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首页> 外文期刊>Aging & mental health >Effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people living in residential care facilities: A cluster-randomized controlled trial.
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Effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people living in residential care facilities: A cluster-randomized controlled trial.

机译：高强度功能锻炼计划对居住在养老院中老年人的抑郁症状和心理健康的影响：一项整群随机对照试验。

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OBJECTIVES: To evaluate the effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people dependent in activities of daily living (ADL) and living in residential care facilities. METHOD: Cluster-randomized controlled study. Participants were 191 older people, aged 65-100, dependent in ADL and with Mini Mental State Examination scores between 10 and 30. One-hundred (52%) of the participants had a diagnosed dementia disorder. A high-intensity functional weight-bearing exercise programme and a control activity were performed in groups. Sessions were held five times over each two week period for three months, a total of 29 times. The outcome measures, Geriatric Depression Scale (GDS-15) and Philadelphia Geriatric Center Morale Scale (PGCMS) were blindly assessed at baseline, three and six months. RESULTS: At baseline, mean +/- SD (range) for GDS was 4.4 +/- 3.2 (0-14), and for PGCMS 11.0 +/- 3.5 (2-17). There were no significant differences in GDS or PGCMS between the exercise and the control group at the three and six month follow-ups in the total sample. Among people with dementia, there was a between-group difference at three months in PGCMS scores in favour of the exercise group. CONCLUSION: A high-intensity functional exercise programme seems generally not to influence depressive symptoms or psychological well-being among older people dependent in ADL and living in residential care facilities. An individualized and multifactorial intervention may be needed in this group. However, an exercise programme as a single intervention may have a short-term effect on well-being among people with dementia.
机译：目的：评估高强度功能锻炼计划对依赖日常生活活动（ADL）和居住在住宅护理设施中的老年人的抑郁症状和心理健康的影响。方法：集群随机对照研究。参与者为191位年龄在65至100岁之间的老年人，他们依赖于ADL，并且其迷你精神状态检查得分在10到30之间。一百（52％）位参与者被诊断出患有痴呆症。分组进行高强度功能性负重锻炼程序和控制活动。在过去的两个月中，每两周举行五次会议，共29次。在基线，三个月和六个月时，盲目评估结局指标，老年抑郁量表（GDS-15）和费城老年中心士气量表（PGCMS）。结果：在基线时，GDS的平均+/- SD（范围）为4.4 +/- 3.2（0-14），而PGCMS的平均+/- SD（范围）为11.0 +/- 3.5（2-17）。在总样本的三个月和六个月的随访中，运动与对照组之间的GDS或PGCMS没有显着差异。在痴呆症患者中，PGCMS评分在三个月内的组间差异有利于运动组。结论：高强度的功能锻炼计划似乎通常不会影响依赖ADL并居住在住宿设施中的老年人的抑郁症状或心理健康。该组可能需要个体化和多因素干预。但是，将运动计划作为一项单独的干预措施，可能会对痴呆症患者的幸福感产生短期影响。

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