양로원 노인의 신체활동, 일상생활동작, 사회행동 및 기능수행에 대한 근력강화 운동프로그램의 효과

The Effect of Strengthening Exercise Program on the Physical Activity, Activities of Daily Living, Social Behavior and Functional Performance of the Elderly in a Home for the Aged

  • 김현숙 (여주대학 물리치료과 및 연세대학교 보건과학연구소) ;
  • 정치경 (가톨릭대학교 의과대학 예방의학교실) ;
  • 이강숙 (가톨릭대학교 의과대학 예방의학교실)
  • Kim, Hyun-Sook (Department of Physical Therapy, Yeojoo Institute of Technology and Institute of Health Science, Yonsei University) ;
  • Chung, Chee-Kyung (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Kang-Sook (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea)
  • 발행 : 2002.06.01

초록

Objectives : To evaluate the effects of a strengthening exercise program on the physical activity, activities of daily living(ADL), social behavior and functional performance of the elderly in a home for the aged. Methods : We administered a survey questionnaire that consisted of questions to establish general characteristics, health habits and status, physical activity, ADL, and social behavior. Additionally, a physical fitness and functional performance examination was peformed on subjects who were 65 years old or older. Study subjects numbered 33 in the experimental group and 35 in the control group. For intervention, we used a strengthening exercise program of the upper and lower limbs for 12 weeks(5 times/week) using dumbbells and lead-packed weights. Results : After the strengthening exercise program, the scores of physical activity and social behavior were significantly higher than the control group and the before exercise measurements. Moreover, the variables of functional performance were significantly higher than in the control group or the before exercise records. Conclusion : These results Indicate that a strengthening exercise program can improve the score of physical activity, ADL and social behavior, as well as decrease the time(sec) of functional performance of the elderly in a home for the aged.

