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복합운동이 전단계노쇠 고령 여성의 노쇠지표, 경동맥 경직도 및탄성도에 미치는 영향

Effects of Combined Exercise on Frailty index, Carotid Artery Beta-Stiffness, and Distensibility in Pre-frail Older Adults Women

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PURPOSE: We studied the effects of combined exercise (CE) on frailty index, physical function, carotid artery (CA) distensibility, andbeta-stiffness in pre-frailty older women. METHODS: A total of 27 pre-frailty older women (aged 70.6±4.0 years), who were divided into a control group (n=13) and a supervisedCE group (n=14). The 12-week CE program (resistance and aerobic exercise) consisted of sessions 50 minutes in length 3 daysper week under the supervision of an exercise specialist. Frailty index, blood pressure, physical function, and CA function wereassessed. RESULTS: Frailty status showed a significantly (p=.001) group×time interaction. Also, physical activity (p=.019), walking speed(p=.049), and right grip strength (p=.040) showed a significantly group×time interaction. In the CE group, physical activity, walkingspeed, and right grip strength were significantly (p=.001, p<.001, p<.001) increased, and frailty state was significantly (p<.001)decreased 12-week. Left CA distensibility (p=.032), and beta-stiffness (p=.033) showed a significantly group×time interaction. In theCE group, CA distensibility was significantly (p<.05) increased, and CA beta-stiffness was significantly (p<.01) decreased after12-week. CONCLUSIONS: In pre-frail older adult women, CE effectively improves frailty index, CA stiffness, and distensibility.

Abstract

PURPOSE: We studied the effects of combined exercise (CE) on frailty index, physical function, carotid artery (CA) distensibility, andbeta-stiffness in pre-frailty older women. METHODS: A total of 27 pre-frailty older women (aged 70.6±4.0 years), who were divided into a control group (n=13) and a supervisedCE group (n=14). The 12-week CE program (resistance and aerobic exercise) consisted of sessions 50 minutes in length 3 daysper week under the supervision of an exercise specialist. Frailty index, blood pressure, physical function, and CA function wereassessed. RESULTS: Frailty status showed a significantly (p=.001) group×time interaction. Also, physical activity (p=.019), walking speed(p=.049), and right grip strength (p=.040) showed a significantly group×time interaction. In the CE group, physical activity, walkingspeed, and right grip strength were significantly (p=.001, p<.001, p<.001) increased, and frailty state was significantly (p<.001)decreased 12-week. Left CA distensibility (p=.032), and beta-stiffness (p=.033) showed a significantly group×time interaction. In theCE group, CA distensibility was significantly (p<.05) increased, and CA beta-stiffness was significantly (p<.01) decreased after12-week. CONCLUSIONS: In pre-frail older adult women, CE effectively improves frailty index, CA stiffness, and distensibility.

참고문헌 (47)

