目的:本研究旨在探索可行性(包括招聘,安全性和依从性)以及在八周内每周两次监督的基于柔道的锻炼计划对机动性的影响,balance,物理性能,生活质量,在社区居住的年龄≥65岁的老年人中,对跌倒和身体活动的恐惧(包括虚弱状态)。
方法:研究前。
方法:共有17名参与者(平均年龄74.3±6.2;范围66-87岁;76.5%为女性)。
方法:一项以柔道为基础的锻炼计划,在八周内每周进行两次,每次60分钟。
方法:前后评估包括定时起跑(TUG);Berg平衡量表(BBS);短物理性能电池(SPPB);简短形式健康调查-36(SF-36);国际瀑布效率量表(FES-I);和Activpal加速度计,用于测量参与者的身体活动。
结果:大多数参与者的Charlson合并症指数得分较低(≤3)(n=17,100%),营养良好(n=16,94.1%),不是肌少症(n=16,94.1%),并且没有认知障碍(n=13,76.5%),焦虑或抑郁(n=14,82.4%)。10名参与者(58.8%)不虚弱,7名参与者虚弱前(41.2%)。运动能力(TUG)显著改善(p<0.05),平衡(BBS)和物理性能(SPPB)。与不虚弱的参与者相比,虚弱的参与者在流动性(TUG)方面表现出更大的改善(p=0.020)。生活质量没有变化(p≥0.05),害怕跌倒,或身体活动。参与者坚持(即,参加会议)很高(即,≥81.2%)。没有严重不良事件或退出报告。
结论:研究结果表明,基于柔道的八周锻炼计划可以安全地提供给年龄≥65岁的老年人,包括那些有脆弱风险的人,只要有对程序个性化的密切监督,以应对紧急健康症状,并且该程序是在必要的柔道垫上进行的。这种以柔道为基础的锻炼计划可有效改善身体功能,并有可能预防跌倒和虚弱风险。
OBJECTIVE: 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.
METHODS: Pre-post
study.
METHODS: A total of 17 participants (mean age 74.3±6.2; range 66-87 years; 76.5% female).
METHODS: A Judo-based exercise program conducted twice weekly for 60 minutes per session over eight weeks.
METHODS: 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.
CONCLUSIONS: 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.