:::

詳目顯示

回上一頁
題名:運動健康促進方案介入對老人之功能性體適能和認知功能的影響
作者:林志遠
作者(外文):LIN, CHIH-YUAN
校院名稱:亞洲大學
系所名稱:健康產業管理學系健康管理組
指導教授:藍守仁
朱僑麗
學位類別:博士
出版日期:2018
主題關鍵詞:華人傳統運動功能性體適能協調性運動認知功能traditional Chinese exercisefunctional fitnesscoordination exercisecognitive function
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:0
  • 點閱點閱:5
由於人口結構的改變,高齡者的失能與失智預防問題逐漸被世界所重視,隨著日益增多的實證研究,讓運動對於高齡者的失能與失智預防的角色更形重要,本研究之目的在於試圖設計編排適合國人的高齡者運動課程,並驗證其在功能性體適能及認知功能上的助益。研究一以創編的華人傳統運動課程為實驗組,輔以西方式多元組合運動課程為效標,來驗證華人傳統運動課程對於高齡者功能性體適能的改善效益,研究結果顯示,西方式多元組合運動組對於功能性體適能之各項測驗,在課程介入前後均具顯著成效,而華人傳統運動組介入前後之比較,除了代表上半身柔軟度的背部抓手測驗未達統計的顯著差異外,而其他功能性體適能檢測項目,如:30秒坐站、肱二頭肌彎舉、坐姿前彎、2.44公尺繞錐及6分鐘走等項目,均達顯著差異(p<.05)。研究二主要在探討本研究所創編的高齡者協調性運動課程對於社區高齡者能否帶來蒙特利爾認知評估量表上各項認知功能增進之效益。結果發現,12週的運動介入後實驗組雖在MoCA認知量表各項得分均有進步,但僅在專注力及定向感二項上達顯著效果 (p<.05),而控制組則無顯著差異,但若以二組的前後測差值相比,實驗組在命名、專注力、語言及抽象概念等項目上的改善均可達統計上的顯著。綜合上述二個研究所得到的結論是,一、針對高齡者失能及失智的預防與延緩,東、西方不同形式的「運動」均是不可或缺的角色,經有效編排均可達失能之預防與延緩之效。二、為了增加高齡者運動課程之多樣性,經編排的協調性運動課程可作為失智預防課程之一環。
Due to the structural change in global population, preventing the elderly from disability and dementia has attracted more attention worldwide. As the empirical research increases, the role of exercise to prevent the elderly from disability and dementia is getting more important. The purpose of this research is to design and organize exercise program which are suitable for the elderly and evaluate the benefits of functional fitness and cognitive function. This research conducted two studies. In Study One, the experimental group used the designated Chinese traditional exercise as their exercise program and the other group used the Western-style multi-component exercise program. How the Chinese traditional exercise benefited the elderly’s functional body fitness was verified. Tests of functional fitness were measured before and after the intervention of the exercise program for both groups. This study showed the Western-style multi-component exercise program had significant improvements on all tests of functional fitness after the intervention. The Chinese traditional exercise program had significant improvements (p<.05) on tests of functional fitness such as Chair stands, biceps curls, sit & reach, back scratch, 8-ft up & go, and 6-min walks after the intervention. However, the Chinese traditional exercise program did not have significant difference on the back scratch test which represented the flexibility of the upper body. In Study Two, we assessed the associations of Coordinated Exercise which was created and designated for the elderly by this study with the improvement of cognitive functions on Montreal Cognitive Assessment Scale (MoCA) among the elderly in the community. This study found after the 12-week intervention of coordination Exercises, although the scores of MoCA had progress on all cognitive functional terms in experimental group , but only had significant difference (p<.05) on terms of Attention and Orientation. In contrast, the control group had no significant difference at all. Comparing the measurements before and after the exercise intervention for both groups, the experimental group had statistic significant difference on terms of Naming, Language and Abstraction. In conclusion, both the Western-style multi-component exercise and Chinese traditional exercise play important roles to prevent and delay the disability and dementia of the elderly. No matter the Western-style exercise or the Chinese traditional exercise are both effective if the exercise program are efficiently designed and organized. To increase the diversity of exercise program for the elderly, designated Coordination Exercises is considered as one of the courses to prevent dementia.
