题名

計步器漸進目標設定方案對坐式生活高齡者身體活動與身體功能表現之影響

并列篇名

The Effect of Pedometer-Based Progressive Program on Physical Activity and Functional Performance in Sedentary Senior Adults

DOI

10.6127/JEPF.201906_28.0002

作者

葉秋萍(Chiu-Ping Yeh);方進隆(Chin-Lung Fang);陳秀惠(Hsiu-Hui Chen)

关键词

走路 ; 體適能 ; 漸進負荷 ; 個別化 ; walking ; fitness ; progressive load ; individualization

期刊名称

運動生理暨體能學報

卷期/出版年月

28輯(2019 / 06 / 01)

页次

9 - 21

内容语文

繁體中文

中文摘要

目的:探討十週計步器漸進目標設定介入方案對坐式生活習慣之高齡者身體活動與身體功能的影響。方法:43位60歲以上坐式生活習慣高齡者分為計步器介入組(pedometer group,PG)21位及控制組(control group,CG)22位。在十週介入期間,PG組需每日佩戴計步器,並依受試者前測值每二週調整一次目標步數。CG組則維持日常生活作息。結果:十週介入後,PG組平均每日步行數增加達65.16%,並顯著高於CG組(p<.001);在身體功能表現方面,PG組的30秒坐站及30秒肱二頭肌彎舉測驗皆顯著改善,但改善程度與CG組未達顯著差異。結論:十週計步器漸進目標設定方案介入可顯著提升坐式生活習慣高齡者之身體活動量,但對身體功能性表現幫助有限。

