대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제15권4호
  • /
  • Pages.11-20
  • /
  • 2020
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

Effect of Nordic Walking on Depression and Physical Function in the Elderly with High-Risk of Depression

  • 투고 : 2020.08.17
  • 심사 : 2020.09.03
  • 발행 : 2020.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: This study examined the effects of Nordic walking on depression and the physical function of elderly patients with a high risk of depression. METHODS: This study was a blinded randomized allocation study; 32 elderly were assigned to a Nordic walking group (n = 17), consisting of 60 min Nordic walking (including warming up 5 min, warming down 5 min, and Nordic walking 50 min) two days per week for 12 weeks and general leisure group (n = 15), consisting of 60 min leisure program community center. The pre and post 12-week program, depression test, muscle strength (including grip test, and 30sec sit to stand), and balance (including Functional Reach test, and One Leg Standing test) were measured. A Mann-Whitney U test was used to compare within the group, and a Wilcoxon signed-rank test was used to compare between the groups. RESULTS: After 12 weeks, only the Nordic walking group showed significant improvement in depression, muscle strength, and balance (p < .05). In the general leisure group, however, the left grip strength and Functional Reach Test (FRT) showed a significant decrease. The Nordic walking program was better than the general leisure group, and a significant difference was observed in depression, muscle strength, and balance between the two groups (p < .05). CONCLUSION: Nordic walking was effective for the elderly with a high risk of depression. Therefore, Nordic walking may be an option for preventing elderly mental disorders and functional improvement.

