多元運動訓練計畫對社區老人DHEA-S和體適能之影響

李若屏; 黃奕仁; 蘇福新; 方進隆

doi:10.6127/JEPF.2008.08.08

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P69 - 79

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学
社会科学 > 体育学

DOI： 10.6127/JEPF

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多元运动训练计画对社区老人DHEA-S和体适能之影响

The Effect of Multiple Exercise Training on DHEA-S Level and Physical Fitness of the Community-Dwelling Elderly

李若屏(Jo-Ping Lee) ；黄奕仁(Yi-Jen Huang) ；苏福新(Fu-Hsin Su) ；方进隆(Chin-Lung Fang)

运动生理暨体能学报； 8辑 (2008 / 12 / 01) ， P69 - 79

繁体中文 DOI： 10.6127/JEPF.2008.08.08

老年人；多元式运动训练；体适能； DHEA-S ； Elderly ； Multiple exercise training ； Physical fitness ； DHEA-S

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摘要 │ 参考文献 (34) │ 被引用文献 (10) │ 国际计量

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Aging induced loss of muscle power, which affects physical fitness and function. Exercise with oral DHEA-S had been demonstrated to improve muscle power of the elderly, while the effect of exercise training on endogenous DHEA-S and the association between DHEA-S and the exercise effect was unknown. Hence, this study was to investigate the changes in endogenous DHEA-S after exercise training and the association of the improvement in physical fitness after training and DHEA-S of the elderly. Twenty-four community-dwelling sedentary elderly (age=71.50±0.90 years, BMI=25.50±0.70 kg/m^2) were involved in 16-week multiple exercise training. DHEA-S and physical fitness including body composition (muscle mass, muscle percent, fat mass and fat percent), functional strength (grip and functional low extremity muscular power), cardiopulmonary fitness and balance ability were measured pre- and post-training. The results showed that DHEA-S level after training significantly increased (3.98±1.27 to 9.14±1.86 ng/ml, p=.027). Significant increase was noted in muscle percent and decrease in fat mass as well as fat percent (p＜.0001). Left-hand grip increased from 21.30±1.30 to 23.20±1.50 kg (p=.032) and the time of 8-foot up-and-go test decreased from 8.20±0.30 to 5.50±0.10 sec (p＜.0001). The time of both stand with eye-open and eye-close significantly increased (p＜.05), while the reactive time to sound and light also increased (p＜.05). The 6-min walk test significantly increased from 448.40±12.00 to 482.30±11.70 m (p=.001). No significant correlation was noted between the changes in DHEA-S and most measurements of physical fitness. These results showed that multiple exercise training in this study could enhance DHEA-S level, reduce fat content and improve functional strength, cardiopulmonary fitness and balance of the elderly. However, the change in DHEA-S level was unable to totally reflect the changes in physical fitness. Further investigation of the association of DHEA-S and the exercise effect was required.

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参考文献 ( 34 ) 〈TOP〉

Yang, S. C.,Chen, C. Y.,Liao, Y. H.,Lin, F. C.,Lee, W. C.,Cho, Y. M.(2005).Interactive effect of an acute bout of resistance exercise and dehydroepiandrosterone administration on glucose tolerance and serum lipids in middle-aged women.The Chinese Journal of Physiology,48(1),23-29.
连结：
Abbasi, A.,Duthie, E. H.,Sheldahl, L.,Wilson, C.,Sasse, E.,Rudman, I.(1998).Association of dehydroepiandrosterone sulfate, body composition, and physical fitness in independent communitydwelling older men and women.Journal of the American Geriatrics Society,46(3),263-273.
Akishita, M.,Hashimoto, M.,Ohike, Y.,Ogawa, S.,Iijima, K.,Eto, M.(2008).Association of plasma dehydroepiandrosterone-sulfate levels with endothelial function in postmenopausal women with coronary risk factors.Hypertension Research,31(1),69-74.
Arlt, W.(2004).Dehydroepiandrosterone and ageing.Best Practice and Research Clinical Endocrinology and Metabolism,18(3),363-380.
Bergh, U.,Kanstrup, I. L.,Ekblom, B.(1976).Maximal oxygen uptake during exercise with various combinations of arm and leg work.Journal of Applied Physiology,41(2),191-196.

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