DOI QR코드

DOI QR Code

Effects of Low-density Exercise in the Frail Elderly

재가 허약노인을 위한 저강도 운동 프로그램의 효과 연구

  • Kwon, Sang-Min (Center for Continuing Education, Keimyung University)
  • 권상민 (계명대학교 평생교육원)
  • Received : 2013.10.14
  • Accepted : 2013.11.20
  • Published : 2013.11.28

Abstract

This study was conducted to examine the effects of low-density exercise on physical and psychological function of the frail elderly. The research design was nonequivalent control group pretest-posttest design. Data were analyzed using descriptive statistics, x2-test, Mann-Whitney U test and Cronbach's ${\alpha}$ with SPSS/Win 17.0 program. There was a significant improvement in Lt. Grip strength(U=56.00, p<.000), Rt. Grip strength(U=40.00, p<.000), TUG(U=95.00, p<.022), Depression(U=94.00, p<.011) in the experimental group compared to the control group. The low-density exercise program showed the effects to improve the physical and psychological functions of the frail elderly. In recommendation, this exercise program could be utilized as a health promoting program for the frail elderly.

본 연구는 재가 허약노인을 대상으로 저강도 운동 프로그램이 신체적 기능(악력, 정적균형, 복합적 이동능력), 심리적 기능(우울, 삶의 질)에 미치는 영향을 확인하기 위해 시도된 비동등대조군 전후설계연구이다. 연구결과, 실험군의 악력은 통계적으로 유의하게 증가하였고 복합적 이동능력도 통계적으로 유의하게 감소하였으나 정적 균형은 운동 수행 후 유의한 차이를 나타내지 않았다. 우울은 운동수행 후 유의하게 감소하였으며, 삶의 질은 유의한 차이가 없었다. 결론적으로 재가 허약노인을 위한 저강도 운동 프로그램은 허약노인들의 신체적 기능 향상과 심리적 건강상태를 긍정적으로 변화시키는데 효과적임을 확인할 수 있었다. 본 연구결과를 토대로 재가 허약노인을 위한 저강도 운동 프로그램의 빈도와 강도를 연장하여 그 효과의 지속성을 검정할 수 있는 반복연구를 제언한다.

Keywords

References

  1. Korean National Statistical Office, 2011 Statistics on Korea-Census population. 2012.
  2. W. D. Sun, H. J. Song, Y. H. Lee, & D. J. Kim, Study on development of health care service and coordinated system for frail elderly people. Korea Institute for Health and Social Affairs, 2004.
  3. Korea Institute of Health and Social Affairs, The operating guild of health promotion for frail elderly in HUB Public Health Center. 2008.
  4. Y. I. Park, K. Y. Lee, T. I. Kim, M. H. Jeon, D. O. Kim, & J. H. Kim, The effects of exercise in the frail elderly. J Korean Acad Community Health Nurs, Vol 23, No 1, pp. 91-101, 2012. https://doi.org/10.12799/jkachn.2012.23.1.91
  5. Bandeen-Roche K., Xue, Q. L., Ferrucci, L., Walston, J., Guralnik, J. M., Chaves, P., Zeger, S. l., & Fried, L. P., Pheontype of frailty: Characterization in the woman's health and aging studies. J Gerontol A Biol Sci Med Sci, Vol 61, No 3, pp. 262-268, 2006. https://doi.org/10.1093/gerona/61.3.262
  6. Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., & Mitnitski, A., A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal, Vol 173, pp. 489-495, 2005. https://doi.org/10.1503/cmaj.050051
  7. Jones, C. J., & Rose, D. J., Physical activity instruction of older adults. Champaign, IL: Human Kinetics, 2005.
  8. Y. J. Kim, & J. H. Lee, The effects of a physical activity promotion programs with telecoaching negotiation on physical fitness and quality of life in the frail elderly. J Korean Acad Community Health Nurs, Vol 20, No 4, pp. 391-402, 2009.
  9. Kohrt, W. M., Bloomfield, S. A., Little, K. D., Nelson, M. E., & Yingling, W. R., American college of sports medicine position stand: Physical activity and bone health. Medicine and Science in Sports Exercise, Vol 36, No 11, pp. 1985-1996, 2004. https://doi.org/10.1249/01.MSS.0000142662.21767.58
  10. W. D. Sun, S. H. Lee, J. S. Park, S. S. Bae, Y. H. Cho, C. B. Kim, K. W. Koh, & Y. A. Kim, Analysis of the effects of muscle strength exercise on physical function and quality of life in frail elderly. Korean Journal of Health Education and Promotion, Vol 25, No 1, pp. 39-53, 2008.
  11. Y. S. Han, C. H. Choi, & P. Y. Lee, Development and effect of the customized health gymnastics program for the frail old. The Korean Journal of Physical Education, Vol 46, No 5, pp. 595-606, 2007.
  12. J. S. Yang, B. G. Hwang, & D. G. Ko, The effects of exercise program with added weight on human function, active fitness and quality of life in the frail elderly. Exercise Science, Vol 19, No 1, pp. 81-90, 2010.
  13. Y. I. Park, The effects of exercise in the frail elderly with chronic disease. Daejeon University, 2009.
  14. C. S. Ahn, Customized visiting health service for visit rehabilitation: Frail elderly. Eulji University, 2011.
  15. M. J. Cho, J. N. Bae, G. H. Seo, B. J. Hahm, J. K. Kim, D. W. Lee, & M. H. Kang, Validation of geriatric depression scale, korean version(GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatry Association, Vol 38, pp. 48-63, 1999.
  16. A. K. Han, & J. S. Won, The effect of rhythmical exercise program period on physiological improvement in the elderly. Journal of Korean Academy of Fundamental Nursing, Vol 7, pp. 301-315, 2000.
  17. S. M. Kwon, & J. S. Park, The effects of health promotion program for frail elderly residents on health promoting behavior and health status. Korean Journal of Adult Nursing, Vol 25, No 2, pp. 194-206, 2013. https://doi.org/10.7475/kjan.2013.25.2.194
  18. S. G. Lee, & S. K. Park, The effects of a video strength exercise on grip strength, balance, TUG in the frail elderly woman. Journal of the Korean Society of Physical Medicine, Vol 8, No 1, pp. 91-98, 2013. https://doi.org/10.13066/kspm.2013.8.1.091
  19. McCaffrey, R., & Freeman, E., Effect of music on chronic osteoarthritis pain in older people. Journal of Advanced Nursing, Vol 44, pp. 517-524, 2003. https://doi.org/10.1046/j.0309-2402.2003.02835.x

Cited by

  1. Relationship between the intensity of physical activity and depressive symptoms among Korean adults: analysis of Korea Health Panel data vol.27, pp.4, 2015, https://doi.org/10.1589/jpts.27.1233