

【目的】本研究旨在比较久坐老年人和体力活动老年人的生理性震颤、握力和认知功能。[方法]24名年龄≥65岁的老年人参加本研究,分为久坐组(76.5±4.4年,n=12)和运动组(73.5±3.3年,n=12)。各组均完成认知功能评估的简易精神状态检查(MMSE)。生理震颤是用加速度计测量双手休息和左手/右手在手掌上放置1000克哑铃处于中立位置,肘关节弯曲90°。身体健康通过握力和完成短体能测试(SPPB)和6分钟步行测试来测量。[结果]运动组静止时双手及左手/右手托1000 g哑铃时的生理性震颤水平显著低于久坐组(P<0.05)。认知功能方面,运动组得分明显高于久坐组(P<0.001)。认知功能与左右握力无显著相关(左:r = 0.117, P = 0.585;右:r = 0.230, P = 0.279),静止时双手生理性震颤(左:r = -0.524, P < 0.001;右:r = -0.508, P < 0.05),左手/右手掌心各举1000 g哑铃(左:r = -0.505, P < 0.05;右:r = -0.458, P < 0.05)。[结论]手的生理性震颤有可能成为老年人认知功能的一个有用的预测指标。
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Relationship between physiological tremor and cognitive function in physically active older women
[Purpose] This study aimed to compare the physiological tremor, grip strength, and cognitive function of sedentary and physically active older adults. [Methods] Twenty-four older adults aged ≥65 years participated in this study and were divided into the sedentary (76.5±4.4 years, n=12) and physically active (73.5±3.3 years, n=12) groups. Each group completed the Mini-Mental State Examination (MMSE) for cognitive function assessment. Physiological tremor was measured using an accelerometer for both hands at rest and the left/right hand with a 1,000 g dumbbell on the palm in neutral positions and the elbow flexed at 90°. Physical fitness was measured by grip strength and completion of the Short Physical Performance Battery (SPPB) and the 6-min walk test. [Results] The physically active group showed a significantly lower level of physiological tremor in both hands at rest and the left/right hand with a 1,000 g dumbbell on the palm (P<0.05) than that in the sedentary group. For cognitive function, the physically active group showed significantly higher scores than those in the sedentary group (P<0.001). No significant correlation was found between cognitive function and left/right grip strength (left: r = 0.117, P = 0.585; right: r = 0.230, P = 0.279), physiological tremor in both hands at rest (left: r = -0.524, P < 0.001; right: r = -0.508, P < 0.05), and the left/right hand with a 1,000 g dumbbell on the palm (left: r = -0.505, P < 0.05; right: r = -0.458, P < 0.05). [Conclusion] Physiological tremor of the hands has the potential to be a useful predictor of cognitive function in older adults.
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