Association Between Physical Fitness and Cognitive Function Among Community-Dwelling Older Adults With Different Exercise Risks in Taiwan

王怡品; 曾國維; 傅思凱; 吳品嫻; 蔡美文

doi:10.5297/ser.202303_25(1).0006

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P80 - 94

社会科学 > 体育学

DOI： 10.5297/ser

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Association Between Physical Fitness and Cognitive Function Among Community-Dwelling Older Adults With Different Exercise Risks in Taiwan

台湾不同运动风险社区长者之体适能与认知功能的相关性

Yi-Pin Wang(王怡品) ； Kuo-Wei Tseng(曾国维) ； Szu-Kai Fu(傅思凯) ； Pin-Hsien Wu(吴品娴) ； Mei-Wun Tsai(蔡美文)

大专体育学刊； 25 卷 1 期 (2023 / 03 / 31) ， P80 - 94

英文;繁体中文 DOI： 10.5297/ser.202303_25(1).0006

chronic disease ； Montreal Cognitive Assessment ； muscle strength ； balance ； grip strength ；慢性病；蒙特利尔认知评估；肌力；平衡；握力

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摘要 │ 参考文献 (30) │ 国际计量

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Physical fitness training can improve cognition in older adults. Chronic diseases are commonly prevalent in older adults. However, evidence of the impact of chronic diseases on the association of physical fitness and cognition remains insufficient for older adults. Prior to community-based health promotion programs, pre-participation health screening is an essential and recommended procedure for both safety and benefits. The risk stratification of exercise participation can illustrate the health conditions for each participant. This study aimed to investigate the major physical fitness factors related to cognitive function in older adults with different exercise risks. This cross-sectional study was a secondary analysis of baseline data from the Project of Taipei Advanced Center for Aging and Health by the Taipei City Government. According to the American College of Sports Medicine guidelines, the high-risk group (HG) for exercise participation were participants with a history and symptoms of cardiovascular, metabolic, or renal disease, otherwise were classified as non-high-risk group (NHG). Cognitive function was assessed by Montreal Cognitive Assessment-Taiwan version. A cutoff point of 26 was used to categorize participants in either the high or low cognitive function group. The Senior Fitness Test was used to measure physical fitness. Sociodemographic data were extracted as cofactors. A total of 214 subjects were included, among which, 56.6% were HG. Results showed that among community-dwelling older adults, the adjusted odds ratio of physical fitness in muscle strength and balance control were significantly related to cognitive function. After stratification of exercise risk, timed up-and-go, single leg standing, and grip strength were found to have a significant association with cognitive function in the HG; whereas arm curls, repeated chair stands, timed up-and-go, and grip strength were found to have a significant association with cognitive function in the NHG. We conclude that the exercise risk may impact the association of physical fitness and cognitive function among community-dwelling older adults. The grip strength and timed up-and-go may be the major fitness factors related to cognitive function. But there is some disparity of physical fitness related to cognition of older adults with different exercise risks. That may highlight the fitness program for older adults with different health conditions should be considered.

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参考文献 ( 30 ) 〈TOP〉

Chen, H.-T.,Lin, C.-H.,Yu, L.-H.(2009).Normative physical fitness scores for community-dwelling older adults.Journal of Nursing Research,17(1),30-41.
连结：
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