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A Meta Analysis of the Effects of Physical Activity Programs in the Elderly with Disabilities (장애노인 신체활동 프로그램 효과에 대한 메타분석)

  • Kim, Kyungjin
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.301-308
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    • 2018
  • The study conducted a meta analysis to identify the effects of physical activity programs for the elderly with disabilities. The 14 out of 177 studies, fulfilled the process and requirement, were selected for the Hedges'g, funnel plot, forest plot, Egger's regression test, trim-and-fill, fail-safe N. There were three conclusions based on the results. First, the physical activity was effective for the elderly with disabilities and showed good effects on the psychomotor, cognitive, and affective domains. Second, the physical activity programs of fundamental exercise skill, game and sport, and fitness exercise showed positive effects on the psychomotor, cognitive, and affective domains in the elderly with disabilities. Third, the fundamental exercise skill for the psychomotor domain, the game and sport for the cognitive domain, and the fitness exercise for the affective domain were the most effective for the elderly with disabilities.

Role of Gait Variability and Physical Fitness as a Predictor for Frailty Status in Older Women (여성노인의 허약 상태 예측을 위한 보행변동성 및 체력의 역할 검증)

  • Jin, Youngyun;Park, Jin Kook;Kang, Hyunsik
    • 한국체육학회지인문사회과학편
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    • v.57 no.6
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    • pp.263-272
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    • 2018
  • This study examined the association of gait variability and physical fitness with frailty status in older women. In a cross-sectional design, 168 elderly women, aged 65 years and older (75.07±5.40 years), measured body composition, gait parameters gait variability, physical fitness variables, MMSE-DS and CES-D. Subjects were classified as robust, pre-frail, and frailty based on the Fried et al.(2001) criteria for frailty weight loss, exhaustion, low hand-grip strength, low gait speed, and physical inactivity. Logistic regression analyses were used to determine the odds ratio (ORs) and 95% confidence interval (CI) of frailty status for having gait variability and physical fitness levels. Compared to the robust group (OR=1), the frailty group had significantly higher ORs of having terminal double limb stance (OR=1.48, 95% CI=0.10-2.21, p=.049), step cadence (OR=2.06, 95%CI=1.20-3.43, p=.009) variability, and significantly lower ORs of having upper-strength (OR=0.49, 95%CI=0.31-0.77, p=.002) even after adjusting for age, education, comorbidity, K-IADL, MMSE-KC and CES-D score. The finding of this study suggested that terminal double limb stance, step cadence and upper body muscular strength were independent predictors of frailty.

Effects of Forest-Walking Exercise on Functional Fitness and Gait Pattern in the Elderly (산림 걷기 운동이 노인의 기능적 체력과 보행형태에 미치는 영향)

  • Choi, Jong-Hwan;Shin, Chang-Seob;Yeoun, Poung-Sik
    • Journal of Korean Society of Forest Science
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    • v.103 no.3
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    • pp.503-509
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    • 2014
  • The purpose of this study was to investigate the effect of Forest-walking exercise on gait pattern in the elderly. The subjects (n=37) were assigned to 2 groups: Forest-walking exercise (FWE) group (n=19, $66.34{\pm}4.31$ years old) and In-door treadmill-walking exercise (ITWE) group (n=18, $67.18{\pm}2.78$ years old). The subjects participated in FWE program or ITWE program (3 times/week, 80 min/day) for 12 weeks. The subjects were tested on functional fitness (strength, endurance, agility/balance, BMI) and gait pattern (cadence, velocity, and stability) at the beginning and the end of the 12-weeks program. For data analysis, mean and standard deviation scores were calculated, and independent t-test and repeated two-way ANOVA were used. The results of this study were as follow: First, FWE group was significantly more improved than ITWE group on functional fitness(lower-body muscular strength, lower-body flexibility, mobility, cardiorespiratory endurance) after 12-weeks exercise program. But both groups showed equally improvements on functional fitness (upper-body muscular strength, upper-body flexibility, BMI). Second, FWE group was significantly more improved than ITWE group on cadence, gait velocity, and gait stability after 12-weeks exercise program. Therefore, this study may suggest that Forest-walking exercise based on sensory-motor functional integration improves efficiently functional fitness and gait pattern in the elderly, and further becomes an effective exercise method that makes more dynamic life, and prevents from falling.

The effects of a 24 Weeks of combined exercise programs have on physical configuration, blood components and physical strength for normal and geriatric diseased senior citizens residing in the country side (중소도시 노인들의 24주간 복합운동 프로그램이 성인병 질환자 및 정상인의 신체구성, 혈액성분, 체력에 미치는 영향)

  • Kim, Young-Jin
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.431-439
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    • 2013
  • This thesis is to research the before and after changes of physical configurations, blood components and physical strength for normal and geriatric diseased senior citizens at the end of 24 week of combined exercises constructed of aerobic and muscular strength training to create most suitable and effective complex exercise program for geriatric diseased patients. For this experiment 20 normal and 20 geriatric diseased patients in the age of 65 residing in "K" city were selected to carry out the 24 weeks of combined exercises in regularly. The result of the research showed that geriatric patients increased significantly in everything, but normal group showed significant change in only WHR. There was a slight improvement in the blood components for the average participants but it only differed slightly from the diseased participants so there were no major changes reflecting the outcomes from both before and after. After concluding the program both groups displayed positive improvements in stamina but no significant alterations in physical strength., agility, muscle endurance and balance. The positive factors for each groups could be that the norms were able to maintain their health and enhancement in stamina and diseased were able to prevent their condition from worsening. Additionally, over 50 percent of all senior citizens have one or more geriatric diseases but the participation of any physical activity is in the decrease. Henceforth, this is a field that still needs a lot of work and combined exercise programs should be created and followed through so it may enhance in the improvement of health and quality of life as well.