參考文獻-中文部分

林春豪(2008)。宜蘭地區高齡婦女晨間休閒運動涉入與身心健康之研究。未出版碩士論文,國立台灣師範大學運動與休閒管理研究所。
周鳳瑛、蔡佳良(2016)。從BDNF觀點探討耐力運動對認知功能之影響。應用心理研究。64,5-38。
陳妍慧、 詹美玲、 方進隆(2014)。運動對老年人腦氧合功能及認知功能的影響。中華體育季刊 。28(4),269-275。
陳美齡(2003)。長期運動介入對社區50-75歲中老年人體適能之成效探討。未出版碩士論文,國立台北護理學院護理研究所。
程曉菲、代金剛(2018)。五禽戲現代研究進展。河南中醫。38(1),151-154。
楊亮斌、郭玉成、史海陽(2018)。近20年中美太極拳與健康促進研究的對比分析。體育科學。38(40),73-84。
蕭伃伶、劉淑娟(2004)老年人的健康體適能,長期照護雜誌,8(3),300-310頁。

參考文獻-英文部分

Barnes, I. (2003). Enhancing cognitive performance in dementia care. Canadian Nursing Home magazine, 14(1), 33-40.
Carvalho, M. J., Marques, E., & Mota, J. (2009). Training and Detraining Effects on Functional Fitness after a Multicomponent Training in Older Women. Gerontology. 55, 41–48.
Catalan, M. J., Honda, R. A., Weeks, R. A., Cohen, L. G., & Hallet, M. (1998). The functional neuroanatomy of simple and complex sequential finger movements: a PET study. Brain. 121(2), 253-264.
Cai, L., Chan, J. S. Y., Yan, J. H., & Peng, K. (2014 ). Brain plasticity and motor practice in cognitive aging. Frontiers in aging neuroscience. 6(31), 1-12.
Chang, Y.K., Labban, J..D., Gapin, J. I., & Etnier, J. L. (2012). The effects of acute exercise on cognitive performance: A meta-analysis. Brain Research. 1453, 87–101.
Diamond, A. (2000). Close Interrelation of Motor Development and Cognitive Development and of the Cerebellum and Prefrontal Cortex. Child development ,71(1), 44-56.
Drag, L. L., & Bieliauskas, L. A.(2010). Contemporary review 2009: cognitive aging. Journal of Geriatric Psychiatry and Neuroloy. 23(2), 75-93.
Egerton,T., Brauer, S.G.& Cresswell, A.G.(2009).Fatigue after physical activity in healthy and balance-impaired elderly. Journal of aging and physical activity.17, 89-105.
Edlin, G. R.,& Brown, K. M.(1998). Health and wellness(5th ed.). Sudbury, MA: Jones and Bartlett Publishers.
Erickson, K. I., Weinstein, A. M., & Lopez, O. L. (2012). Physical Activity, Brain Plasticity, and Alzheimer's Disease. Archives of medical research. 43(8), 615–621.
Edo, A., Murata, S., Otao, H., Horie, J., Murata, J., Miyazaki, J., Yamasaki, S., & Mizota, K. (2012). Relationship between motor function of the fingers and physical as well as cognitive functions in female elderly community residents. West Kyushu Journal of Rehabilitation Sciences. 5, 15-18.
Erickson, K. I., Weinstein, A. M., & Lopez, O. L. (2012). Physical Activity, Brain Plasticity, and Alzheimer’s Disease. Arch Med Res. 43(8), 615–621.
Farina N, Rusted J, Tabet N.(2014). The effect of exercise interventions on cognitive outcome in Alzheimer's disease: a systematic review. Int Psychogeriatr.26(1), 9-18.
