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The Relationships among Gait Parameters and Senior Fitness Variables in Korean Elderly People

노인 체력 측정 결과와 보행 특성의 관계

  • Joo, Ji-Yong (Department of Physical Education, Chonnam National University) ;
  • Hwang, Yeon-hee (Department of Physical Education, Chonnam National University) ;
  • Kim, Young-Kwan (Department of Physical Education, Chonnam National University)
  • Received : 2019.10.16
  • Accepted : 2020.01.03
  • Published : 2020.01.31

Abstract

This study investigated the relationship among gait variables and physical fitness variables for Korean elderly people. Two hundred elderly people aged 65 to 85, (100 men and 100 women) participated in this study. They performed senior fitness test consisting of 6 tests, 3 additional physical tests (vertical jump, one leg stand, and grip force), body composition measures, and gait test. The gait test used shoes having an inertia measurement device in the outer-soles. The results indicated that the stride length, 6-min walking, lean body mass, and dumbbell curls were significantly affected by age (the above 75 group vs. the below 75 group). Among 33 measured parameters, the principal component analysis (PCA) revealed five PCs such as gait characteristics, physical features, gait variability, and fitness levels. In addition, the correlation analysis showed that the preferred walking speed was significantly, positively associated with stride length and single support time, whereas it was negatively associated with double support time and gait variability.(Ed note: please confirm my modification) In conclusion, sarcopenia should be avoided in elderly people, and resistance exercise is highly recommended to help elderly people maintain their gait ability.

본 연구는 65세에서 85세 사이의 남녀 노인 200명을 대상으로 노인 체력 측정과 보행 검사를 실시하여 노인의 체력 변인과 보행 특성 간의 관계를 조사하고자 하였다. 연구 대상자는 65세에서 85세 사이의 노인 200명으로 노인 체력 검사(Senior Fitness Test) 항목 6개와 추가 체력검사 3개(수직점프, 외발서기, 악력) 및 보행 측정을 수행하였다. 보행은 신발에 장착된 가속도계 기반 보행 측정 장비를 사용하였다. 이원분산분석, 주요인분석, 상관관계 분석을 실시하여 연령에 따른 영향과 변인들 간의 관계성을 파악하였다. 실험 결과 나이에 따라 보행 능력(보장, 6분 걷기), 제지방량, 체력(아령 들기)의 유의한 감소가 있었다(p<.05). 33개의 체력 및 보행 변인을 대상으로 주성분 분석을 실시한 결과 5개의 주성분(보행 특성, 신체 특성, 보행 가변성, 체지방 요인, 체력 요인)이 나타났으며 전체 가변성의 64.7% 설명력을 나타냈다. 보행 시 편한 보속은 보폭, 외발지지 시간과는 정적 상관, 양발지지 시간, 보행 가변성 변인들과는 부적 상관을 나타냈다(p<.05). 노인들의 삶의 질을 유지하려면 보행 능력이 매우 중요하며 이것은 근력운동을 통해 유지 또는 개선되어야 한다.

