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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
引用本文:吕娇娇,黄灵燕,刘宇.12周惯性哑铃练习对轻度认知损害老年人的干预效果[J].上海体育学院学报,2020(5):63-69,80.
作者姓名:吕娇娇  黄灵燕  刘宇
作者单位:上海体育学院运动健身科技省部共建教育部重点实验室
基金项目: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)。
摘    要: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。

关 键 词: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

Intervention Effects of 12-week Momentum-based Dumbbell Exercise on Older Adults with Mild Cognitive Impairment
LYU Jiaojiao,HUANG Lingyan,LIU Yu.Intervention Effects of 12-week Momentum-based Dumbbell Exercise on Older Adults with Mild Cognitive Impairment[J].Journal of Shanghai Physical Education Institute,2020(5):63-69,80.
Authors:LYU Jiaojiao  HUANG Lingyan  LIU Yu
Institution:(MOE Key Laboratory for Sport and Exercise Technology,Shanghai University of Sport,Shanghai 200438,China)
Abstract: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.Conclusions 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.
Keywords:exercise intervention  cognitive function  physical function  quality of life  sleep quality  mild cognitive impairment  older adult
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