Franco-Martín M, Parra-Vidales E, González-Palau F, Bernate-Navarro M, Solis A.(2013). The influence of physical exercise in the prevention of cognitive deterioration in the elderly: a systematic review. Rev Neurol. ,56(11), 545-554.
Gates, N., Fiatarone, Singh, M. A., Sachdev, P. S., Valenzuela, M. (2013). The effect of exercise training on cognitive function in older adults with mild cognitive impairment: a meta-analysis of randomized controlled trials. The American Journal of Geriatric Psychiatry. 21(11):1086-1097.
Hesse, B. W.,& Gaysynsky, A. (2014). Meeting the Healthy People 2020 Goals: Using the Health Information National Trends Survey to Monitor Progress on Health Communication Objectives. Journal of Health Communication. 19(12), 1497–1509.
Heyn, P., Abreu, B.C., Ottenbacher, K.J.(2004). The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Archives of Physical Medicine and Rehabilitation. 85(10), 1694-1704.
Hindin, S. B., Zelinski, E. M. (2012). Extended practice and aerobic exercise interventions benefit untrained cognitive outcomes in older adults: a meta-analysis. Journal of the American Geriatrics Society. 60(1), 136-41.
Hashimoto, H., Takabatake, S., Miyaguchi, H., Nakanishi, H., & Naitou, Y. (2015). Effects of dance on motor functions, cognitive functions, and mental symptoms of Parkinson's disease: A quasi-randomized pilot trial. Complementary Therapies in Medicine. 23(2), 210-219.
Hong, Y., Li. J. X., & Robinson, P. (2000). Balance control, flexibility, and cardiorespiratory fitness among older Tai Chi practitioner. British Journal of Sports Medicine. 34(1), 29-34.
Huang, Y., & Liu, X. (2015). Improvement of balance control ability and flexibility in the elderly Tai Chi Chuan (TCC) practitioners: a systematic review and meta-analysis. Archives of Gerontology and Geriatrics. 60(2), 223-233.
Kim, S. H., Kim, M., Ahn Y. B., Lim, H. K., Kang,S. G., Cho, J. H., Park, S. J., & Song, S. W. (2011). Effect of Dance Exercise on Cognitive Function in Elderly Patients with Metabolic Syndrome: A Pilot Study. J Sports Sci Med. 10(4), 671–678.
Littbrand, H., Stenval,l M., Rosendahl, E. (2011). Applicability and effects of physical exercise on physical and cognitive functions and activities of daily living among people with dementia: a systematic review. American Journal of Physical Medicine & Rehabilitation. 90(6), 495-518.
Law, L. L., Barnett, F., Yau, M. K., Gray, M. A. (2014). Effects of combined cognitive and exercise interventions on cognition in older adults with and without cognitive impairment: a systematic review. Ageing Research Reviews. 15, 61-75.
Lindsay, J., Laurin, D., Verreault, R., Hébert, R., Helliwell, B., Hill, G. B., & McDowell, I. (2002). Risk Factors for Alzheimer’s Disease: A Prospective Analysis from the Canadian Study of Health and Aging. American Journal of Epidemiology. 156(5), 445–453.
Lan, C., Chou, S. W., Chen, S. Y., Lai, J. S., & Wong, M.K. (2004). The aerobic capacity and ventilatory efficiency during exercise in Qigong and Tai Chi Chuan practitioners. Am J Chin Med. 32(1), 141-50.
Li, J. X., Xu, D. Q., Hong, Y. (2009). Changes in muscle strength, endurance, and reaction of the lower extremities with Tai Chi intervention. Journal of biomechanics. 42(8), 967–971.
Liu, X., Clark, J, Siskind, D., Williams, G. M., Byrne, G., Yang, J. L., & Doi, S. A. (2015). A systematic review and meta-analysis of the effects of Qigong and Tai Chi for depressive symptoms. Complement Ther Med. 23(4), 516-34. doi: 10.1016/j.ctim.2015.05.001.