키워드

참고문헌

  1. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. 2013.
  2. Jeong KH, Oh YH, EN K, et al. The survey on the actual conditions of older person in Korea. . In: Welfare; MoHa. Sejong. Korean. 2017.
  3. KOSIS: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&conn_path=, 2020.
  4. Kim KH. Welfare for the elderly in an aging society with low birth rates. Social Research 2004;5(1):27-52.
  5. Chun MU, Choi JW, Kang SG, et al. The Relationship between Health Related Physical Fitness, Depression, and Quality of Life of the Elderly JKCS. 2019;10(12): 387-97.
  6. Cruz-Jimenez M. Normal Changes in Gait and Mobility Problems in the Elderly. Phys Med Rehabil Clin N Am. 2017;28(4):713-25. https://doi.org/10.1016/j.pmr.2017.06.005
  7. Choi JH, Lee KJ. The chan11ge of binocular visual function in mild. moderate and severe glaucoma patients. Korean J Vis Sci.17(3):300-8.
  8. Rantakokko M, Manty M, Rantanen T. Mobility decline in old age. Exercise and Sport Sciences Reviews. 2013;41(1):19-25. https://doi.org/10.1097/JES.0b013e3182556f1e
  9. RANTANEN T, ERA P, HEIKKINEN E. Maximal Isometric Strength and Mobility among 75-year-old Men and Women. Age and Ageing. 1994;23(2):132-7. https://doi.org/10.1093/ageing/23.2.132
  10. Sallinen J, Stenholm S, Rantanen T, et al. Hand-Grip Strength Cut Points to Screen Older Persons at Risk for Mobility Limitation. 2010;58(9):1721-6. https://doi.org/10.1111/j.1532-5415.2010.03035.x
  11. Ha MS, Park RJ. A Study of Cognitive Function and Depression of the Elderly in a Institution. Journal of The Korean Society of Physical Medicine. 2008;3(4):285-92.
  12. Joshi S, Mooney SJ, Kennedy GJ, et al. Beyond METs: types of physical activity and depression among older adults. Age and Ageing. 2016;45(1):103-9. https://doi.org/10.1093/ageing/afv164
  13. WHO: Mental health of older adults. Available at https://www.who.int/news-room/fact-sheets/detail/mental-health-ofolder-adults, accessed on August 14, 2019.
  14. You KU, Won YB. The Correlation between Physical Activity, Negative Emotion, Economic Level and Mental Health Condition of Elderly People Korean Journal of Sport Psychology. 2010;21(4):197-205.
  15. Lee H, Lee JA, Brar JS, et al. Physical activity and depressive symptoms in older adults. 2014;35(1): 37-41. https://doi.org/10.1016/j.gerinurse.2013.09.005
  16. Kim Bj. Factors Influencing Depressive Symptoms in the Elderly: Using the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1). J Health Info Stat 2020;45(2):165-72. https://doi.org/10.21032/jhis.2020.45.2.165
  17. Jung SR, Kim WS. Exercise Intervention on Blood Glucose Control of Type 2 Diabetes with Obesity : A Systematic Review. J Korean Soc Phys Med. 2018;13(1):11-26. https://doi.org/10.13066/kspm.2018.13.1.11
  18. Lee BH, Park JS, Kim NR. The Effect of Physical Activity Program on Cognitive Function, Physical Performance, Gait, Quality of Life and Depression in the Elderly with Dementia Journal of Special Education & Rehabilitation Science. 2011;50(2):307-28.
  19. Golinowska S, Groot W, Baji P, et al. Health promotion targeting older people. BMC Health Services Research. 2016;16(5):345. https://doi.org/10.1186/s12913-016-1514-3
  20. Kim YG, Han DW, Lee BK. The Effects of Walking and Yoga Exercise on the Cognitive Functions in the Elderly Women. KSPM. 2010;5(2):211-21.
  21. Chase J-AD, Phillips LJ, Brown M. Physical Activity Intervention Effects on Physical Function Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis. Journal of aging and physical activity. 2017;25(1):149-70. https://doi.org/10.1123/japa.2016-0040
  22. Kim DH, Suh YS, Lee DH. The Effect of the 12 Weeks Walking Program on Walking Posture and Mood of Community Elderly. KJCG. 2007;8(4):419-26.
  23. Huh YG, Jung WS, Lee MG. Effects of a 13-week outdoor group walking exercise on depression and its related variables in elderly women. Korean Journal of Sports Science. 2014;23(2):1351-64.
  24. Kim CS, Kang SY, Nam JS, et al. The Effects of Walking Exercise Program on BMI, Percentage of Body Fat and Mood State for Women with Obesity. KOSSO. 2004;5(2): 223-32.
  25. Muollo V, Rossi AP, Milanese C, et al. The effects of exercise and diet program in overweight people - Nordic walking versus walking. Clin Interv Aging. 2019;14: 1555-65. https://doi.org/10.2147/CIA.S217570
  26. Tschentscher M, Niederseer D, Niebauer J. Health benefits of Nordic walking: a systematic review. Am J Prev Med. 2013;44(1):76-84. https://doi.org/10.1016/j.amepre.2012.09.043
  27. Skorkowska-Telichowska K, Kropielnicka K, Bulinska K, et al. Nordic walking in the second half of life. Aging Clin Exp Res. 2016;28(6):1035-46. https://doi.org/10.1007/s40520-016-0531-8
  28. Suija K, Pechter U, Kalda R, et al. Physical activity of depressed patients and their motivation to exercise: Nordic Walking in family practice. Int J Rehabil Res. 2009;32(2):132-8. https://doi.org/10.1097/MRR.0b013e32831e44ef
  29. Lee HS, Park JH. Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above. Journal of Physical Therapy Science. 2015;27(8):2453-6. https://doi.org/10.1589/jpts.27.2453