英文摘要

Purpose: To investigate the effect of a 10-week pedometer-based progressive program on physical activity and functional performance in sedentary senior adults. Methods: Forty-three sedentary seniors (aged ≥ 60 years) were recruited and assigned to pedometer-based program group (PG, n = 21) and control group (CG, n = 22). The participants in PG were asked to wear pedometers to record daily steps and the activity volumes was asked to increase every two weeks. There was no intervention in CG. Results: The average activity volumes in PG was significantly increased by 65.16% than that of CG (p < .001). There was significant difference showing on improvement of chair stand test and arm curl test in PG, but there was no difference when compared to CG. Conclusion: This 10-week pedometer-based program is benefit to improvement of daily physical activity, but not to functional movements for sedentary senior adults.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
社會科學 > 體育學
参考文献
  1. American College of Sports Medicine(2014).ACSM’s guidelines for exercise testing and prescription.Philadelphia, PA:Lippincott Williams and Wilkins.
  2. Bravata, D. M.,Smith-Spangler, C.,Sundaram, V.,Gienger, A. L.,Lin, N.,Lewis, R.(2007).Using pedometers to increase physical activity and improve health: A systematic review.Journal of the American Medical Association,298(19),2296-2304.
  3. Chodzko-Zajko, W. J.,Proctor, D. N.,Fiatarone Singh, M. A.,Minson, C. T.,Nigg, C. R.(2009).American College of Sports Medicine position stand. Exercise and physical activity for older adults.Medicine and Science in Sports and Exercise,41(7),1510-1530.
  4. Garber, C. E.,Blissmer, B.,Deschenes, M. R.,Franklin, B. A.,Lamonte, M. J.,Lee, I. M.(2011).American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise.Medicine and Science in Sports and Exercise,43(7),1334-1359.
  5. Gillespie, L. D.,Gillespie, W. J.,Robertson, M. C.,Lamb, S. E.,Cumming, R. G.,Rowe, B. H.(2003).Interventions for preventing falls in elderly people.Cochrane Database of Systematic Reviews,4
  6. Hallal, P. C.,Andersen, L. B.,Bull, F. C.,Guthold, R.,Haskell, W.,Ekelund, U.(2012).Global physical activity levels: Surveillance progress, pitfalls, and prospects.Lancet,380(9838),247-257.
  7. Hardy, S. E.,Perera, S.,Roumani, Y. F.,Chandler, J. M.,Studenski, S. A.(2007).Improvement in usual gait speed predicts better survival in older adults.Journal of the American Geriatrics Society,55(11),1727-1734.
  8. Hill, K. D.,Hunter, S. W.,Batchelor, F. A.,Cavalheri, V.,Burton, E.(2015).Individualized home-based exercise programs for older people to reduce falls and improve physical performance: A systematic review and meta-analysis.Maturitas,82(1),72-84.
  9. Holland, G. J.,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.
  10. Huang, G.,Wang, R.,Chen, P.,Huang, S. C.,Donnelly, J. E.,Mehlferber, J. P.(2016).Dose-response relationship of cardiorespiratory fitness adaptation to controlled endurance training in sedentary older adults.European Journal of Preventive Cardiology,23(5),518-529.
  11. Jensen, G. L.,Roy, M. A.,Buchanan, A. E.,Berg, M. B.(2004).Weight loss intervention for obese older women: Improvements in performance and function.Obesity Research,12(11),1814-1820.
  12. Koizumi, D.,Rogers, N. L.,Rogers, M. E.,Islam, M. M.,Kusunoki, M.,Takeshima, N.(2009).Efficacy of an accelerometerguided physical activity intervention in community-dwelling older women.Journal of Physical Activity and Health,6(4),467-474.
  13. Kolt, G. S.,Schofield, G. M.,Kerse, N.,Garrett, N.,Ashton, T.,Patel, A.(2012).Healthy steps trial: Pedometer-based advice and physical activity for low-active older adults.Annals of Family Medicine,10(3),206-212.
  14. Leung, A. Y.,Cheung, M. K.,Tse, M. A.,Shum, W. C.,Lancaster, B. J.,Lam, C. L.(2014).Walking in the high-rise city: A Health Enhancement and Pedometer-Determined Ambulatory (HEPA) program in Hong Kong.Clinical Interventions in Aging,9,1343-1352.
  15. Loprinzi, P. D.,Brosky, J. A., Jr.(2014).Objectively measured physical activity and balance among U.S. adults.Journal of Strength and Conditioning Research,28(8),2290-2296.
  16. Meyns, P.,Bruijn, S. M.,Duysens, J.(2013).The how and why of arm swing during human walking.Gait and Posture,38(4),555-562.
  17. Middleton, A.,Fulk, G. D.,Beets, M. W.,Herter, T. M.,Fritz, S. L.(2016).Selfselected walking speed is predictive of daily ambulatory activity in older adults.Journal of Aging and Physical Activity,24(2),214-222.
