Functional-task exercise versus resistance strength exercise to improve daily function in older women: A randomized, controlled trial

被引:172
作者
de Vreede, PL
Samson, MM
van Meeteren, NLU
Duursma, SA
Verhaar, HJJ
机构
[1] Univ Med Ctr, Dept Geriatr Med, Mobil Lab, NL-3508 GA Utrecht, Netherlands
[2] Univ Med Ctr, Dept Neurol & Neurosurg, Rudolf Magnus Inst Neurosci, NL-3508 GA Utrecht, Netherlands
[3] Acad Hlth Sci, Dept Physiotherapy, Utrecht, Netherlands
关键词
exercise; elderly; physical function; muscle strength;
D O I
10.1111/j.1532-5415.2005.53003.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVES: To determine whether a functional-task exercise program and a resistance exercise program have different effects on the ability of community-living older people to perform daily tasks. DESIGN: A randomized, controlled, single-blind trial. SETTING: Community leisure center in Utrecht, the Netherlands. PARTICIPANTS: Ninety-eight healthy women aged 70 and older were randomly assigned to the functional-task exercise program (function group, n=33), a resistance exercise program (resistance group, n=34), or a control group (n=31). Participants attended exercise classes three times a week for 12 weeks. MEASUREMENTS: Functional task performance (Assessment of Daily Activity Performance (ADAP)), isometric knee extensor strength (IKES), handgrip strength, isometric elbow flexor strength (IEFS), and leg extension power were measured at baseline, at the end of training (at 3 months), and 6 months after the end of training (at 9 months). RESULTS: The ADAP total score of the function group (mean change 6.8, 95% confidence interval (CI)=5.2-8.4) increased significantly more than that of the resistance group (3.2, 95% CI=1.3-5.0; P=.007) or the control group (0.3, 95% CI=-1.3-1.9; P<.001). Moreover, the ADAP total score of the resistance group did not change significantly compared with that of the control group. In contrast, IKES and IEFS increased significantly in the resistance group (12.5%, 95% CI=3.8-21.3 and 8.6%, 95% CI=3.1-14.1, respectively) compared with the function group (-2.1%, 95% CI=-5.4-1.3; P=.003 and 0.3%, 95% CI=-3.6-4.2; P=.03, respectively) and the control group (-2.7%, 95% CI=-8.6-3.2, P=.003 and 0.6%, 95% CI=-3.4-4.6; P=.04, respectively). Six months after the end of training, the increase in ADAP scores was sustained in the function group (P=.002). CONCLUSION: Functional-task exercises are more effective than resistance exercises at improving functional task performance in healthy elderly women and may have an important role in helping them maintain an independent lifestyle.
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页码:2 / 10
页数:9
相关论文
共 38 条
[31]   The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults [J].
Pollock, ML ;
Gaesser, GA ;
Butcher, JD ;
Després, JP ;
Dishman, RK ;
Franklin, BA ;
Garber, CE .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1998, 30 (06) :975-991
[32]   Factors associated with exercise adherence among older adults - An individual perspective [J].
Rhodes, RE ;
Martin, AD ;
Taunton, JE ;
Rhodes, EC ;
Donnelly, M ;
Elliot, J .
SPORTS MEDICINE, 1999, 28 (06) :397-411
[33]   Concurrent validation of the OMNI perceived exertion scale for resistance exercise [J].
Robertson, RJ ;
Goss, FL ;
Rutkowski, J ;
Lenz, B ;
Dixon, C ;
Timmer, J ;
Frazee, K ;
Dube, J ;
Andreacci, J .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2003, 35 (02) :333-341
[34]   Specificity and reversibility of inspiratory muscle training [J].
Romer, LM ;
McConnell, AK .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2003, 35 (02) :237-244
[35]   Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men [J].
Rubenstein, LZ ;
Josephson, KR ;
Trueblood, PR ;
Loy, S ;
Harker, JO ;
Pietruszka, FM ;
Robbins, AS .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2000, 55 (06) :M317-M321
[36]   Relationships between physical performance measures, age, height and body weight in healthy adults [J].
Samson, MM ;
Meeuwsen, IBAE ;
Crowe, A ;
Dessens, JAG ;
Duursma, SA ;
Verhaar, HJJ .
AGE AND AGEING, 2000, 29 (03) :235-242
[37]  
Schmidt R. A., 1999, Motor Control and Learning: A Behavioral Emphasis, V3, P285
[38]   EFFECTS OF RESISTANCE TRAINING ON STRENGTH, POWER, AND SELECTED FUNCTIONAL ABILITIES OF WOMEN AGED 75 AND OLDER [J].
SKELTON, DA ;
YOUNG, A ;
GREIG, CA ;
MALBUT, KE .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (10) :1081-1087