  30. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17(1):37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  31. Kim JY, Park JH, Lee JJ, et al. Standardization of the korean version of the geriatric depression scale: reliability, validity, and factor structure. Psychiatry investigation. 2008;5(4):232-8. https://doi.org/10.4306/pi.2008.5.4.232
  32. Wolinsky FD, Miller DK, Andresen EM, et al. Further Evidence for the Importance of Subclinical Functional Limitation and Subclinical Disability Assessment in Gerontology and Geriatrics. The Journals of Gerontology: Series B. 2005;60(3):S146-S51.
  33. Lee HS, Lee CH. The Effect of Progressive Resistance Training with Elastic Band on Grip Strength and Balance in Middle Elderly Women. JKPT. 2013;25(2):110-6.
  34. Madhushri P, Dzhagaryan A, Jovanov E, et al. An mHealth Tool Suite for Mobility Assessment. Information. 2016;7(3).
  35. DeWaard BP, Bentrup BR, Hollman JH, et al. Relationship of the Functional Reach and Lateral Reach Tests in Elderly Females. Journal of Geriatric Physical Therapy. 2002;25(3):4-9. https://doi.org/10.1519/00139143-200225030-00002
  36. Vellas BJ, Rubenstein LZ, Ousset PJ, et al. One-leg standing balance and functional status in a population of 512 community-living elderly persons. Aging (Milano). 1997;9(1-2):95-8.
  37. Briggs RC, Gossman MR, Birch R, et al. Balance Performance Among Noninstitutionalized Elderly Women. Physical Therapy. 1989;69(9):748-56. https://doi.org/10.1093/ptj/69.9.748
  38. Franchignoni F, Tesio L, Martino MT, et al. Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females. Aging Clinical and Experimental Research. 1998;10(1):26-31. https://doi.org/10.1007/BF03339630
  39. Lee SJ, Yun GH, Lee JY, et al. Factors Influencing Period from Retirement to Occurrence of Depression of Elderlies. The Journal of Humanities and Social science 2017;8(5):905-26.
  40. Chung HA. A Literature Review a Program of Intervention of patient Geriatric Depression The Journal of Occupational Therapy for the Aged and Dementia 2008;2(1):59-67.
  41. Wipfli B, Landers D, Nagoshi C, et al. An examination of serotonin and psychological variables in the relationship between exercise and mental health. 2011;21(3):474-81.
  42. Craft LL, Perna FM. The Benefits of Exercise for the Clinically Depressed. Primary care companion to the Journal of clinical psychiatry. 2004;6(3):104-11. https://doi.org/10.4088/PCC.v06n0301
  43. Silveira H, Moraes H, Oliveira N, et al. Physical Exercise and Clinically Depressed Patients: A Systematic Review and Meta-Analysis. Neuropsychobiology. 2013;67(2): 61-8. https://doi.org/10.1159/000345160
  44. Sung JK, Song KS, Kwon SO. Effects of Treadmill Exercise and Bright Lighton Serotonin Expression in Rat Brain. Korean Journal of Sport Science 2014;25(2):193-201. https://doi.org/10.24985/kjss.2014.25.2.193
  45. Lee JS, Kim SG, Kim JH, et al. Melatonin in Psychiatric Disorders. Sleep Medicine and Psychophysiology. 2015;22(1):5-10. https://doi.org/10.14401/KASMED.2015.22.1.5
  46. Kim MG, Park SK, Ahn SCJJoLS. Rhythmic control and physiological functional significance of melatonin production in circadian rhythm. 2013;23(8):1064-72. https://doi.org/10.5352/JLS.2013.23.8.1064
  47. Neumeister A, Young T, Stastny JJP. Implications of genetic research on the role of the serotonin in depression: emphasis on the serotonin type 1 A receptor and the serotonin transporter. 2004;174(4):512-24. https://doi.org/10.1007/s00213-004-1950-3
  48. Suija K, Pechter U, Kalda R, et al. Physical activity of depressed patients and their motivation to exercise: Nordic Walking in family practice. 2009;32(2):132-8. https://doi.org/10.1097/MRR.0b013e32831e44ef
  49. Hirvensalo M, Rantanen T, Heikkinen E. Mobility difficulties and physical activity as predictors of mortality and loss of independence in the community-living older population. J Am Geriatr Soc. 2000;48(5):493-8. https://doi.org/10.1111/j.1532-5415.2000.tb04994.x
  50. Verghese J, LeValley A, Hall CB, et al. Epidemiology of gait disorders in community-residing older adults. Journal of the American Geriatrics Society. 2006;54(2): 255-61. https://doi.org/10.1111/j.1532-5415.2005.00580.x
  51. Lee HS, Park SW. Assessment of gait as a diagnostic tool for patients with dementia. JKSoPM. 2017;12(2):129-36.
  52. Ko SU, Stenholm S, Metter EJ, et al. Age-associated gait patterns and the role of lower extremity strength - results from the Baltimore Longitudinal Study of Aging. Archives of gerontology and geriatrics. 2012;55(2):474-9. https://doi.org/10.1016/j.archger.2012.04.004
  53. Ahn NY, Kim KJ. Strengthening Exercise for Prevention of Sarcopenia during the Aging Process. J Korean Journal of Obesity. 2012;21(4).
  54. Ossowski ZM, Skrobot W, Aschenbrenner P, et al. Effects of short-term Nordic walking training on sarcopenia-related parameters in women with low bone mass: a preliminary study. Clin Interv Aging. 2016;11:1763-71. https://doi.org/10.2147/CIA.S118995