  1. Fried LP, "Frailty in older adults: evidence for a phenotype", J Gerontol A Biol Sci Med Sci, 56(3), pp.M146~M156 (2001)
  2. 정희원, "Prevalence of Frailty and Aging-Related Health Conditions in Older Koreans in Rural Communities: A Cross-Sectional Analysis of the Aging Study of Pyeongchang Rural Area", Journal of Korean Medical Science, 31(3), pp.345~352 (2016), 대한의학회
  3. Sergi G, "Pre-frailty and risk of cardiovascular disease in elderly men and women: the Pro. V.A. study", Journal of the American College of Cardiology, 65(10), pp.976~983 (2015)
  4. Takeuchi H, "The Prevalence of Frailty and its Associated Factors in Japanese Hemodialysis Patients", Aging Dis, 9(2), pp.192~207 (2018)
  5. Xue Q, "Association between frailty and the cardio-ankle vascular index", Clin Interv Aging, 14, pp.735~742 (2019)
  6. Orkaby AR, "CrossSectional Association of Frailty and Arterial Stiffness in CommunityDwelling Older Adults : The Framingham Heart Study", J Gerontol A Biol Sci Med Sci, 74(3), pp.373~379 (2019)
  7. Boesen ME, "A systematic literature review of the effect of carotid atherosclerosis on local vessel stiffness and elasticity", Atherosclerosis, 243(1), pp.211~222 (2015)
  8. Blacher J, "Carotid arterial stiffness as a predictor of cardiovascular and all-cause mortality in end-stage renal disease", Hypertension, 32(3), pp.570~574 (1998)
  9. Stork S, "Carotid artery plaque burden, stiffness, and mortality risk in elderly men : a prospective, population-based cohort study", Circulation, 110(3), pp.344~348 (2004)
  10. van Sloten TT, "Carotid stiffness is associated with incident stroke : a systematic review and individual participant data meta-analysis", Journal of the American College of Cardiology, 66(19), pp.2116~2125 (2015)
  11. van Sloten TT, "Local stiffness of the carotid and femoral artery is associated with incident cardiovascular events and all-cause mortality : the Hoorn study", Journal of the American College of Cardiology, 63(17), pp.1739~1747 (2014)
  12. Au JS, "Diastolic carotid artery longitudinal wall motion is sensitive to both aging and coronary artery disease status independent of arterial stiffness", Ultrasound Med Biol, 43(9), pp.1906~1918 (2017)
  13. Haapala EA, "The associations of cardiorespiratory fitness, adiposity and sports participation with arterial stiffness in youth with chronic diseases or physical disabilities", Eur J Prev Cardiol, 24(10), pp.1102~1111 (2017)
  14. Park H, "Effect of combined exercise training on bone, body balance, and gait ability : a randomized controlled study in community-dwelling elderly women", J Bone Miner Metab, 26(3), pp.254~259 (2008)
  15. Park J, "Effects of 6 months of aerobic and resistance exercise training on carotid artery intima media thickness in overweight and obese older women", Geriatr Gerontol Int, 17(12), pp.2304~2310 (2017)
  16. Fujie S, "Reduction of arterial stiffness by exercise training is associated with increasing plasma apelin level in middle-aged and older adults", Plos One, 9(4), pp.e93545~ (2014)
  17. Fujie S, "Aerobic exercise training-induced changes in serum adropin level are associated with reduced arterial stiffness in middle-aged and older adults", Am J Physiol Heart Circ Physiol, 309(10), pp.H1642~H1647 (2015)
  18. Shiotsu Y, "Effect of exercise order of combined aerobic and resistance training on arterial stiffness in older men", Exp Gerontol, 111, pp.27~34 (2018)
  19. Figueroa A, "Combined resistance and endurance exercise training improves arterial stiffness, blood pressure, and muscle strength in postmenopausal women", Menopause, 18(9), pp.980~984 (2011)
  20. 최명애, "한국판 노인 신체활동 측정도구의 평가", 여성건강간호학회지, 16(1), pp.47~59 (2010), 한국여성건강간호학회
  21. Jeon SY, "Physical Frailty Predicts Cognitive decline in elderly People: Prospective Findings From the Living Profiles of Older People Survey in Korea", Korean Journal of Family Practice, 5(3), pp.702~707 (2015)
  22. Benavent-Caballer V, "Physical factors underlying the Timed"Up and Go"test in older adults", Geriatr Nurs, 37(2), pp.122~127 (2016)
