上海体育学院学报

2020, (05) 63-69,80

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12周惯性哑铃练习对轻度认知损害老年人的干预效果
Intervention Effects of 12-week Momentum-based Dumbbell Exercise on Older Adults with Mild Cognitive Impairment

吕娇娇;黄灵燕;刘宇
LYU Jiaojiao; HUANG Lingyan; LIU Yu

摘要(Abstract):

目的 观察12周惯性哑铃练习对轻度认知损害(MCI)老年人认知功能、身体活动能力、生活质量和睡眠质量的影响,并探讨认知改善与其他功能改变之间的关系。方法 将45名MCI老年人随机分为干预组(n=22)和对照组(n=23)。干预组受试者进行惯性哑铃练习(3次/周,60 min/次,持续12周),对照组不进行运动干预。结果 12周后,干预组受试者阿尔茨海默病评定量表-认知部分(ADAS-Cog)总分/指令得分、蒙特利尔认知评估量表(MoCA)评分、起立行走计时(TUG)和SF-36健康调查问卷(SF-36)心理总得分均显著改善(均P<0.05)。与对照组相比,干预组受试者ADAS-Cog总分/单词回忆得分/注意力得分、简明精神量表(MMSE)评分、TUG和匹兹堡睡眠指数(PSQI)的改善程度均具有显著差异(P<0.05或P=0.05)。偏相关分析结果显示,SF-36心理总得分改变(r=-0.712)、PSQI改变(r=-0.380)与认知改善程度均呈显著负相关。结论 12周惯性哑铃练习可显著提高MCI老年人的认知功能,并对其移动能力、生活质量和睡眠质量具有积极影响,且心理和睡眠改变程度可能影响认知功能的改善效果。
Objectives To examine the effects of 12-week momentum-based dumbbell training on cognitive function,physical function,quality of life and sleep quality on older adults with mild cognitive impairment (MCI),and to explore the relationship among these changes. Methods Forty-five community-dwelling older adults with MCI were randomly assigned to either a dumbbell training group(DTG,n=22) or a control group (CG,n=23). Participants in the DTG participated in exercise sessions 3 times weekly for 12 weeks. Results There were significant within-group changes(improvement) in ADAS-Cog total score,instruction,MoCA and SF-36 Mental Component Summary(P<0.05).Compared to CG,participants in the DTG significantly improved in ADAS-Cog total score,word recall and attention,MMSE,TUG and PSQI(P ≤ 0.05). And the changes in SF- 36 MCS(r=-0.712) and PSQI(r=-0.380) were significantly correlated with the changes in cognitive function. Methods A 12-week momentum-based dumbbell training is effective for improving cognitive functions and has potential benefits for improving the physical function in older adults with MCI. These pre-post changes (mental and sleep condition) may influence the degree of cognitive benefits induced by training.

关键词(KeyWords): 运动干预;认知功能;身体活动能力;生活质量;睡眠质量;轻度认知损害;老年人
exercise intervention;cognitive function;physical function;quality of life;sleep quality;mild cognitive impairment;older adult

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(31701041);教育部人文社会科学研究一般项目(19YJCZH115);上海市科学技术委员会“创新行动计划”地方院校能力建设重点支撑项目(17080503200)

作者(Author): 吕娇娇;黄灵燕;刘宇
LYU Jiaojiao; HUANG Lingyan; LIU Yu

Email:

DOI: 10.16099/j.sus.2020.05.007

参考文献(References):

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