Relationships between Television Viewing Time and Physical Fitness and Psychological Symptoms in Community-dwelling Older Adults

社區高齡者觀看電視時間與其體適能、心理症狀之相關

侯榮英(Jung-Ying Hou) ； 蔡青芳(Ching-Fang Tsai) ； 王建宇(Jian-Yu Wang) ； 王政偉(Cheng-Wei Wang) ； 洪珊菁(Shan-Ching Hung) ； 吳珮伶(Pei-Lin Wu) ； 陳煒(Wei Chen) ； 范聖育(Sheng-Yu Fan)

《台灣老年醫學暨老年學會雜誌》 15卷1期 (2020/02) Pp. 27-38

https://doi.org/10.29461/TGGa.202002_15(1).0003

摘要

Background: Older adults tend to spend more time watching (TV). While frequent TV watching is known to be associated with poor cardiopulmonary function and muscle strength in children and young adults, the relationships between TV viewing and physical fitness and psychological symptoms in older adults have remained understudied. The paper accordingly aimed to explore the relationship of TV viewing time with physical fitness and psychological symptoms among community-dwelling older adults. Methods: In this cross-sectional study, 340 older participants aged ≥65 years were voluntarily recruited during 2014-2015. Based on the average daily TV viewing time, the participants were stratified into two groups: infrequent (≤2 h/day) and frequent (＞2 h/day) TV viewers. Physical fitness of the participants was measured with 30-second chair stand, 30-second arm curl, 2-minute step, 8-foot up and go, back scratch, and one-leg stand tests. Self-reported health and BSRS (brief symptom rating scale) scores were also collected. Results: Frequent TV viewers had a higher body mass index (BMI) than infrequent TV viewers. When controlling age, sex, and weight, the study found frequent TV viewers show a higher BSRS score, experience greater difficulty falling asleep, and sleep less. However, there was no significant difference in physical fitness between the two groups of participants. Conclusions: Longer TV viewing time appears to be associated with higher BMI, less sleep hours, and more psychological symptoms among elderly community dwellers, indicating a need for interventions to prevent excessive TV viewing in older adults.

關鍵字

psychological symptoms ； physical fitness ； sleep problem ； television viewing ； weight

並列摘要

研究目的：觀看電視是高齡者的主要休閒活動之一。本研究目的在探討高齡者觀看電視時間與體適能、心理症狀的關聯性。研究方法：研究採用橫斷式設計，共招募340位65歲以上的高齡者。依據觀看電視的時間將高齡者分成頻繁組（每天平均觀看時間大於2個小時）與較少觀看組（每天平均觀看時間小於等於2個小時）。並對高齡者的體適能、自評健康與簡式症狀量表進行評估。研究結果：相較於不常看電視的高齡者，頻繁看電視者有較高的身體質量指數。在控制年紀、性別與體重後，頻繁看電視者有較高的BSRS總分，入睡困難的分數較不常看電視組高。且睡眠時間較短。但在其他身體功能沒有顯著差異。研究結論：高齡者較長的看電視時間與高身體質量指數、較少的睡眠時間、與較高的心理困擾分數有關。未來可針對過度觀看電視的高齡者提供相關的活動介入。

並列關鍵字

心理症狀 ； 體適能 ； 睡眠問題 ； 觀看電視 ； 體重