摘要
背景:老年衰弱综合征(Frailty)是机体衰老过程和某些慢性疾病相互作用的结果,会使老年人因机体功能减退而增加残疾和其他不良后果的风险。运动被认为是老年人对抗衰弱综合征相关身体损伤的主要策略之一,但实际生活中多数老年衰弱患者并未进行系统运动干预。目的:阐述不同运动改善老年衰弱综合征的研究进展,为不同状态老年人运动预治衰弱提供参考和依据。方法:以“衰弱、衰老、运动、体力活动、多组分干预”及“Exercise,Physical activity,Frailty,aging,Multi-Component Intervention”分别作为中、英文关键词检索PubMed、Web of Science、CNKI、VIP和万方数据库,对入选的72篇文献进行归纳总结。结果与结论:①在适合老年衰弱综合征的运动形式中,有氧运动是基础,力量训练是核心,爆发力训练和柔韧训练是辅助,平衡训练和虚拟训练是补充,综合运用多种训练方式的多组分运动干预策略是衰弱老年人运动防治的最佳选择。②针对强健老年人选用有氧训练和力量训练为主,平衡训练、柔韧训练、爆发力训练为辅的运动形式;针对衰弱前期老年人选用以力量训练和有氧运动为主,平衡训练、柔韧训练、爆发力训练为辅的运动形式;针对衰弱期老年人选用多组分训练,包括力量、耐力、爆发力、平衡、柔韧训练等;针对住院老年人选用以力量训练为主,有氧训练、虚拟训练、平衡和柔韧训练为辅的运动形式。③同时,对于不同状态老年人,随着衰弱程度的增加,运动强度逐渐降低,运动时间逐渐减少。
BACKGROUND:Frailty is the result of the interaction between aging process and some chronic diseases,which increases the risk of disability and other adverse consequences due to the decline of body function.Exercise is considered to be one of the main strategies for the elderly to fight against physical injury related to frailty,but most elderly patients with frailty do not carry out any systematic exercise intervention.OBJECTIVE:To describe the research progress of different exercises in improving frailty syndrome in the elderly,thereby providing reference and basis for the pre-treatment of frailty by exercise in the elderly in different states.METHODS:A computer-based search of PubMed,Web of Science,CNKI,VIP and WanFang databases was performed for relevant articles using“exercise,physical activity,frailty,aging,multi-component intervention”as keywords in Chinese and English.Finally,72 selected articles were summarized.RESULTS AND CONCLUSION:Among the exercise forms suitable for frailty syndrome in the elderly,aerobic training is the foundation,strength training is the core,power training and flexibility training are auxiliary,and balance training and virtual training are supplementary.Multicomponent exercise interventions are the best choice in the elderly.For the healthy elderly,aerobic and strength trainings are the main forms of exercise,supplemented by balance training,flexibility training and power training.For the elderly at the early stage of frailty,strength and aerobic trainings are the main forms of exercise,supplemented by balance training,flexibility training and power training.For the elderly with frailty,multicomponent interventions involving strength,endurance,power,balance and flexibility trainings were preferred.For the elderly inpatients,strength training is the main form of exercise,and aerobic,virtual,balance and flexibility trainings as the auxiliary forms of exercise are selected.With the increase of frailty,exercise intensity and exercise time should gradually decrease in the elderly i
作者
赵永军
王伟
白涛
李建英
Zhao Yongjun;Wang Wei;Bai Tao;Li Jianying(Department of Physical Education,Lyuliang University,Lyuliang 033000,Shanxi Province,China;Institute of Sports Science,Shanxi University,Taiyuan 030000,Shanxi Province,China;Department of Neurology,Lyuliang People’s Hospital,Lyuliang 033000,Shanxi Province,China;Department of Internal Medicine,Lyuliang Hospital of Traditional Chinese Medicine,Lyuliang 033000,Shanxi Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2023年第26期4246-4253,共8页
Chinese Journal of Tissue Engineering Research
基金
吕梁市科技局重点研发计划资助(2021SHFZ-1-30),项目负责人:赵永军
山西省2022年博士后专项补助经费资助,项目负责人:赵永军。
关键词
老年人群
衰老
衰弱
运动
体力活动
多组分干预
研究进展
elderly population
aging
frailty
exercise
physical activity
multicomponent intervention
research progress
