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Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

机译:长期实力和平衡培训预防老年人肌肉力量和流动性下降

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Background Reductions in muscle strength and poor balance may lead to mobility limitations in older age. Aims We assessed the effects of long-term once-weekly strength and balance training (SBT) on muscle strength and physical functioning in a community-based sample of older adults. Methods 182 individuals [130 women and 52 men, mean age 80 (SD +/- 3.9) years] underwent supervised SBT as part of the Geriatric Multidisciplinary Strategy for the Good Care of the Elderly study. Training was offered once a week for 2.3 years. Isometric knee extension and flexion strength, chair rise, maximal walking speed, timed up and go (TUG) and Berg Balance Scale (BBS) were measured at baseline, after 2-year training and at post intervention follow-up. A linear mixed model was used to examine the change in physical functioning over time. Results During the intervention, both women (2.5 s, p < 0.001) and men (1.4 s, p = 0.013) improved their chair rise capacity. Women's knee extension and flexion strength improved by 14.1 N (p = 0.003) and 16.3 N (p < 0.001), respectively. Their maximal walking speed also improved by 0.08 m/s (p < 0.001). In men, no changes in muscle strength or walking speed occurred during training or follow-up. No changes in BBS and TUG were observed at the end of the intervention, but decrease in BBS was observed at post-intervention follow-up in men. Conclusions In community-dwelling older adults with variety in health and functioning supervised strength and balance training once a week may help to prevent age-related decline in mobility and muscle strength.
机译:背景下减少肌肉力量和平衡差可能导致年龄较大的流动限制。目的是我们评估了长期曾经每周的强度和平衡训练(SBT)对肌肉力量和体力运作的影响,在较老年人的社区样本中。方法182个个人[130名妇女和52名男性,意思是80岁(SD +/- 3.9)岁]接受了监督SBT作为老年人学习优质监护的老年多学科战略的一部分。培训每周提供一次2.3岁。在2年后的培训和干预后续行动后,在基线上测量等距膝关节延伸和屈曲强度,椅子上升,最大步行速度,定时和去(Tug)和Berg平衡量表(BBS)。线性混合模型用于检查随时间的物理功能的变化。结果在干预过程中,女性(2.5秒,P <0.001)和男性(1.4秒,P = 0.013)改善了他们的椅子上升能力。妇女的膝盖延伸和屈曲强度分别改善了14.1 n(p = 0.003)和16.3 n(p <0.001)。它们的最大步行速度也提高了0.08 m / s(p <0.001)。在男性中,在训练或随访期间没有发生肌肉力量或步行速度的变化。在干预结束时没有观察到BBS和拖动的变化,但在男性的干预后随访中观察到BBS的降低。在社区住宅的结论中,在健康和运作的各种繁体中的老年人,每周一次有助于防止有效的流动性和肌肉力量的年龄相关的下降。

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