키워드

참고문헌

  1. Seo HL. The study on self-care status, activity of daily living and physical self-efficacy of aged people. [dissertation]. Pusan: Pusan National Univ, 1985 (Korean)
  2. 김정순, 역학원론. 서울: 산광출판사, 1987
  3. Keller M, Leventhal H, Leventhal E. Research on the Health Problems of Aging and How People Cope with Them. University of Wisconsin, 1991
  4. Jette AM, Branch LG. The Framingham disability study: II. Physical disability among the aging. Am J Public Health 1981; 71: 1211-1216 https://doi.org/10.2105/AJPH.71.11.1211
  5. Kligman EW, Pepin E. Prescribing physical activity for older patients, Geriatrics 1992; 47: 33-47
  6. Saltin B, Gollnick P. Skeletal muscle. In: Peachy LD ed, Handbook of Physiology. Oxford University Press, 1983: 555-563
  7. Krall EA, Dawson-Hughes B. Walking is related to bone density and rates of bone loss. Am J Med 1994; 96: 20-26 https://doi.org/10.1016/0002-9343(94)90111-2
  8. 남정자, 최정수, 김태정, 계훈방. 한국인의 보건의식 행태. 한국보건사회연구원, 1995
  9. 김주희, 양경희, 안수연, 서문숙, 정주연, 정명실, 최선하. 노인간호학. 서울: 현문사. 1998
  10. Shin JS. The effects of the range on motion exercise on self-care activities and depression. [dissertation]. Seoul: Yonsei Univ, 1985 (Korean)
  11. Lee SN. The effect of exercise designed for the aging on health promotion in the rural elderly. [dissertation]. Seoul: Yonsei Univ, 1991 (Korean)
  12. Shin YH, Choi YH. The effect of walking exercise program on cardiorespiratory function and flexibility in the elderly women. J Korean Aca Nurs 1996; 26:3 72-386 (Korean)
  13. Choi SH. The effect of exercise program on health of the elderly in senior citizen's center. [dissertation]. Seoul: Hanyang Univ, 1996 (Korean)
  14. Shin YH. The effect of walking exercise program on physical function and emotional state in elderly women. [dissertation]. Seoul: Ewha Womans Univ, 1997 (Korean)
  15. Kim SY. Effect of a health management program on health promotion in the elderly. [dissertation]. Daegu: Keimyung Univ, 1997 (Korean)
  16. Kauffman TL. Strength training effect in young and aged women. Arch Phys Med Rehabil 1985; 66: 223-226 https://doi.org/10.1016/0003-9993(85)90147-9
  17. Naso F, Carner E, Blankfort-Doyle W, Coughey K. Endurance training in the elderly nursing home patient. Arch Phys Med Rehabil 1990; 71: 241-243
  18. McKelvie RS, Teo KK, McCartney N, Humen D, Montague T, Yusuf S. Effects of exercise training in patients with congestive heart failure:A critical review. J Am Coll Cardiol 1995; 25:789-796 https://doi.org/10.1016/0735-1097(94)00428-S
  19. Brill PA, Probst JC, Greenbouse DL, Schell B, Macera CA. Clinical feasibility of a free-weight strength-training program for older adults. J Am Board Fam Pract 1998; 11: 445-451 https://doi.org/10.3122/jabfm.11.6.445
  20. Evans WJ. Exercise training guidelines for the elderly. Med Sci Sports Exer 1999; 31: 12-17 https://doi.org/10.1097/00005768-199901000-00004
  21. Schuit AJ, Schouten EG, Westerterp KR, Saris WHM. Validity of the physical activity scale for the elderly (PASE): According to energy expenditure assessed by the doubly labeled water method. J Clin Epidemiol 1997; 50: 541-546 https://doi.org/10.1016/S0895-4356(97)00010-3
  22. Washburn RA, McAuley E, Katula J, Mihalko SL, Boileau RA. The physical activity scale for the elderly (PASE): Evidence for validity. J Clin Epidemiol 1999; 52: 643-651 https://doi.org/10.1016/S0895-4356(99)00049-9
  23. Katz S, Ford AB, Moskowitz RW, Jaffe MW. Studies of illness in the aged. The index of ADL: A standardize measure of biological and psychosocial function. JAMA 1963; 185: 914-919 https://doi.org/10.1001/jama.1963.03060120024016
  24. Dastoor DP, Norton S, Boillat J, Minty J, Papadopoulou F, Muller HF. A psychogeriatric assessment program. I. Social functioning and ward behavior. J Am Geriatr Soc 1975; 23: 465-471 https://doi.org/10.1111/j.1532-5415.1975.tb00932.x
  25. Arden NK, Spector TD. Genetic influences on muscle strength, lean body mass, and bone mineral density : a twin study. J Bone Miner Res 1997; 12: 2076-2081 https://doi.org/10.1359/jbmr.1997.12.12.2076
  26. Ostir GV, Carlson JE, Black SA, Rudkin L, Goodwin JS, Markides KS. Disability in older adults 1 : Prevalence, causes and consequences. Behav Med 1999; 24: 147-156 https://doi.org/10.1080/08964289.1999.11879271
  27. Kim HJ. An effect of muscle srength training program on muscle strength, muscle endurance, instrumental activities of daily living and quality of life in the institutionalized elderly. [dissertation]. Seoul: Seoul National Univ of Phys Edu, 1994 (Korean)
  28. 서울대학교 체육연구소. 운동으로 활기찬 여생을 -노인편-. 국민생활 체육협의회, 1993
  29. 한국통계 연감. 통계청. 제45호. 1998
  30. Tzankoff SP, Norris AH. Longitudinal changes in basal metabolic rate in man. J Appl Physiol 1978; 33: 536-539
  31. Shock NW. The physiology of aging. Sci Am 1962; 206: 100 https://doi.org/10.1038/scientificamerican0462-100
  32. Borges O. Isometric and isokinectic knee extension and flexion torque in men and women aged 20-70. Scand J Rehabil Med 1989; 21: 45-53
  33. Murray MP, Duthie EH Jr, Gambert SR, Sepic SB, Mallinger LA. Age-related differences in knee muscle strength in normal women. J Gerontol 1985; 40: 275-280 https://doi.org/10.1093/geronj/40.3.275
  34. Larsson L. Morphological and functional characteristics of the aging skeletal muscle in man: a cross-sectional study. Acta Physiol Scand 1978; 1: 1-36 https://doi.org/10.1111/j.1748-1716.1940.tb00249.x
  35. Health GW, Hagberg JM, Ehsani AA, Holloszy JO. A physiological comparison of young and older endurance athletes. J Appl Physiol 1981; 51: 634-640
  36. Irving JB, Kusumi F, Bruce RA. Longitudinal variations in maximal oxygen consumption in healthy men. Clin Cardiol 1980; 3: 134-136
  37. 최영희. 노인과 건강. 서울: 현문사. 2000
  38. Kim CG. Effects of exercise program on physical fitness, self-efficacy, instrumental activities of daily living and quality of life among the institutionalized elderly. J Catholic Medical College 1995; 48: 1201-1214 (Korean)
  39. Shephard RJ. Exercise and aging: extending independence in older adult, Geriatrics 1993; 48: 61-64
  40. 김원식, 김병완. 트레이닝 방법론. 서울: 도서출판 홍경. 1999
  41. Frontera WR, Meredith CN, O' Reilly KP, Knuttgen HG, Evans WJ. Strength conditioning in older men: skeletal muscle hypertropy and improved function. J Appl Physiol 1988; 64: 1038-1044
  42. Kim JH. The effect of weight training on heart rate, blood lactate concentration, muscle strength and muscle endurance in elderly men. [dissertation]. Seoul: Korean National Univ of Phys Edu, 1996 (Korean)
  43. Larsson L. Histochemical characteristics of human skeletal muscle during aging. Acta Physiol Scand 1983; 117: 469-471 https://doi.org/10.1111/j.1748-1716.1983.tb00024.x
  44. Lee SH. Leisure time physical activity among koreans and its relation to health risk factors. [dissertation]. Seoul: Korean National Univ of Phys Edu. 1997 (Korean)
  45. Fisher NM, Pendergast DR, Calkins E, Maximal isometric torque of knee extension as a function of muscle length in subjects of advancing age. Arch Phys Med Rehabil 1990; 71: 729-734
  46. Stephens T, Jacobs DR, White CC. A descriptive epidemiology of leisure-time physical activity. Public Health Rep 1985; 100: 147-158
  47. Forbes EJ. Exercise: Wellness maintenance for the elderly client. Holistic Nurs Pract 1992; 6: 14-22 https://doi.org/10.1097/00004650-199206020-00005