Effects of an Aquatic Exercise Program on Body Composition, Blood Components and Physical Fitness in the Elderly Women

  • Lee, Soon-Hee;Yang, In-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.8
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    • pp.75-81
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    • 2021
  • The purpose of this study was to investigate the effects of aqua exercise program on body composition, blood components, and physical fitness in the elderly women. This study included 23 elderly women. The aqua exercise program was performed for fifty minutes a day, 2 times a week for 12 weeks with moderate-intensity level. Data was analyzed with SPSS using descriptive statistics and the paired t-test. The findings of this study presented that the aqua exercise program showed significant improvements in the body mass index (t=2.42, p=.024), the abdominal circumference (t=4.36, p<.001), and the level of blood glucose (t=3.19, p=.004) and LDL cholesterol (t=3.33, p=.003). These results suggest that aqua exercise is an effective strategy which has positive effects on body composition and blood components among elderly women. It might be possible to promote health condition in elderly women by implementing aqua exercise program which could be considered aging and excercise intensity.

특집 : IT 융복합의료기기 기술 - 노인의 근력 증진 운동기기와 관련 가상현실 컨텐츠 동향

  • Jeong, Gyeong-Yeol;Im, Byeong-Ju;Park, Chang-Dae;Kim, Jin-Yeong;Dong, Eun-Seok
    • 기계와재료
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    • v.23 no.1
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    • pp.14-22
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    • 2011
  • 노화가 시작되면 체력이 저하되어 면역기능이 떨어져 쉽게 병에 걸리고 환경에 대한 적응력이 떨어진다. 특히 60세 이상이 되면 근육 양과 근력이 급격히 가속화되어 신체적으로 약화되기 시작한다. 노화는 자연스럽게 진행되지만 꾸준한 운동을 통해 근력 저하 속도를 늦출 수 있다. 근력 증강을 위한 다양한 기기 개발에도 불구하고 노인들이 사용하는데 어려움이 있다. 특히 노인 신체적 특성에 맞는 운동기기 개발이 절실하며, 노인의 흥미를 유발시켜 자발적 참여를 유도하는 환경이 제공되어야 한다. 가상현실 기술은 실재하지 않거나 먼 거리에 있는 환경을 가상세계로 생성시켜서, 인간의 오감을 각종 인터페이스 장치를 통해 신호를 전달하여 가상의 현실 환경에 실재하고 있다고 느끼도록 만들어 주고, 가상세계와 상호작용을 통해 의료 진단, 치료, 재활 등에 유용한 도구 및 환경을 제공한다. 이러한 가상현실 기술의 특성 때문에 노인의 운동 참여와 운동 효과를 극대화 할 수 있다. 본 논문에서는 근력의 특성을 분석하고 노화와 근력과의 관계를 조사하고, 상지근력 증강 운동기와 해당 가상현실 컨텐츠 그리고 관련 컨텐츠 개발 동향에 대해 제시하고자 한다.

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노년건강시대 - 봄철 운동으로 다지는 노년의 건강과 활력

  • Kim, Eun-Seop
    • 건강소식
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    • v.34 no.5
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    • pp.12-13
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    • 2010
  • 파릇파릇 생기가 넘치는 봄을 만끽하기 위해 들판이며 공원을 찾는 사람들이 부쩍 늘었다. 겨우내 움츠렸던 몸을 활짝 펴고 운동을 시작하는 노인들도 적잖이 눈에 띈다. 하지만 제 아무리 건강한 삼을 위해 체력을 관리하는 것도 좋지만 내 몸에 맞는 운동은 어떤 것인지, 주의해야 할 것은 없는지 신중하게 살피는 것이 중요하다. 특히 노년이라면 더더욱 그러하다. 전문의와의 상담을 통해서 신체능력에 맞는 운동을 하는게 무엇보다 중요하다. 노년들의 건강 운동법에 대해서 알아본다.

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The effect of applying u-health system on metabolic syndrome management of elderly (U-health system 활용이 남녀노인의 대사증후군 관리에 미치는 영향)

  • Chung, Jin-Wook;Sung, Soon-Chang
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.553-560
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    • 2013
  • The purpose of this study was to examine the effect of u-health system on metabolic syndrome risk factor, body composition, and fitness in male and female elderly. Subjects were 46 elderly(24 men and 22 women) with metabolic syndrome. They were divided into u-health group and home exercise group. Blood pressure, blood profile, body composition, and fitness were measured before and after the intervention. As a results, blood glucose and waist circumference showed significant interaction in both men and women, respectively. In body composition, weight, muscle mass, fat mass, %body fat, BMI showed significant interaction whereas only muscle mass showed significant differences in women. In fitness, there were interaction shown in 3m up and go, functional reach, and gait speed in men. In women sit to stand, 6min walk, and grip strength showed significant interaction. In conclusion, u-health system seems to be the effective method in terms of checking regularly. However, easier and more simple system for elderly and specific direction for exercise should be added.

The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression (복합 프로그램을 적용한 방문건강관리가 재가허약노인의 체력, 허약, 및 우울 개선에 미치는 영향)

  • Kim, Hee Gerl
    • Research in Community and Public Health Nursing
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    • v.26 no.4
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    • pp.405-414
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    • 2015
  • Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.