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1년간의 복합 운동프로그램이 남성 치매환자의 운동능력과 인지기능에 미치는 영향

The Effects of One Year Exercise Program on Exercise Capacity & Cognitive Function in Male Patients with Dementia

  • 곽이섭 (동의대학교 레저스포츠학과) ;
  • 엄상용 (고려대학교 체육교육과)
  • Kwak Yi-Sub (Department of Leisure and Sports Science, Dongeui University) ;
  • Um Sang-Yong (Department of Leisure and Sports Science, Dongeui University)
  • 발행 : 2005.04.01

초록

1년간의 운동이 남성 치매환자의 운동능력과 인지기능에 미치는 영향을 연구한 결과, 운동군의 경우 심폐지구력, 근력, 근지구력 및 MMSE는 운동전에 비해 운동중과 운동후 유의하게 증가하였고, 평형성과 민철성은 운동후 유의하게 증가하였으나 유연성은 유의한 차이가 없었다. 반면, 통제군은 모든 시기에서 유의한 차이가 나타나지 않았다. 이상의 결과를 볼 때, 1년간의 운동은 남성 치매환자의 운동능력과 인지기능을 향상시켜 환자들에게 자신감과 성취감을 얻을 수 있는 기회를 주었고, 나아가 독립적인 일상생활을 영위하고 삶의 질을 높이는데 크게 이바지 할 것으로 기대된다.

The purpose of the present study is to investigate the effects of long-term exercise program on exercise capacity and cognitive function (MMSE) in male patients with dementia. 24 male patients were divided into two experimental groups : the exercise group (n=12) and the control group (n=12). The exercise group participated in regular exercise program for 12 months, and their exercise capacity (cardiopulmonary function, muscle strength, muscular endurance, flexibility, balance, agility) and MMSE (Mini-mental state examination) levels were evaluated at baseline (pre), after 6 months (mid) and after 12 months (post). The subjects carried on group-exercise of $VO_{2}max\;30\~60\%$, $30\~60$ minute a day, $2\~3$ times per week. Statistical techniques for data analysis was paired samples t-test. The level of statistical significance was ${\le}.05.$ The results of this study were summarized as follows: In the exercise group, there were significant differences in cardiopulmonary function, muscle strength, muscular endurance and MMSE at the times of pre & mid and pre & post, there were significant differences in balance and agility at the time of pre & post only, whereas there was no significant difference in flexibility following the long-term exercise. In the control group, there were no significant differences in all the times. Based on the results of this particular study, one year exercise program increases on the cognitive function & exercise capacity in male patients with dementia.

키워드

참고문헌

  1. Arkin, S. M. 1999. Elder rehab: A student-supervised exercise program for Alzheimer's patients. Gerontologist. 39(6), 729-735 https://doi.org/10.1093/geront/39.6.729
  2. Bassi, C. J., Solomon, K and Young, D. 1993. Vision in patients with Alzheimer's disease. Optom Vision. 70, 809-813 https://doi.org/10.1097/00006324-199310000-00005
  3. Benzi, G. and Moretti, A. 1998. Is there a rationale for the use of acetylcholinesterase inhibitors in the therapy of Alzheimer's disease? Eur J Pharmacol. 3:346(1), 1-13 https://doi.org/10.1016/0014-2999(68)90041-1
  4. Brill, P. A., Drimmer, A. M., Morgan, L. A and Gordon, N. F. 1995. The feasibility of conducting strength and flexibility programs for elderly nursing home residents with dementia. Gerontologist. 35(2), 263-266 https://doi.org/10.1093/geront/35.2.263
  5. Brinton, R. D. 1999. A women's health issue: Alzheimer's disease and strategies for maintaining cognitive health. Int J Fertil Womens Med. 44(4), 174-185
  6. Dvorak, R. V. and Poehlman, E. T. 1998. Appendicular skeletal muscle mass, physical activity, and cognitive status in patients with Alzheimer's disease. Neurology. 51(5), 1386-1390 https://doi.org/10.1212/WNL.51.5.1386
  7. Evans, D. A. 1989. Prevalence of Alzheimer's disease in a community population of the elder persons: Higher than previously reported. JAMA. 262, 2551-2356
  8. Flannery, R. B. Jr. 2002. Treating leamed helplessness in the elderly dementia patient Preliminary inquiry. Am J Alzheimers Dis Other Demens. 17(6), 346-349
  9. Kent-Braun, J. A, Ng, A. V., Doyle, J. W and Tawse, T. F. 2002. Human skeletal muscle responses vary with age and gender during fatigue due to incremental isometric exercise. J Appl Physiol. 93(5), 1813-1823
  10. Laurin, D., Verreault, R., Lindsay, J., MacPherson, K and Rockwood, K. 2001. Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol. 58(3), 498-504 https://doi.org/10.1001/archneur.58.3.498
  11. McArdle, W. D., Katch, F. I and Katch, V. L. 1996. Exercise Physiology. 4th (Ed), Williams & Wilkins, Maryland
  12. McDowell, I. 2001. Alzheimer's disease: Insights from epidemiology. Aging. 13(3), 143-162
  13. Miziniak, H. 1994. Persons with Alzheimer's: Effects of nutrition and exercise. J Gerontol Nurs. 20(10), 27-32
  14. Morgan, W. P. 1979. Negative addiction in runners. Physician Sports-medicine. 7(2), 57-70 https://doi.org/10.1177/036354657900700112
  15. Morgan, W. P., Horstman, D. H., Cymerman, A and Stokes, J. 1979. Use of exercise as a relaxation technique. J S C Med Assoc. 75(11), 596-601
  16. Nasa, F., Carner, E., Blankfort-Doyle, W and Caughey, K. 1990. Endurance training in the elderly nursing home patient. Arch Phys Med Rehabil. 71(3), 241-243
  17. Netz, Y. and Jacob, T. 1994. Exercise and the psychological state of institutionalized elderly: A review. Percept Mot Skills. 79, 1107-1118 https://doi.org/10.2466/pms.1994.79.3.1107
  18. Rumble, R. 1989. Amyloid A4 protein and its precursor in Down's syndrome and Alzheimer's disease. New Engl J Med. 320, 1446-1452 https://doi.org/10.1056/NEJM198906013202203
  19. Shadlen, M. F., Larson, E. B and Yukawa, M. 2000. The epidemiology of Alzheimer's disease and vascular dementia in Japanese and African-American populations: the search for etiological clues. Neurobiol Aging. 21(2), 171-181
  20. Thomas, V. S. and Hageman, P. A. 2002. A preliminary study on the reliability of physical performance measures in older day-care center clients with dementia. Int psychogeriatr. 14(1), 17-23 https://doi.org/10.1017/S1041610202008244
  21. 윤성원. 1993. 노인성 치매와 유산소 운동, 스포츠과학, 43, 29-32

피인용 문헌

  1. Effects on senior fitness, cognitive function and daily living activity of female elderly with light dementia by continuous and intermittent exercises vol.11, pp.11, 2010, https://doi.org/10.5762/KAIS.2010.11.11.4234