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Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults

机译:自我管理小组锻炼可延长体弱的社区老年人的健康寿命

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摘要

Preventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious problem, because the LTCI service requirement certification is equivalent to disability. The aim of this study was to evaluate the effect of a self-management group intervention on new LTCI service requirement certifications in community-dwelling older adults in Japan. We analyzed the cohort data from a prospective study. In this study, we recruited community-dwelling adults aged 65 years and older who were independent in a city in Kyoto prefecture in 2012. The subjects in the participation group (n = 1620) attended 60-min group training sessions once or twice every two weeks from December 2012 to December 2016. The exercise sessions consisted of mild-intensity aerobic exercise, mild strength training, flexibility and balance exercises, and cool-down activities. These exercise classes were facilitated by well-trained volunteer staff. The outcome measure was the number of new LTCI requirement certifications during a four-year follow-up period. During the four-year follow-up period, 247 subjects (15.2%) in the participation group and 334 (20.6%) in the control group were newly certified for LTCI service requirements. The hazard ratio for new LTCI service requirements in the participation group compared with the control group was 0.73 (95% CI = 0.62–0.86) in the four-year follow-up period. These results indicate the usefulness of self-management group exercise to reduce the incidence of disability in older adults. Thus, increasing self-management group activities in each community should be encouraged.
机译:在日本等人口众多的老年人口中,防止衰弱及其对健康的不良影响至关重要。自从推出长期护理保险(LTCI)系统以来,具有LTCI服务要求的合格老年人的数量一直在增加。这是一个严重的问题,因为LTCI服务要求认证等同于残疾。这项研究的目的是评估自我管理团体干预对日本社区居住的老年人中新的LTCI服务要求认证的影响。我们分析了一项前瞻性研究的队列数据。在这项研究中,我们招募了2012年在京都府城市中独立的65岁及65岁以上的社区居民。参与组(n = 1620)的受试者每两个参加一次或两次60分钟的小组培训从2012年12月到2016年12月,为期数周。锻炼课程包括轻度有氧运动,轻度力量训练,柔韧性和平衡性锻炼以及降温活动。这些训练班是由训练有素的志愿者提供的。结果度量是在四年的跟踪期内新的LTCI要求认证的数量。在四年的跟踪期内,参与组的247名受试者(15.2%)和对照组的334名受试者(20.6%)获得了LTCI服务要求的最新认证。在四年的随访期内,参与组与对照组相比,新的LTCI服务要求的危险比为0.73(95%CI = 0.62-0.86)。这些结果表明,自我管理小组运动对降低老年人残疾的发生率是有用的。因此,应鼓励在每个社区中增加自我管理小组的活动。

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