多元性運動課程改善社區高齡女性身體功能與生活滿意度之成效

老化導致肌肉力量與平衡能力下降，參與身體活動是有效延緩身體功能衰退的方式。本研究旨在探討社區高齡女性參與多元性運動課程對其身體功能與生活滿意度的改善成效。本研究以高雄市社區照顧關懷據點年滿65歲以上的女性高齡者為研究對象，採準實驗研究設計方式將33位女性高齡者分配到實驗組（17位）與對照組（16位）。實驗組進行為期12週、每週2次、每次90分鐘的多元性運動課程，課程內容包含伸展運動、有氧運動、肌力訓練與平衡訓練等類型，對照組維持日常的生活型態。以功能性體適能的30秒屈臂上舉、30秒坐椅站立、抓背測驗、坐椅體前彎、兩分鐘原地踏步、開眼單腳站立及2.44公尺站立起走做為評估高齡者身體功能以及生活滿意度量表作為前、後測的測量工具，所得資料以雙因子重複量數分析進行檢驗多元性運動課程對社區高齡女性身體功能與生活滿意度之影響成效。研究結果發現多元性運動課程介入後，實驗組在上肢肌力、下肢肌力、心肺耐力、靜態平衡、敏捷及動態平衡、生活滿意度均具有顯著進步成效，對照組在身體功能與生活滿意度未有顯著進步。多元性運動課程可有效改善社區高齡女性肌肉力量、心肺耐力、平衡能力，並增進生活滿意度，是一套值得推廣的社區運動課程模式。

關鍵字

老化；肌肉力量；平衡能力；心肺耐力

並列摘要

Aging leads to a decline in muscle strength and balance ability, and engaging in physical activities is an effective way to delay the deterioration of physical functions. Therefore, this study aims to examine the effectiveness of multicomponent training courses on improving physical functional and life satisfaction in older female adults living in the community. The research participates focuses on female older adults aged 65 and above in the community care centers in Kaohsiung city. A quasi-experimental design was adopted. In total, 33 female older adults were assigned to the multicomponent training courses intervention group (n = 17) or the control group (n = 16). A 12-week multicomponent training courses was provided to the intervention group two times per week. The courses include stretching, aerobic, strength and balance training. The control group maintains their usual daily lifestyle. The primary outcomes, using functional fitness tests to assessment physical function (30-s arm curl, 30-s chair stand, back scratch, chair sit and reach, 2 min step test, single leg stance and 8-foot timed up and go), and life satisfaction questionnaire were evaluated for all participants in the pre- and post-measures time periods. The data were be analyzed using a two-factor repeated measures analysis of variance to examine the effects of multicomponent training courses on physical function and life satisfaction in older female adults living in the community. The result of analysis shows that the participants had a significantly improve upper limb strength, lower limb strength, cardiovascular endurance, static balance, agility and dynamic balance, and life satisfaction after the multicomponent training intervention. The control group of physical function and life satisfaction was not significantly differences. This finding indicates that the multicomponent training courses was effective in improving the functional fitness and life satisfaction of community-dwelling female older adults. Multicomponent training courses is a set of community sports courses worth promoting.

並列關鍵字

aging ； muscle strength ； balance ability ； cardiovascular endurance

參考文獻

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