Liu, X. Y., Gao, J., Yin, B. X., Yang, X. Y., & Bai, D. X. (2016). Efficacy of Ba Duan Jin in Improving Balance: A Study in Chinese Community-Dwelling Older Adults. J Gerontol Nurs. 42(5), 38-46. doi: 10.3928/00989134-20160201-03.
Li, R., Jin, L., Hong, P., He, Z.-H., Huang, C.-Y., Zhao, J.-X., Wang, M., & Tian, Y. (2014). The effect of Baduanjin on promoting the physical fitness and health of adults. Evidence-Based Complementary and Alternative Medicine. 2014, 1-8. doi:10.1155/2014/784059
Matsuda, T., Watanabe, S., Kuruma, H., Tsubuki, M., Murakami, Y., Ikeda, Y., Senou, A., & Yonemoto, K. (2006). Difference between right and left activation of sensorimotor cortex during finger opposition task. Rigakuryoho Kagaku. 21(4), 387-391.
Miyakoshi, M., Katou, M., Hasegawa, J., Tanaka, A., Matsuo, K., Takashima, I., & Nakai, T. (2010). Development of quantitative visual measurement of finger exercise during imaging to prevent cognitive dementia. Research-Aid report. 25, 102-113.
Nasreddine, Z. S., Phillips, N. A., Be´dirian, V., et al. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal American Geriatrics Society. 53, 695-699.
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., … American Heart Association. (2007). Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 116(9), 1094-1105.
Nied,R.J. & Franklin, B.(2002).Promoting and prescribing exercise for the elderly. American Family Physician, 65(3), 419-426.
Niemann, C., Godde, B., & Voelcker-Rehage, C.(2014). Not only cardiovascular, but also coordinative exercise increases hippocampal volume in older adults. Frontiers in Aging Neuroscience. 6(170), 1-12.
Reuter, I. (2012). Aging, Physical Activity, and Disease Prevention 2012. Journal of
Aging Research. doi: 10.1155/2012/373294
Schott, G. D. (1993). Penfield's homunculus: a note on cerebral cartography. Journal of Neurology, Neurosurgery and Psychiatr, 56, 329-333.
Seinfeld, S., Figueroa, H., Ortiz-Gil, J., & Sanchez-Vives, M.V. (2013). Effects of music learning and piano practice on cognitive function, mood and quality of life in older adults. Frontiers in Psychology. 4 (810), 1-13.
Song, R., Grabowska, W., Park, M., Osypiuk, K., Vergara-Diaz, G. P., Bonato, P., …Wayne, P. M. (2017). The impact of Tai Chi and Qigong mind-body exercises on motor and non-motor function and quality of life in Parkinson's disease: A systematic review and meta-analysis. Parkinsonism Relat Disord. 41, 3-13.
Stigger, F., Marcolino, M. A. Z., & Plentz, R. D. M. (2017). Commentary: Exercise-dependent BDNF as a Modulatory Factor for the Executive Processing of Individuals in Course of Cognitive Decline. A Systematic Review. Frontiers in Psychology. doi: 10.3389/fpsyg.2017.01858.
Taylor, D. (2014). Physical activity is medicine for older adults. Postgraduate Medical Journal , 90(1059), 26-32.
Taylor-Piliae, R. E., Ruth, E., Froelicher, E. S. (2004). The Effectiveness of Tai Chi Exercise in Improving Aerobic Capacity: A Meta-Analysis. Holistic Nursing Practice. 18(5), 254–263
Taylor-Piliae, R. E., Haskell, W. L., Stotts, N. A., & Froelicher, E. S. (2006). Improvement in balance, strength, and flexibility after 12 weeks of Tai chi exercise in ethnic Chinese adults with cardiovascular disease risk factors. Altern Ther Health Med. 12(2),50-58.
Toraman, F., & Sahin, G. (2004). Age responses to multicomponent training programme in older adults. Disability and Rehabilitation. 26(8), 448-54.
