家庭远程锻炼指导在社区老年肌少症危险人群中的应用效果

目的:观察家庭远程锻炼指导在社区老年肌少症危险人群中的应用效果。方法:选取110名社区老年肌少症危险人群为研究对象,按照随机数字表法将其分为对照组与观察组各55名。对照组给予常规健康教育,观察组在对照组基础上采用家庭远程锻炼指导,比较两组教育前后体质量指数(BMI)、肌肉率、脂肪率、握力水平、步速、5次起坐时间、运动功能[老年人运动功能量表(GLFS-25)]评分和跌倒效能[跌倒效能量表(FES)]评分。结果:教育后,两组肌肉率比较,差异无统计学意义(P>0.05);观察组BMI高于对照组,脂肪率低于对照组,差异有统计学意义(P<0.05);观察组握力水平和步速均高于对照组,5次起坐时间短于对照组,差异有统计学意义(P<0.05);观察组GLFS评分低于对照组,FES评分高于对照组,差异均有统计学意义(P<0.05)。结论:在常规健康教育基础上采用家庭远程锻炼指导可提高社区老年肌少症危险人群BMI、握力水平和步速,缩短5次起坐时间,以及降低脂肪率、GLFS评分,提高FES评分,其效果优于单纯常规健康教育。

Application effects of family remote exercise guidance in community elderly people with sarcopenia risk

Objective:To observe application effects of family remote exercise guidance in community elderly people with sarcopenia risk.Methods:110 community elderly people with sarcopenia risk were selected as the research objects,and divided into control group and observation group according to the random number table method,55 cases in each group.The control group was given regular health education,while the observation group was given the family remote exercise guidance.The body mass index(BMI),the muscle rate,the fat rate,the grip strength level,the walking speed,the five-time sit-to-stand time,the motor function score[geriatric locomotive function scale(GLFS-25)]and the fall performance[fall efficacy scale(FES)]score were compared between the two groups.Results:After the education,there was no significant difference in the muscle rate between the two groups(P>0.05).The BMI of the observation group was higher than that of the control group;the fat rate was lower than that of the control group;and the differences were statistically significant(P<0.05).The grip strength level and the walking speed of the observation group were higher than those of the control group;the five-time sit-to-stand time was shorter than that of the control group;and the differences were statistically significant(P<0.05).Further,the GLFS score and FES score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the regular health education,the family remote exercise guidance can improve the BMI level,the grip strength level and the walking speed of the community elderly people with sarcopenia risk,shorten the five-time sit-to-stand time,and reduce the fat rate and the GLFS score and the FES score.Moreover,it is superior to single regular health education.