日本老年人肌肉力量和运动范围的减少通过运动相关功能限制导致运动障碍:一项横断面研究。

IF 1.6 Q4 GERIATRICS & GERONTOLOGY
Journal of Aging Research Pub Date : 2021-07-07 eCollection Date: 2021-01-01 DOI:10.1155/2021/6627767
Hungu Jung, Shigeharu Tanaka, Yuji Iwamoto, Takashi Kawano, Masahiro Yamasaki, Ryo Tanaka
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引用次数: 5

摘要

背景:功能问题(损伤、功能限制和残疾)随着年龄的增长而逐渐发生。尽管如此,保持身体机能可能有助于预防老年运动障碍。本研究旨在确定肌肉力量和活动范围(ROM)的减少是否会通过运动相关功能限制导致健康老年人的运动障碍。方法:对144名参与者(61名男性,83名女性)的数据进行分析。为了评估运动障碍,使用了日本文部科学省的日常生活活动(ADLs)的运动域调查。测量肌肉力量(握力)和两个ROMs(髋关节屈曲和膝关节屈曲)。为了测量运动相关的功能限制,参与者进行了10米跨栏行走测试和侧步测试。然后,通过通径分析对假设模型进行检验。采用卡方值、拟合优度指数(GFI)、调整拟合优度指数(AGFI)、比较拟合指数(CFI)、近似均方根误差(RMSEA)等统计参数评价模型的拟合优度。结果:分析显示卡方值无统计学意义(卡方= 41.885;p=0.113), GFI(0.944)、AGFI(0.904)、CFI(0.970)、RMSEA(0.046)均较高,说明运动功能受限是由运动相关功能受限引起的,运动相关功能受限受肌力和ROM的影响。结论:本研究表明肌力和ROM的降低是通过运动相关功能受限引起运动障碍的。老年人应该参加体育锻炼计划,重点是加强肌肉和改善ROM,以抵消与年龄相关的运动障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Reductions in Muscle Strength and Range of Motion Cause Locomotion Disability via Locomotion-Related Functional Limitation in Japanese Older Adults: A Cross-Sectional Study.

Reductions in Muscle Strength and Range of Motion Cause Locomotion Disability via Locomotion-Related Functional Limitation in Japanese Older Adults: A Cross-Sectional Study.

Reductions in Muscle Strength and Range of Motion Cause Locomotion Disability via Locomotion-Related Functional Limitation in Japanese Older Adults: A Cross-Sectional Study.

Background: Functional issues (impairments, functional limitations, and disabilities) gradually occur with age. Nonetheless, maintaining physical capability may help prevent locomotion disabilities at an older age. The present study aimed to determine whether reductions in muscle strength and range of motion (ROM) cause locomotion disability via locomotion-related functional limitations among healthy older adults.

Methods: Data from a total of 144 participants (61 men, 83 women) were analyzed. To assess locomotion disability, the locomotor domain of the activities of daily living (ADLs) survey from the Ministry of Education, Culture, Sports, Science, and Technology of Japan was used. Muscle strength (grip strength) and two ROMs (hip flexion and knee flexion) were measured. To measure locomotion-related functional limitations, participants underwent a 10 m hurdle walking test and side-step test. Thereafter, path analysis was conducted for testing the hypothetical model. The goodness of fit in the model was assessed using statistical parameters, such as the chi-square value, goodness of fit index (GFI), adjusted goodness of fit index (AGFI), comparative fit index (CFI), and root mean square error of approximation (RMSEA).

Results: The analysis revealed a nonsignificant chi-square value (chi-square = 41.885; p=0.113), as well as high values of GFI (0.944), AGFI (0.904), CFI (0.970), and RMSEA (0.046), indicating that locomotion disability was caused by locomotion-related functional limitations, which were influenced by muscle strength and ROM.

Conclusions: The present study demonstrated that decreased muscle strength and ROM caused locomotion disability via locomotion-related functional limitations. Older adults should participate in physical exercise programs that focus on strengthening muscles and improving ROM to counteract age-related locomotion disability.

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来源期刊
Journal of Aging Research
Journal of Aging Research Medicine-Geriatrics and Gerontology
CiteScore
5.40
自引率
0.00%
发文量
11
审稿时长
30 weeks
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