Toraman, N.F., Erman, A., & Agyar, E. (2004). Effects of Multicomponent Training on Functional Fitness in Older Adults. Journal of Aging and Physical Activity. 12(4), 538-553.
Tseng, C.N., Gau, B.S. & Lou, M.F.(2011). The effectiveness of exercise on improving cognitive function in older people: a systematic review. Journal of Nursing Research. 19(2), 119-130.
Valenzuela, M., Sachdev, P. (2009). Can cognitive exercise prevent the onset of dementia? Systematic review of randomized clinical trials with longitudinal follow-up. The American Journal of Geriatric Psychiatry. 17(3), 179-187.
Whitaker, J. (1998). Increase your longevity. Consumer Health Newsletter, 21(4), 1-3.Willis, S. L.,Tennstedt, S. L.,Marsiske, M.,Ball, K.,Elias, J.,Koepke, K. M.(2006).Long-term Effects of Cognitive Training on Everyday Functional Outcomes in Older Adults. The Journal of the American Medical Association, 296(23), 2805-2814.
Zeng, Y., Luo, T., Xie, H., Huang, M., & Cheng A.S. (2014). Health benefits of qigong or tai chi for cancer patients: a systematic review and meta-analyses. Complement Ther Med. 22(1), 173-186.
Zeng, Y. G., Zhou, X. Q., Wang, A. L., Yang, B. L., & Wang, S. T. (2005). Research on the Impacts of Fitness Qigong BaDuanJin on Figure and Physical Function among the Middle-aged and Aged People. Journal of Beijing University of Physical Education, 9, 1-20.

參考文獻-網路資料部分

國民健康局(2009)。民國98年國民健康訪問調查_成果報告。取自: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=364&pid=6542
衛生福利部(2013)。台灣失智症盛行率調查,我國65歲以上長者為4.97%。取自:https://www.mohw.gov.tw/cp-3211-23536-1.html
衛生福利部(2018)。「預防及延緩失能照護計畫」邁向2018年,布建1,500個特約服務據點,全面預防及延緩失能。取自:
https://www.mohw.gov.tw/cp-16-39267-1.html
衛生福利部(2018)。長照ABC據點大幅成長,串起在地照顧服務網!取自:https://www.mohw.gov.tw/cp-16-36790-1.html
衛生福利部(2017)。(第二階段)本部106年度「預防及延緩失能照護方案研發及人才培訓計畫」【補助計畫─通過審查之方案總表】─104案。取自:https://dep.mohw.gov.tw/DONAHC/cp-3563-37484-104.html
國家發展委員會(2016)。 中華民國人口推估(105至150年)。https://www.ndc.gov.tw/Content_List.aspx?n=84223C65B6F94D72
National Institute for Health and Clinical Excellence (2010). Dementia: support in health and social care. Retrieved from https://www.nice.org.uk/guidance/qs1
National Ageing Research Institute(2012)Healthy ageing literature review. Retrieved from http://www.ibrarian.net/navon/paper/Healthy_ageing_literature_review_2012.pdf?paperid=18749201
National Institutes of Health (2013). NIH-supported study finds U.S. dementia care costs as high as $215 billion in 2010. Retrieved from https://www.nih.gov/news-events/news-releases/nih-supported-study-finds-us-dementia-care-costs-high-215-billion-2010.
World Health Organization (2012). Dementia: a public health priority. Retrieved from http://www.who.int/mental_health/publications/dementia_report_2012/en/
World Health Organization (2017). Global action plan on the public health response to dementia 2017 – 2025. Retrieved from http://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/
World Health Organization (1986). The Ottawa Charter for Health Promotion. Retrieved from http://www.who.int/healthpromotion/conferences/previous/ottawa/en/
World Health Organization (2005). The Bangkok Charter for Health Promotion in a Globalized World. Retrieved from http://www.who.int/healthpromotion/conferences/6gchp/bangkok_charter/en/

 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE