十六周健康促進課程對銀髮族體適能及認知功能的影響

本計劃旨在探討介入健康促進課程（運動課程及認知刺激課程）對高齡者各項體適能與認知功能評估的影響；本計畫實驗研究設計，單一組別前、後測，每週1次，每次時間為90分鐘，連續進行16週。以描述統計方式、相依樣本t檢定，了解社區高齡者身體活動量與AD-8極早期失智症篩檢量表之狀況，於健康促進方案介入前在第1和18週時進行體適能檢測及AD-8極早期失智症篩檢量表，檢視前、後兩次結果之差異。研究結果：（一）十六周健康促進課程介入後收縮壓與舒張壓達顯著差異（p＜.05）。（二）十六周健康促進方案介入，參與者在下肢肌力與動態平衡與敏捷性有達顯著差異（p＜.05）；上、下肢柔軟度、靜態平衡與心肺適能方面未達顯著差異。（三）十六周健康促進方案介入後在AD-8極早期失智症篩檢量表未達顯著差異（p＞.05）。結論：本研究健康促進課程可提供衛服部國民健康署社區整體照護服務C級服務據點之老人課程規劃參考。

關鍵字

體適能；失智症；跌倒；健康促進；疾病預防

並列摘要

The purpose of this study was to investigate the effects of Health Facilitation Classes (exercise session and recognition stimulus seminar) on seniors' physical fitness and cognitive ability. The research design included a group of respondents participating in a 90-minute meeting, once a week. The overall program needed 16 weeks for completion. Descriptive statistics and T-test were deployed to explore the statuses of seniors' physical activities and the conditions of the AD-8 Dementia Screening results so as to examine the differences between pre-test (one week before the implementation of this prospectus) and post-test (one week after the implementation of this prospectus). The findings of this study are as follows: (1) the systolic blood pressure averagely decreased 8.6 mmHg (p＜0.05) and the diastolic blood pressure commonly reduced 4.25 mmHg (p＜0.05), (2) the muscle strength of lower limbs increased (p＜0.05); however, softness, static balance, and cardiovascular function did not indicate any difference and (3) the AD-8 Dementia Screening results did not display any significant variance. This Health Facilitation Program provided important references among seniors for Comprehensive Community Care Tier-C of Health Promotion Administration, Ministry of Health and Welfare.

並列關鍵字

Physical Fitness ； Dementia ； Fall ； Health Facilitation Classes ； Prevent Disease

參考文獻

Cornelissen VA, Fagard RH, Coeckelberghs E, Vanhees L(2011) Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled rials. Hypertension2011;58:950-958.doi:10.1161/ HYPERTENSIONAHA.111.177071.

方進隆(1993)。健康體能的理論與實際。臺北市：漢文書局。