以柔道为基础的锻炼计划可降低社区老年人跌倒和体弱风险:可行性研究

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
A D Jadczak, M Verma, M Headland, G Tucker, R Visvanathan
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引用次数: 0

摘要

研究目的本研究旨在探讨每周两次有监督的柔道锻炼计划的可行性(包括招募、安全性和坚持性),以及该计划在八周内对年龄≥65岁的社区老年人的活动能力、平衡能力、身体表现、生活质量、跌倒恐惧和体育锻炼(包括体弱状况)的影响:设计:前-后研究:干预措施:干预措施:以柔道为基础的锻炼计划,每周两次,每次 60 分钟,为期八周:前期和后期评估包括定时上下楼(TUG)、伯格平衡量表(BBS)、短期体能测试(SPPB)、简表健康调查-36(SF-36)、国际跌倒效率量表(FES-I)以及用于测量参与者体力活动的ActivPal加速度计:大多数参与者的夏尔森合并症指数(Charlson's Comorbidity Index)得分较低(≤3)(17 人,100%),营养状况良好(16 人,94.1%),没有肌肉萎缩(16 人,94.1%),也没有认知障碍(13 人,76.5%)、焦虑或抑郁(14 人,82.4%)。10 名参与者(58.8%)不虚弱,7 名参与者为虚弱前期(41.2%)。研究结果表明,参加柔道训练八周后,参与者的身体状况明显改善(p研究结果表明,只要有密切的监督,并根据突发的健康症状对计划进行个性化调整,而且在必要的柔道垫上进行,就可以安全地为年龄≥65 岁的老年人(包括有虚弱风险的老年人)提供为期八周的柔道锻炼计划。这项以柔道为基础的锻炼计划能有效改善身体机能,具有预防跌倒和体弱风险的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Judo-Based Exercise Program to Reduce Falls and Frailty Risk in Community-Dwelling Older Adults: A Feasibility Study.

Objectives: This study aimed to explore the feasibility (including recruitment, safety and adherence) and the effects of a twice weekly supervised Judo-based exercise program over eight weeks on mobility, balance, physical performance, quality of life, fear of falling and physical activity (including by frailty status) in community-dwelling older people aged ≥65 years.

Design: Pre-post study.

Participants: A total of 17 participants (mean age 74.3±6.2; range 66-87 years; 76.5% female).

Intervention: A Judo-based exercise program conducted twice weekly for 60 minutes per session over eight weeks.

Measurements: Pre and post assessments included the Timed Up and Go (TUG); the Berg Balance Scale (BBS); the Short Physical Performance Battery (SPPB); the Short Form Health Survey-36 (SF-36); the Falls Efficiency Scale International (FES-I); and an ActivPal accelerometer to measure participants' physical activity.

Results: Most participants had low (≤3) Charlson's Comorbidity Index scores (n=17, 100%), were well nourished (n=16, 94.1%), not sarcopenic (n=16, 94.1%), and not cognitively impaired (n=13, 76.5%), anxious or depressed (n=14, 82.4%). Ten participants (58.8%) were non-frail and seven were pre-frail (41.2%). Significant improvements (p<0.05) were seen for mobility (TUG), balance (BBS) and physical performance (SPPB). Pre-frail participants showed greater improvement in mobility (TUG) than non-frail participants (p=0.020). No changes (p≥0.05) were seen in quality of life, fear of falling, or physical activity. Participants' adherence (i.e., attending sessions) was high (i.e., ≥81.2%). No serious adverse events or withdrawals were reported.

Conclusion: Findings suggest that the eight week Judo-based exercise program can be delivered safely to older adults aged ≥65 years, including those at-risk of frailty, as long as there is close supervision with individualisation of the program in response to emergent health symptoms and the program is conducted on requisite Judo mats. This Judo-based exercise program is effective in improving physical function with potential to prevent falls and frailty risk.

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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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