多元性運動訓練對社區高齡者功能性體適能之影響

Effects of Multi-component Exercise Training on Functional Fitness in Community-dwelling Older Adults

10.3966/102472972015034801005

方怡堯(I-Yao Fang)；張少熙(Shao-Hsi Chang)；何信弘(Hsin-Hung Ho)

高齡者運動 ； 保留效果 ； 運動介入 ； senior exercise ； retention ； intervention

體育學報

48卷1期（2015 / 03 / 01）

59 - 72

繁體中文

緒論：規律運動可提升高齡者體適能、改善慢性疾病狀況及降低死亡率。多數臺灣高齡者運動時間充足，卻缺乏足夠的運動強度與多樣的運動種類（Type）。美國運動醫學會建議高齡者每週至少累計達到中等強度以上的身體活動量150分鐘，在運動種類上建議為多元性運動項目，包括：有氧訓練（aerobic training）；阻力運動訓練（resistance exercise training）；3.柔軟度運動（flexibility exercise）及；4.平衡訓練（balance training）。然而，以此原則發展之運動訓練課程相關研究並不多見，而該主張是否適用於社區高齡者運動推廣計畫、其體適能促進效益，及運動訓練後之保留效果，均尚待進一步的研究驗證。基於此，本研究目的旨在探討12週多元性運動訓練對社區高齡者功能性體適能之影響與保留效果。方法：以準實驗設計進行研究，招募90位65歲以上社區高齡者（年齡72.81±6.47歲），實驗組54人與控制組36人。實驗組接受12週多元性運動訓練課程，每週2次、每次120分鐘，並達到自覺量表5-6中等強度等級以上，之後中止訓練12週；控制組則無訓練。並以功能性體適能檢測進行測驗，項目包括：手臂彎舉、坐姿起立、抓背測驗、椅子坐姿前彎、8英尺立走及2分鐘原地踏步。於第0週進行前測、第12週進行後測、第24週進行保留測。結果：12週多元性運動訓練後，經功能性體適能測驗發現，實驗組在上肢肌力、下肢肌力、敏捷性、心肺耐力顯著進步；控制組在上肢肌力、下肢肌力、上肢柔軟度顯著退步。12至24週間無運動訓練介入，實驗組在肌力、柔軟度比有氧運動、敏捷性等有更佳的保留效果；控制組在12週後肌力、柔軟度將顯著退步、且24週後敏捷性、心肺耐力亦顯著退步。結論：多元性運動訓練，可顯著提升社區高齡者功能性體適能，無多元性運動訓練介入會導致社區高齡者功能性體適能顯著退步。依此結論，本研究具體建議：1、設計及執行社區高齡者運動方案時宜參照ACSM提出之多元性運動訓練原則；2、運動方案規劃期程與頻率上，宜每週至少辦理2次，每次120分鐘並連續辦理12週或以上；3、運動方案宜採長期、持續性辦理，有助參與者功能性體適能提升及維持。

Introduction: This study analyzed the contributions of multi-component exercise training (MET) programs in improving the physical fitness of older adults or alleviating the effects of chronic diseases on them. Most of Taiwan's older adults devote considerable time to exercise for improving their health; however, the lack of adequate exercise intensity and monotonous exercise routines result in no change in fitness. The American College of Sports Medicine (ACSM) proposed guidelines and position stands to enable older adults to perform exercise routines adequately and efficiently. The ACSM recommended diverse exercise routines, which are: (a) aerobic exercise, (b) resistance exercise, (c) flexibility exercise, and (d) balance training. However, exercise training courses related to the research and development of the guidelines was rare. We investigate the effects of a 12 week MET program on the performance of the functional fitness and retention of fitness in community-dwelling older adults. In addition, we confirmed the duration for which the effects of the MET program can be maintained or diminished. Methods: A total of 90 community-dwelling older adults (age: 72.81± 6.47 years) were recruited and assigned to an MET group or a control group (CG). The participants in the MET group trained for 12 weeks with 2 sessions per week, 120 min per session, and an intensity of 5-6 on the Ratings of Perceived Exertion scale; by contrast, the participants in the CG did not engage in any training activity. The functional fitness tests for all participants were assessed before the training program and 12 and 24 weeks after the training program. The data were analyzed using paired and independent samples t tests. Results: Compared to pretest and posttest assessments, performance levels of MET group in the chair stand, arm curl, 8-foot up-and-go, and 2-min step tests increased significantly after the 12-week MET program; by contrast, the performance levels of CG group in the chair stand, arm curl, and back scratch tests decreased significantly after 12 weeks. We also compared the posttest and retention test assessments, and the results indicated that the performance levels of the participants in the MET group in the chair stand, arm curl, back scratch, chair sit-and-reach, 8-foot up-and-go, and 2-min step tests decreased significantly after 12 weeks of detraining; similarly, the performance of the participants in the CG group decreased significantly after the next 12 weeks of detraining. Therefore, we concluded that MET can effectively alleviate the decline in strength and cardiorespiratory endurance of community-dwelling older adults; however, it cannot maintain the alleviating effects over 12 weeks. Conclusion: MET can significantly improve multiple dimensions of the functional fitness of older adults and maintain the muscle strength and flexibility that they originally had before join the MET program. After the 12-week follow-up, the performance levels of the participants regressed significantly. Furthermore, the positive effects of MET can be maintained for 12 weeks. From the beginning to the end of the experiment, the performance levels of the participants who did not engage in the MET program declined over time. We thus present the following recommendations: (a) community exercise programs based on various sports training principles should be implemented according to ACSM's guidelines; (b) the training program must be performed at least 2 times per week for 12 consecutive weeks or more, and each training session must last 120 min; and (c) a long-term and persistent approach must be adopted in the exercise program to help participants improve and maintain functional fitness.

1. 王秀華、李淑芳(2011)。不同運動階段老年婦女其功能性體適能與健康生活品質之研究。體育學報，44(3)，333-350。
   連結：
2. 吳孟恬、陳惠姿、詹元碩(2009)。六週知覺動作訓練對高齡者平衡控制能力之影響。輔仁大學體育學刊，8，198-209。
   連結：
3. 李佳倫、鄭景峰(2010)。臺灣老年人身體活動量與功能性體適能的關係。大專體育學刊，12(4)，79-89。
   連結：
4. 李若屏、黃奕仁、蘇福新、方進隆(2008)。多元運動訓練計畫對社區老人DHEA-S和體適能之影響。運動生理暨體能學報，8，69-79。
   連結：
5. 林清壽、王文君(2013)。中高齡者從事規律運動行為意向之研究。運動與健康研究，2(2)，31-48。
   連結：
6. 黃泰諭、方進隆(2010)。八週太極拳訓練對老年女性下肢肌力與平衡表現之影響。體育學報，43(1)，23-36。
   連結：
7. 黃泰諭、張哲榕、林曼蕙、方進隆(2005)。十週水中有氧訓練對女性老年人功能性體適能之影響。運動生理暨體能學報，3，121-129。
   連結：
8. 溫蕙甄、陳忠慶(2012)。12 週團體有氧阻力及瑜珈阻力運動介入對停經後婦女功能性體適能、生活品質之影響。運動生理暨體能學報，14，35-48。
   連結：
9. 蔡存維、郭彥宇、蔡櫻蘭(2011)。團體伸展訓練課程對長期照護機構高齡者功能性體適能的影響。大專體育學刊，13(4)，111-118。
   連結：
10. 蔡英美、郭慈安、王俊明(2012)。老年人生活型態、運動參與程度與功能性體適能之研究。運動與健康研究，2(1)，25-49。
    連結：
11. 錢桂玉、甘乃文、林雅麗(2012)。水中運動訓練對中老年人健康之效益。運動生理暨體能學報，14，11-21。
    連結：
12. 行政院衛生署國民健康局 (2009)。老人健康促進計畫 (2009-2012)。臺北市：行政院衛生署。Health Promotion Administration, Ministry of Health and Welfare. (2009). Health Promotion Program for Senior Citizens (2009-2012). Taipei: Ministry of Health and Welfare。
13. World Health Organization. (2011). Physical activity and older adults-recommended levels of physical activity for adults aged 65 and above. Retrieved from http://www.who.int/dietphysicalactivity/factsheet_olderadults/en/
14. 內政部統計處 (2011)。100 年第11 週內政統計通報 (98 年老人狀況調查結果)。取自http://www.moi.gov.tw/stat/news_content.aspx?sn=5060 Department of Statistics, Ministry of Interior (2011). The 11th Week of the 2011 Internal Affairs Statistical Bulletin: 2009 Survey Result of the Situation of Old Adults. Retrived from http://www.moi.gov.tw/stat/news_content.aspx?sn=5060
15. Adelman, R. D.,Greene, M. G.,Friedmann, E.,Ory, M. G.,Snow, C. E.(2011).Older patient-physician discussions about exercise.Journal of Aging and Physical Activity,19(3),225-238.
16. Aragao, F. R.,Abrantes, C. G.,Gabriel, R. E.,Sousa, M. F.,Castelo-Branco, C.,Moreira, M. H.(2014).Effects of a 12-month multi-component exercise program on the body composition of postmenopausal women.Climacteric,17(2)
17. Baker, M. K.,Atlantis, E.,Singh, M. A. F.(2007).Multi-modal exercise programs for older adults.Age and Ageing,36(4),375-381.
18. Bell, R.,Hoshizaki, T.(1981).Relationships of age and sex with range of motion of seventeen joint actions in humans.Canadian Journal of Applied Sport Sciences,6(4),20.
19. Bhatt, T.,Yang, F.,Pai, Y. C.(2012).Learning to Resist Gait-Slip Falls: Long-Term Retention in Community-Dwelling Older Adults.Archives of Physical Medicine and Rehabilitation,93(4),557-564.
20. Bird, M.,Hill, K. D.,Ball, M.,Hetherington, S.,Williams, A. D.(2011).The long-term benefits of a multi-component exercise intervention to balance and mobility in healthy older adults.Archives Of Gerontology And Geriatrics,52(2),211-216.
21. Borg, G.(1982).Psychophysical bases of perceived exertion.Medicine and Science in Sport and Exercise,14,377-381.
22. Cao, Z. B.,Maeda, A.,Shima, N.,Kurata, H.,Nishizono, H.(2007).The effect of a 12-week combined exercise intervention program on physical performance and gait kinematics in community-dwelling elderly women.Journal of Physiological Anthropology,26(3),325-332.
23. Chodzko-Zajko, W. J.,Proctor, D. N.,Fiatarone Singh, M. A.,Minson, C. T.,Nigg, C. R.,Salem, G. J.,Skinner, J. S.(2009).Exercise and physical activity for older adults.Medicine & Science in Sports & Exercise,41(7),1510-1530.
24. De Vries, N.,Van Ravensberg, C.,Hobbelen, J.,Olde Rikkert, M.,Staal, J.,Nijhuis-van der Sanden, M.(2012).Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: a meta-analysis.Ageing Research Reviews,11(1),136-149.
25. Doherty, T. J.(2003).Invited review: Aging and sarcopenia.Journal of Applied Physiology (1985),95(4),1717-1727.
26. Elsawy, B.,Higgins, K. E.(2010).Physical activity guidelines for older adults.American Family Physician,81(1),55-59.
27. Fatouros, I. G.,Kambas, A.,Katrabasas, I.,Leontsini, D.,Chatzinikolaou, A.,Jamurtas, A. Z.,Taxildaris, K.(2006).Resistance training and detraining effects on flexibility performance in the elderly are intensity-dependent.The Journal of Strength & Conditioning Research,20(3),634-642.
28. Fleg, J. L.,Morrell, C. H.,Bos, A. G.,Brant, L. J.,Talbot, L. A.,Wright, J. G.,Lakatta, E. G.(2005).Accelerated longitudinal decline of aerobic capacity in healthy older adults.Circulation,112(5),674-682.
29. Foley, A.,Hillier, S.,Barnard, R.(2011).Effectiveness of once-weekly gym-based exercise programmes for older adults post discharge from day rehabilitation: A randomised controlled trial.British Journal of Sports Medicine,45(12),978-986.
30. Gregg, E. W.,Pereira, M. A.,Caspersen, C. J.(2000).Physical activity, falls, and fractures among older adults: A review of the epidemiologic evidence.Journal of the American Geriatrics Society,48(8),883.
31. Gudlaugsson, J.,Gudnason, V.,Aspelund, T.,Siggeirsdottir, K.,Johannsson, E.,Arngrimsson, S. A.,Olafsdottir, A. S.(2012).Effects of a 6-month multimodal training intervention on retention of functional fitness in older adults: A randomized-controlled cross-over design.Journal of Aging and Physical Activity,20,S89-S89.
32. Hallage, T.,Krause, M. P.,Haile, L.,Miculis, C. P.,Nagle, E. F.,Reis, R. S.,Da Silva, S. G.(2010).The effects of 12 weeks of step aerobics training on functional fitness of elderly women.The Journal of Strength & Conditioning Research,24(8),2261-2266.
33. Harris, C.,DeBeliso, M.,Adams, K. J.,Irmischer, B. S.,Spitzer Gibson, T. A.(2007).Detraining in the older adult: Effects of prior training intensity on strength retention.The Journal of Strength & Conditioning Research,21(3),813-818.
34. Hassinen, M.,Lakka, T. A.,Hakola, L.,Savonen, K.,Komulainen, P.,Litmanen, H.,Kiviniemi, V.,Kouki, R.,Heikkila, H.,Rauramaa, R.(2010).Cardiorespiratory fitness and metabolic syndrome in older men and women: The dose responses to exercise training (DR's EXTRA) study.Diabetes Care,33(7),1655-1657.
35. Holland, G.,Tanaka, K.,Shigematsu, R.,Nakagaichi, M.(2002).Flexibility and physical functions of older adults: A review.Journal of Aging and Physical Activity,10(2),169-206.
36. Hooker, S. P.,William Seavey MD, M.,Weidmer, C. E.,Harvey, D. J.,Stewart, A. L.,Gillis, D. E.,King, A. C.(2005).The California active aging community grant program: Translating science into practice to promote physical activity in older adults.Annals of Behavioral Medicine,29(3),155-165.
37. Hooyman, N. R.(2010).Aging: Oxford Bibliographies Online Research Guide.USA:Oxford University Press.
38. Hopman-Rock, M.,Westhoff, M. H.(2002).Development and evaluation of "aging well and healthily": A health-education and exercise program for community-living older adults.Journal of Aging and Physical Activity,10(4),364-381.
39. Howe, T. E.,Rochester, L.,Jackson, A.,Banks, P. M.,Blair, V. A.(2007).Exercise for improving balance in older people.Cochrane Database of Systematic Reviews,4,CD004963.
40. Jones, C. J.,Rikli, R. E.(2002).Measuring functional.The Journal on active aging,1,24-30.
41. Jones, C. J.,Rikli, R. E.,Wotipka, R.(2005).,未出版
42. Karinkanta, S.,Heinonen, A.,Sievänen, H.,Uusi-Rasi, K.,Pasanen, M.,Ojala, K.,Kannus, P.(2007).A multi-component exercise regimen to prevent functional decline and bone fragility in home-dwelling elderly women: randomized, controlled trial.Osteoporosis International,18(4),453-462.
43. Kukuljan, S.,Nowson, C. A.,Bass, S. L.,Sanders, K.,Nicholson, G. C.,Seibel, M. J.,Daly, R. M.(2009).Effects of a multi-component exercise program and calcium-vitamin-D3-fortified milk on bone mineral density in older men: A randomised controlled trial.Osteoporosis International,20(7),1241-1251.
44. Levy, S. S.,Macera, C. A.,Hootman, J. M.,Coleman, K. J.,Lopez, R.,Nichols, J. F.,Ji, M.(2012).Evaluation of a multi-component group exercise program for adults with arthritis: Fitness and exercise for people with arthritis (FEPA).Disability and Health Journal,5(4),305-311.
45. Liu-Ambrose, T. Y.,Khan, K. M.,Eng, J. J.,Lord, S. R.,Lentle, B.,McKay, H. A.(2005).Both resistance and agility training reduce back pain and improve health-related quality of life in older women with low bone mass.Osteoporosis International,16(11),1321-1329.
46. Nakamura, Y.,Tanaka, K.,Yabushita, N.,Sakai, T.,Shigematsu, R.(2007).Effects of exercise frequency on functional fitness in older adult women.Archives Of Gerontology And Geriatrics,44(2),163-173.
47. O'Grady, M.,Fletcher, J.,Ortiz, S.(2000).Therapeutic and physical fitness exercise prescription for older adults with joint disease: An evidence-based approach.Rheumatic Disease Clinics of North America,26(3),617-646.
48. Olson, S. L.,Chen, S. S.,Wang, C. Y.(2011).Effect of a Home Exercise Program on Dynamic Balance in Elderly With a History of Falls.Journal of Aging and Physical Activity,19(4),291-305.
49. Park, Y. H.,Song, M.,Cho, B. l.,Lim, J. Y.,Song, W.,Kim, S. H.(2011).The effects of an multi-component health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial.Patient Education and Counseling,82(1),133-137.
50. Phillips, S. M.(2007).Resistance exercise: good for more than just grandma and grandpa's muscles.Applied Physiology, Nutrition, and Metabolism,32(6),1198-1205.
51. Rikli, R. E.,Jones, C. J.(2001).Senior fitness manual.Champaign:Human Kinetics.
52. Rikli, R. E.,Jones, C. J.(2013).Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years.The gerontologist,53(2),255-267.
53. Solberg, P. A.,Kvamme, N. H.,Raastad, T.,Ommundsen, Y.,Tomten, S. E.,Halvari, H.,Hallen, J.(2013).Effects of different types of exercise on muscle mass, strength, function and well-being in elderly.European Journal of Sport Science,13(1),112-125.
54. Strotmeyer, E. S.,Arnold, A. M.,Boudreau, R. M.,Ives, D. G.,Cushman, M.,Robbins, J. A.,Newman, A. B.(2010).Long-term retention of older adults in the cardiovascular health study: Implications for studies of the oldest old.Journal of the American Geriatrics Society,58(4),696-701.
55. Thompson, W. R.,Gordon, N. F.,Pescatello, L. S.(2009).ACSM's guidelines for exercise testing and prescription.PA:Lippincott Williams & Wilkins.
56. Tokmakidis, S. P.,Kalapotharakos, V. I.,Smilios, I.,Parlavantzas, A.(2009).Effects of detraining on muscle strength and mass after high or moderate intensity of resistance training in older adults.Clinical Physiology and Functional Imaging,29(4),316-319.
57. Toto, P. E.,Raina, K. D.,Holm, M. B.,Schlenk, E. A.,Rubinstein, E. N.,Rogers, J. C.(2012).Outcomes of a multicomponent physical activity program for sedentary, community-dwelling older adults.Journal of Aging and Physical Activity,20,363-378.
58. Wong, P. C.,Chia, M. Y.,Tsou, I. Y.,Wansaicheong, G. K.,Tan, B.,Wang, J. C.,Lim, D.(2008).Effects of a 12-week exercise training programme on aerobic fitness, body composition, blood lipids and C-reactive protein in adolescents with obesity.Annals of the Academy of Medicine, Singapore,37(4),286-293.
59. Zech, A.,Drey, M.,Freiberger, E.,Hentschke, C.,Bauer, J. M.,Sieber, C. C.,Pfeifer, K.(2012).Residual effects of muscle strength and muscle power training and detraining on physical function in community-dwelling prefrail older adults: A randomized controlled trial.BMC Geriatrics,12,68.
60. 吳明隆、涂金堂(2006)。SPSS 與統計應用分析。臺北市=Taipei:五南=Wunan。
61. 林嘉志譯、American College of Sports Medicine(2012)。ACSM 運動測試與運動處方指引。臺北市=Taipei:易利=Yee-Lee。
62. 侯孟次、吳佩穎、林怡貝、張尹凡、陳全裕、官大紳、楊宜青、吳至行(2011)。偏遠社區老年男性體適能常模與現況分析。臺灣老年醫學暨老年學雜誌，6(3)，48-60。
63. 高禎陽、蔚順華、李朝智、劉復康(2012)。年輕人與高齡者動態平衡能力的評估與比較。臺灣復健醫學雜誌，40(4)，215-221。
64. 張曉雲、林雅萍、鄭伊萍、林淑惠(2011)。太極於改善社區老人平衡感、下肢肌力及關節活動成效之多元性回顧。澳門護理雜誌，10(2)，48-52。
65. 潘姿玲、林淑媛(2011)。團體遊戲介入在改變養護機構老人衰弱之成效。護理暨健康照護研究，7(1)，45-54。