  18. Mitsui, T.,Shimaoka, K.,Tsuzuku, S.,Kajioka, T.,Sakakibara, H.(2008).Pedometerdetermined physical activity and indicators of health in Japanese adults.Journal of Physiological Anthropology,27(4),179-184.
  19. Mummery, W. K.,Kolt, G.,Schofield, G.,McLean, G.(2007).Associations between physical activity and other lifestyle behaviors in older New Zealanders.Journal of Physical Activity and Health,4(4),411-422.
  20. Nelson, M. E.,Rejeski, W. J.,Blair, S. N.,Duncan, P. W.,Judge, J. O.,King, A. C.(2007).Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association.Medicine and Science in Sports and Exercise,39(8),1435-1445.
  21. Nishiguchi, S.,Yamada, M.,Tanigawa, T.,Sekiyama, K.,Kawagoe, T.,Suzuki, M.(2015).A 12-week physical and cognitive exercise program can improve cognitive function and neural efficiency in communitydwelling older adults: A randomized controlled trial.Journal of the American Geriatrics Society,63(7),1355-1363.
  22. Paterson, D. H.,Warburton, D. E.(2010).Physical activity and functional limitations in older adults: A systematic review related to Canada’s Physical Activity Guidelines.The International Journal of Behavioral Nutrition and Physical Activity,7,38.
  23. Rikli, R. E.,Jones, C. J.(2013).Senior fitness test manual.Champaign, IL:Human Kinetics.
  24. Rowe, D. A.,Welk, G. J.,Heil, D. P.,Mahar, M. T.,Kemble, C. D.,Calabró, M. A.(2011).Stride rate recommendations for moderate-intensity walking.Medicine and Science in Sports and Exercise,43(2),312-318.
  25. Song, M. S.,Yoo, Y. K.,Choi, C. H.,Kim, N. C.(2013).Effects of nordic walking on body composition, muscle strength, and lipid profile in elderly women.Asian Nursing Research,7(1),1-7.
  26. Studenski, S.,Perera, S.,Wallace, D.,Chandler, J. M.,Duncan, P. W.,Rooney, E.(2003).Physical performance measures in the clinical setting.Journal of the American Geriatrics Society,51(3),314-322.
  27. Takahashi, P. Y.,Quigg, S. M.,Croghan, I. T.,Schroeder, D. R.,Ebbert, J. O.(2016).Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: A crossover clinical trial.Clinical Interventions in Aging,11,1099-1106.
  28. Tudor-Locke, C. E.,Myers, A. M.(2001).Methodological considerations for researchers and practitioners using pedometers to measure physical (ambulatory) activity.Research Quarterly for Exercise and Sport,72(1),1-12.
  29. Tudor-Locke, C.,Bassett, D. R., Jr.(2004).How many steps/day are enough? Preliminary pedometer indices for public health.Sports Medicine,34(1),1-8.
  30. Tudor-Locke, C.,Craig, C. L.,Aoyagi, Y.,Bell, R. C.,Croteau, K. A.,De Bourdeaudhuij, I.(2011).How many steps/day are enough? For older adults and special populations.The International Journal of Behavioral Nutrition and Physical Activity,8,80.
  31. Tudor-Locke, C.,Johnson, W. D.,Katzmarzyk, P. T.(2009).Accelerometer-determined steps per day in US adults.Medicine and Science in Sports and Exercise,41(7),1384-1391.
  32. Tudor-Locke, C.,Lutes, L.(2009).Why do pedometers work? A reflection upon the factors related to successfully increasing physical activity.Sports Medicine,39(12),981-993.
  33. Van Roie, E.,Delecluse, C.,Opdenacker, J.,De Bock, K.,Kennis, E.,Boen, F.(2010).Effectiveness of a lifestyle physical activity versus a structured exercise intervention in older adults.Journal of Aging and Physical Activity,18(3),335-352.
  34. World Health Organization (2011). Physical activity and older adults: Recommended levels of physical activity for adults aged 65 and above. Retrieved May 21, 2019, from https://www.who.int/dietphysicalactivity/factsheet_olderadults/en
  35. Yamada, M.,Mori, S.,Nishiguchi, S.,Kajiwara, Y.,Yoshimura, K.,Sonoda, T.(2012).Pedometer-based behavioral change program can improve dependency in sedentary older adults: A randomized controlled trial.The Journal of Frailty and Aging,1(1),39-44.
  36. Yasunaga, A.,Togo, F.,Watanabe, E.,Park, H.,Shephard, R. J.,Aoyagi, Y.(2006).Yearlong physical activity and healthrelated quality of life in older Japanese adults: The Nakanojo Study.Journal of Aging and Physical Activity,14(3),288-301.
  37. 呂美玲(2003)。台北市,國立臺灣師範大學體育學系。
  38. 洪瑄曼,陳桂敏(2006)。阻礙老年族群運動因素之探討。長期照護雜誌,10(4),404-411。
  39. 黃亭瑜(2015)。台北市,國立陽明大學物理治療暨輔助科技學系。
  40. 衛生福利部(2018)。民國一百零四年中老年身心社會生活狀況長期追蹤調查成果報告。資料引自https://www.hpa.gov.tw/Pages/ashx/File.ashx?FilePath=~/File/Attach/1282/File_8461.pdf
被引用次数
  1. 陳家羚,莊淑娸,張歆妤,江勁政(2022)。從WHO 2020身體活動指引觀點探討肌力與平衡能力對高齡者之重要性。運動表現期刊,9(2),79-91。
  2. 鍾麗民(2022)。Mosston教學光譜命令式教學運用在老年人健身運動對體適能的影響。臺灣運動教育學報,17(2),39-57。