著者

大須賀 洋祐 鄭 松伊 金 泰浩 大久保 善郎 金 ウンビ 田中 喜代次

出版者

The Japanese Society of Physical Fitness and Sports Medicine

雑誌

体力科学 (ISSN:0039906X)

巻号頁・発行日

vol.64, no.4, pp.407-418, 2015-08-01 (Released:2015-07-27)

参考文献数

38

被引用文献数

4 1

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The purpose of this study was to examine the effects of an exercise intervention for older married couples on exercise adherence and physical fitness. Thirty-six older married couples and 61 older adults participated in the study as couple and non-couple groups (CG, NCG, respectively). Participants attended an exercise class once a week and performed a home-based exercise program consisting of walking and strength exercise over eight weeks. Exercise adherence was assessed by the rate of non-absentee, walking habits (≥ 2 times/week), and strength exercise habits (≥ 6 items*2 sets/week). Physical fitness was assessed by the Senior Fitness Tests. Logistic regression analyses were conducted to obtain the CG’s odds ratios (ORs) and 95% confidence interval (CI) for non-absentee, walking habits, and strength exercise habits (reference: NCG). Analyses of covariance were used to examine the statistical difference in the degree of change (⊿) for physical fitness between CG and NCG. CG had significantly higher ORs for non-absentee and walking habits compared with NCG but there was no significant difference in the rate of strength exercise habits between the two groups. In regards to ⊿ for physical fitness, significantly higher ⊿ for upper extremity strength was observed in CG than in NCG, while there were no significant differences in ⊿ for other physical fitness items between the two groups. These results suggest that an exercise intervention for older married couples would be more useful to maintain higher participation in exercise program and walking and improving upper extremity strength.

著者

大久保 善郎 清野 諭 藪下 典子 大須賀 洋祐 鄭 松伊 根本 みゆき 金 美芝 フィゲロア ラファエル 田中 喜代次

出版者

一般社団法人日本体力医学会

雑誌

体力科学 (ISSN:0039906X)

巻号頁・発行日

vol.63, no.4, pp.391-400, 2014-08-01 (Released:2014-07-26)

参考文献数

51

被引用文献数

1 2

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The purpose of this study was to retrospectively examine the association of habitual exercise with “single fall (= 1)”, “multiple falls (≥ 2)”, and “injurious falls (≥ 1)” among community-dwelling older adults. A total of 1,683 community-dwelling older adults, aged 60-97 years (72.6 +/- 6.6 yr, 512 men and 1,171 women) were included in this study. Habitual exercises continued one year or longer (6.4 +/- 9.5 yr) were classified into twelve types. Exercise components (time, quantity, period of continuity, and number of exercises) were divided with median or tertiles. To assess the association between habitual exercises and fall status, multivariable logistic regression analyses with stepwise selection method, were applied. The multivariable logistic regression analyses showed that dance (odds ratio (OR): 0.30, 95% confidence interval (CI): 0.09-0.96) was negatively associated with “single fall”. Bicycling (OR: 3.72, 95% CI: 1.32-10.77) was positively associated with “multiple falls”, and the period of continuity (OR: 0.74, 95% CI: 0.60-0.91) was negatively associated with “multiple falls”. None of the exercise components were selected with regard to “injurious falls”. Results indicate that dance may be an effective type of exercise for fall prevention among community-dwelling older adults. However, caution about falling is warranted toward bicycling as an exercise. Moreover, a longer period of continuity (≥ 4 years) appears to be a positive factor of habitual exercise for fall prevention.