  23. Telenius EW, "Inter-rater reliability of the Berg Balance Scale, 30 s chair stand test and 6 m walking test, and construct validity of the Berg Balance Scale in nursing home residents with mild-to-moderate dementia", BMJ Open, 5(9), pp.e008321~ (2015)
  24. Miyachi M, "Unfavorable effects of resistance training on central arterial compliance : a randomized intervention study", Circulation, 110(18), pp.2858~2863 (2004)
  25. Kawano H, "Resistance training and arterial compliance : keeping the benefits while minimizing the stiffening", Journal of Hypertension, 24(9), pp.1753~1759 (2006)
  26. Marlatt KL, "The influence of gender on carotid artery compliance and distensibility in children and adults", J Clin Ultrasound, 41(6), pp.340~346 (2013)
  27. Elsawy B, "Physical activity guidelines for older adults", Am Fam Physician, 81(1), pp.55~59 (2010)
  28. Ensrud KE, "Frailty and risk of falls, fracture, and mortality in older women : the study of osteoporotic fractures", J Gerontol A Biol Sci Med Sci, 62(7), pp.744~751 (2007)
  29. Abizanda P, "Frailty and mortality, disability and mobility loss in a Spanish cohort of older adults : the FRADEA study", Maturitas, 74(1), pp.54~60 (2013)
  30. Chou CH, "Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults : a metaanalysis", Arch Phys Med Rehabil, 93(2), pp.237~244 (2012)
  31. Theou O, "The effectiveness of exercise interventions for the management of frailty : a systematic review", J Aging Res, 2011, pp.569194~ (2011)
  32. 양정옥, "노쇠진행예방을 위한 운동효과분석", 운동과학, 28(3), pp.205~210 (2019), 한국운동생리학회
  33. Park J, "Effects of 24-week resistance exercise training on carotid peak systolic and end diastolic flow velocity in healthy older adults", J Phys Ther Sci, 28(10), pp.2793~2797 (2016)
  34. 김인규, "8주간의 복합운동이 80세 이상 초고령 여성 노인의 근력 및 신체기능 개선에 미치는 효과", 운동과학, 29(1), pp.97~105 (2020), 한국운동생리학회
  35. Keller K, "Strength and muscle mass loss with aging process. Age and strength loss", Muscles Ligaments Tendons J, 3(4), pp.346~350 (2013)
  36. Trombetti A, "Age-associated declines in muscle mass, strength, power, and physical performance : impact on fear of falling and quality of life", Osteoporos Int, 27(2), pp.463~471 (2016)
  37. Topinkova E. Aging, "disability and frailty", Ann Nutr Metab, (2Suppl), pp.6~11 (2008)
  38. Villareal DT, "Regular multicomponent exercise increases physical fitness and muscle protein anabolism in frail, obese, older adults", Obesity(Silver Spring), 19(2), pp.312~318 (2011)
  39. Liao CD, "Effects of elastic band exercise on lean mass and physical capacity in older women with sarcopenic obesity : a randomized controlled trial", Sci Rep, 8(1), pp.2317~ (2018)
  40. Chow RB, "Effectiveness of the"Timed Up and Go"(TUG)and the Chair test as screening tools for geriatric fall risk assessment in the ED", Am J Emerg Med, 37(3), pp.457~460 (2019)
  41. Moreira Bde S, "The geriatric depression scale and the timed up and go test predict fear of falling in community-dwelling elderly women with type 2 diabetes mellitus : a cross-sectional study", BMC Geriatr, 16, pp.56~ (2016)
  42. Tan S, "Effects of six months of combined aerobic and resistance training for elderly patients with a long history of type 2 diabetes", J Sports Sci. Med, 11(3), pp.495~501 (2012)
  43. Montero D, "Effect of combined aerobic and resistance training versus aerobic training on arterial stiffness", International Journal of Cardiology, 178, pp.69~76 (2015)
  44. Hayashi K, "Effects of aerobic exercise training on the stiffness of central and peripheral arteriesin middle-aged sedentary men", Jpn J Physiol, 55(4), pp.235~239 (2005)
  45. Alkatan M, "Effects of swimming and cycling exercise intervention on vascular function in patients with osteoarthritis", American Journal of Cardiology, 117(1), pp.141~145 (2016)
  46. Miyachi M, "Effects of resistance training on arterial stiffness : a metaanalysis", Br J Sports Med, 47(6), pp.393~396 (2013)
  47. Jefferson ME, "Effects of resistance training with and without caloric restriction on arterial Stiffness in overweight and obese older adults", Am J Hypertens, 29(4), pp.494~500 (2016)

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