1. 陳惠美,李季聖(2019)。高齡者使用戶外體健設施之動機、阻礙與體適能效益：使用者與非使用者之比較。造園景觀學報，23(1)，1-29。
2. 陳一涵、胡凱揚(2018)。老年人療癒性休閒之身體活動在健康促進的運用。大專體育，147，31-41。
3. 程瑞福,林恩賜,方怡堯(2022)。生態學模式應用於社區高齡者運動方案之介入效益。中華體育季刊，36(3)，233-242。
4. 程瑞福,林恩賜(2022)。生態學模式介入社區關懷據點對高齡者健康體適能之影響。休閒運動健康評論，11(2)，14-28。
5. 何健章(2019)。臺灣老年人體適能檢測方法之描述性探析。大專體育，150，19-33。
6. 洪彰岑、林麗鳳、林育如、甘能斌(2017)。合併有氧及阻力的循環訓練對老年人功能性體適能、運動自我效能與人際關係互動之成效探討。運動生理暨體能學報，25，9-22。
7. 黃貴樹,陳逸政,郭馥滋(2020)。多元運動課程對高齡者體適能促進之影響。臺大體育學報，39，1-10。
8. 劉美珠,林儷蓉,林慧敏(2020)。身心動作教育課程對中年人柔軟度之影響。大專體育學刊，22(1)，19-34。
9. 劉雅甄(2016)。高齡者動體視力與步態速度隨老化之變異情形。體育學報，49(4)，431-442。
10. 劉雅甄(2021)。12週動體視力訓練對高齡者與超高齡者視覺與平衡能力之影響。體育學報，54(1)，13-21。
11. 蘇蕙芬,余翌琟(2021)。多元性運動對社區高齡者認知功能之影響。成大體育學刊，53(1)，50-70。
12. 蘇宥蓁,胡巧欣,吳一德(2020)。漸進式運動模組對老年人功能性體適能的影響。運動與遊憩研究，14(3)，17-31。
13. 蘇鈺雯,魏惠娟,廖芳綿,黃清雲,郭嘉昇(2019)。多元運動方案介入對社區高齡者功能性體適能之成效探討。長期照護雜誌，23(1)，45-60。
14. 魏正、曾建興、陳武雄(2018)。椅子瑜珈運動延緩高齡者身體功能衰退之成效。中華體育季刊，32(3)，193-202。
15. 謝佳容,劉苑蓉,黃冠評(2022)。以方塊踏步團體活動介入於日照中心長者衰弱改善的效果：一項前驅研究。台灣健康照顧研究學刊，26，42-71。
16. 謝錦城、賓孟晨、梁淯傑、洪彰岑、何健章、甘能斌(2017)。環狀運動對老年人下肢功能性體適能與步態穩定性之影響。運動生理暨體能學報，24，1-10。
17. 謝瓊儀,廖珮淳,李淑芳,王秀華(2022)。跨適能訓練對高齡者功能性體適能之影響。運動教練科學，67，13-26。
18. 謝瓊儀、王秀華(2017)。多元運動課程介入對輕度認知功能障礙高齡者之成效研究。嘉大體育健康休閒期刊，16(2)，13-32。
19. 顏政通,邱柏豪,何信弘(2019)。12週運動訓練對高齡者功能性體適能之影響。淡江體育學刊，22，56-73。
20. 顏政通,邱柏豪,何信弘(2023)。高齡者應該等張訓練或等長訓練？8周不同模式阻力訓練對社區高齡者功能性體適能效益之研究。臺大體育學報，44，15-29。
21. 楊智荃、程少洋、莊瑞平、林志遠(2017)。樂齡大學運動課程之設計原則。大專體育，143，14-21。
22. 張家榮(2020)。高齡者智慧運動場館商業模式－以新莊健康樂活促進中心為例。臺大體育學報，38，39-52。
23. 張家萱,周學雯(2020)。不同國家高齡者功能性體適能檢測方式比較。中華體育季刊，34(3)，205-216。
24. 張少熙,林彥程,余義箴,何信弘,王立亭(2021)。使用「90活力站」運動APP對中高齡功能性體適能之效益。大專體育學刊，23(2)，165-182。
25. 張少熙、何信弘、方怡堯(2016)。年紀大了，該如何運動呢？。中華體育季刊，30(2)，159-159。
26. 張碩文、吉原利典、內藤久士(2017)。高齡者下肢肌力衰退評估方法探討：以日本活動趨緩症候群檢測為例。中華體育季刊，31(4)，337-348。
27. 鍾陳偉,劉雅甄,張至琦,邵心平,林旻聰,方怡堯(2022)。不同週訓練次數的北歐式健走對高齡者步態特性之影響。運動表現期刊，9(2)，93-106。
28. (2022)。音律活化健康操對銀髮族功能性體適能之效益，以音活間照顧中心為例。休閒運動管理學刊，7(2)，1-19。
29. (2024)。停經後婦女從事多元運動後停止運動與再訓練對肌肉表現之影響。台灣公共衛生雜誌，43(3)，300-312。
30. (2024)。運動介入對帕金森氏症患者功能障礙之改善效益：文獻回顧。中華體育季刊，38(2)，173-187。