The Effect of Strength Training on the Quality of Life and Cognitive Functions of Elderly People

Ernesta Klimavičiūtė, Sandra Naujalė, Lina Mickevičienė, Erika Krasinskė, Margarita Drozdova – Statkevičienė, Vida Janina Česnaitienė1
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Abstract

Background: The evidence from research shows positive effects of physical exercise, both aerobic and resistance training, and their combination, on cognitive performance. Possible biological mechanisms that may underlie the effectiveness of physical exercise include increased blood flow in the brain, changes in neurotransmitter release, and the process of neurogenesis (Sumińska, 2021). However, there is still a lack of sufficient research on the relationship of physical exertion and aging, and their interaction. New research is looking for the best tools and methods to improve the quality of life of older people.   Methods: This study evaluated 65 non-exercising men over the age of 60. The participants were divided into groups of restricted blood flow training (BFRT), concentric training (MDRT) and control groups. Strength training in which leg pressing, leg bending and leg extension exercises were performed lasted 12 weeks. The short version of the World Health Organization (WHO 100) Quality of Life Questionnaire was used to assess quality of life, the subjects’ physical abilities were evaluated using the Fullerton Test set, and ANAM4 cognitive function tests were used to assess cognitive functions   Results: When comparing restricted blood flow, concentric training and control groups, the results of the functional test evaluation were improved statistically significantly: standing and walking, standing up from a chair (p<.001). The result of the hand grip test did not change significantly. The results of the quality of life assessment deteriorated statistically significantly in all the groups: in the areas of physical health, social relations and environment (p <.001), and in the area of psychological health (p=0.001). When evaluating cognitive functions we found that only inhibition function (Go/No Go) improved significantly (p<.001).   Conclusion: The study found that regardless of the type of strength training, the quality of life of elderly did not improve. Both types of training resulted in statistically significant improvements in cognitive inhibitory function in older adults.    Keywords: strength training, elderly, aging, cognitive function, life quality
力量训练对老年人生活质量和认知功能的影响
背景:研究证据表明,体育锻炼(有氧运动和阻力训练)及其组合对认知能力有积极影响。体育锻炼有效的可能生物机制包括增加大脑血流量、改变神经递质释放和神经发生过程(Sumińska,2021 年)。然而,对于体力消耗与衰老的关系及其相互作用,目前仍缺乏足够的研究。新的研究正在寻找提高老年人生活质量的最佳工具和方法。 研究方法这项研究对 65 名 60 岁以上不锻炼的男性进行了评估。参与者被分为限制性血流训练(BFRT)组、同心训练(MDRT)组和对照组。力量训练包括压腿、屈腿和伸腿练习,为期 12 周。采用世界卫生组织(WHO)100 生活质量问卷的简短版本评估生活质量,采用 Fullerton 测试套件评估受试者的体能,采用 ANAM4 认知功能测试评估认知功能:限制血流组、同心训练组和对照组相比,功能测试评估结果在统计学上有显著改善:站立和行走、从椅子上站起(P<.001)。手部握力测试结果没有明显变化。所有组别的生活质量评估结果在统计学上都明显下降:身体健康、社会关系和环境方面(p <.001),心理健康方面(p=0.001)。在评估认知功能时,我们发现只有抑制功能(Go/No Go)有明显改善(p<.001)。 结论研究发现,无论进行哪种类型的力量训练,老年人的生活质量都没有得到改善。两种类型的训练都能使老年人的认知抑制功能得到统计学意义上的改善。 关键词:力量训练;老年人;老龄化;认知功能;生活质量
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