Effects of Interactive Exergame on Sarcopenia in Community-Dwelling Older Adults: A Pilot Study

杜亞璇; 王詩柏; 李淑君

doi:10.6540/NTJN.202303_25(1).0003

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P23 - 33

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6540/NTJN

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Effects of Interactive Exergame on Sarcopenia in Community-Dwelling Older Adults: A Pilot Study

互动式体感游戏改善社区长者肌少症之前驱研究

Ya-Hsuan Tu(杜亚璇) ； Shi-Bo Wang(王诗柏) ； Shu-Chun Lee(李淑君)

新台北护理期刊； 25 卷 1 期 (2023 / 03 / 01) ， P23 - 33

英文;繁体中文 DOI： 10.6540/NTJN.202303_25(1).0003

community ； elderly ； exergame ； sarcopenia ；社区；长者；互动式体感游戏；肌少症

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摘要 │ 参考文献 (19) │ 国际计量

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Background: Sarcopenia is correlated with many adverse health outcomes, and much research has been conducted regarding its treatment. We investigated the effectiveness of an interactive exergame on sarcopenia risk and sarcopenia indicators in community-dwelling older adults. Methods: Fifty older participants aged between 65‐85 years were recruited from community centers in Northern Taiwan and divided into experimental and control groups. Experimental group received exergame individually for 1 hour per session, twice a week for 8 weeks while control group maintained their regular daily activity. All participants were evaluated their sarcopenia indicators according to the Asian Working Group for Sarcopenia 2019 updated consensus before and after intervention. Muscle mass was examined through bioelectrical impedance analysis, muscle strength through grip strength measurement, and physical performance by the Five Times Sit to Stand (FTSTS) test or the 6 Meters Walk Test (6MWT). Results: Experimental group showed significant improvement in physical performance (p=0.001 in FTSTS, p<0.001 in 6MWT) while control group unexpectedly increased their walking speed after intervention (p=0.008). However, experimental group had a significantly greater amount of improvement than control group in muscle mass (p=0.008), FTSTS (p=0.005), 6MWT (p=0.001) and sarcopenia risk (p<0.001). More than half of the participants in experimental group decreased their risk of sarcopenia while it remained the same in control group. The attendance rate was 100% and no any minor or serious adverse events were reported during the intervention. Conclusion: This was the first study to investigate the effects of interactive exergame on sarcopenia in community-dwelling older adults. Our preliminary results indicate that 8-week interactive exergame had a significant impact on sarcopenia risk and some sarcopenic indicators such as muscle mass and physical performance. The compliance for exergame is excellent, and none of adverse events was reported during the intervention, indicating that interactive exergame is safe and has good adherence. Future larger-scale randomized controlled trials are warranted to improve the research quality and validate our findings.

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参考文献 ( 19 ) 〈TOP〉

Adcock, M.,Sonder, F.,Schättin, A.,Gennaro, F.,deBruin, E. D.(2020).A usability study of a multicomponent video game-based training for older adults.European Review of Aging and Physical Activity,17(1),1-15.
Beaudart, C.,Dawson, A.,Shaw, S. C.,Harvey, N. C.,Kanis, J. A.,Binkley, N.,Reginster, J. Y.,Chapurlat, R.,Chan, D. C.,Bruyère, O.(2017).Nutrition and physical activity in the prevention and treatment of sarcopenia: Systematic review.Osteoporosis International,28(6),1817-1833.
Bieryla, K. A.,Dold, N. M.(2013).Feasibility of Wii Fit training to improve clinical measures of balance in older adults.Clinical Interventions in Aging,8,775.
Bleakley, C. M.,Charles, D.,Porter-Armstrong, A.,McNeill, M. D. J.,McDonough, S. M.,McCormack, B.(2015).Gaming for health: A systematic review of the physical and cognitive effects of interactive computer games in older adults.Journal of Applied Gerontology,34(3),NP166-NP189.
Chen, L. K.,Liu, L. K.,Woo, J.,Assantachai, P.,Auyeung, T. W.,Bahyah, K. S.,Chou, M. Y.,Chen, L. Y.,Hsu, P. S.,Krairit, O.,Lee, J. S.,Lee, W. J.,Lee, Y.,Liang, C. K.,Limpawattana, P.,Lin, C. S.,Peng, L. N.,Satake, S.,Suzuki, T.,Won, C. W.,Arai, H.(2014).Sarcopenia in Asia: Consensus report of the Asian Working Group for Sarcopenia.Journal of the American Medical Directors Association,15(2),95-101.

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