Keywords

References

  1. Statistics Korea, "Life table", 2019.
  2. Statistics Korea, "Prospective Population Estimates", 2019
  3. J. O. Holloszy, J. A. Faulkner, S. V.Brooks, E. Zerba. "Muscle atrophy and weakness with aging: contraction-induced injury as an underlying mechanism", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol.50 pp.124-129, Nov, 1995. DOI: https://doi.org/10.1093/gerona/50A.Special_Issue.124
  4. A. R. Luff, "Age‐associated changes in the innervation of muscle fibers and changes in the mechanical properties of motor units", Annals of the New York Academy of Sciences, Vol.854, No.1, pp.92-101, Feb, 1998. DOI: https://doi.org/10.1111/j.1749-6632.1998.tb09895.x
  5. W. D. McArdle, F. I. Katch, V. L. Katch, Exercise physiology: nutrition, energy, and human performance, p.696, Lippincott Williams & Wilkins, 2010.
  6. T. M. Gill, C. S. Williams, M. E. Tinetti, "Assessing risk for the onset of functional dependence among older adults: the role of physical performance", Journal of the American Geriatrics Society, Vol.43, No.6, pp.603-609, Jun, 1995. DOI: https://doi.org/10.1111/j.1532-5415.1995.tb07192.x
  7. J. Verghese, R. Holtzer, R. B. Lipton,C. Wang, "Quantitative gait markers and incident fall risk in older adults:, The Journals of Gerontology: Series A, Vol.64, No.8, pp.896-901, Aug, 2009. DOI: https://doi.org/10.1093/gerona/glp033
  8. J. Schlicht, D. N. Camaione, S. V. Owen, "Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol.56, No.5, pp.281-286, May, 2001. DOI: https://doi.org/10.1093/gerona/56.5.M281
  9. R. L. Cromwell, R. A. Newton, J. A. Grisso, W. F. Edwards, "Relationship between select balance measures and a gait stability ratio in individuals who are known fallers", Control of Posture and Gait. Maastricht, The Netherlands, 2001.
  10. M. A. Bhamani, M. M. Khan, M. S. Karim, M. U. Mir, "Depression and its association with functional status and physical activity in the elderly in Karachi", Pakistan. Asian Journal of Psychiatry, Vol.14, pp. 46-51, Apr, 2015 DOI: https://doi.org/10.1016/j.ajp.2014.12.004
  11. R. E. Rikli, C. J. Jones, "Development and Validation of Criterion-Referenced Clinically Relevant Fitness Standards for Maintaining Physical Independence in Later Years", The Gerontologist, Vol.53, No.2, pp.255-267, Apr, 2013. DOI: https://doi.org/10.1093/geront/gns071
  12. K. Hesseberg, H. Bentzen, A. Bergland, "Reliability of the senior fitness test in community-dwelling older people with cognitive impairment", Physiotherapy Research International, Vol.20, No.1, pp.37-44, Mar; 2015. DOI: https://doi.org/10.1002/pri.1594
  13. F. Todde, F. Melis, R. Mura, M. Pau, F. Fois, S. Magnani, "A 12-week vigorous exercise protocol in a healthy group of persons over 65: study of physical function by means of the senior fitness test. BioMed research international", BioMed Research International, Vol.2016, pp.1-6, Apr, 2016. DOI: http://dx.doi.org/10.1155/2016/7639842
  14. E. P. Washabaugh, T. Kalyanaraman, P. G. Adamczyk, E. S. Claflin, C. Krishnan, "Validity and repeatability of inertial measurement units for measuring gait parameters", Gait & posture, Vol.55, pp.87-93. Jun, 2017. DOI: https://doi.org/10.1016/j.gaitpost.2017.04.013
  15. Y. K. Kim, J. Y. Joo, S. H. Jeong, J. H. Jeon, D. Y. Jung, "Effects of walking speed and age on the directional stride regularity and gait variability in treadmill walking", Journal of Mechanical Science and Technology, Vol.30, No.6, pp.2899-2906, Jun, 2016. https://doi.org/10.1007/s12206-016-0549-z
  16. B. L. Neugarten, J. W. Moore, J. C. Lowe, "Age norms, age constraints, and adult socialization. American journal of Sociology, Vol.70, No.6, pp.710-717. May, 1965. https://doi.org/10.1086/223965
  17. K. C. Lim, S. Kim, "Prevalence and Correlates of Depression in Older Koreans: Comparison of Young-old and Old-old", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.21 No.1, pp.1-10, Mar, 2012. https://doi.org/10.12934/jkpmhn.2012.21.1.1
  18. E. Perissinotto, C. Pisent, G. Sergi, F. Grigoletto, G. Enzi, "Anthropometric measurements in the elderly: age and gender differences", British Journal of nutrition, Vol.87, No.2, pp.177-186. Feb, 2002. DOI: https://doi.org/10.1079/BJN2001487
  19. R. P. Wilder, J. A. Greene, K. L. Winters, W. B. Long III, K. D. Gubler, R. Edlich, "Physical fitness assessment: an update", Journal of Long-term Effects of Medical Implants, Vol.16, No.2, pp.193-203, 2006. DOI: https://doi.org/10.1615/JLongTermEffMedImplants.v1 6.i2.90
  20. J. Y. Lee, Development of gait analysis algorithm for hemiplegic patients based on accelerometry, Doctoral dissertation, yonsei, seoul, Korea, pp.33-34, 2004.
  21. U. G. Kyle, L. Genton, D. Hans, L. Karsegard, D. O. Slosman, "Age-related differences in fat-free mass, skeletal muscle, body cell mass and fat mass between 18 and 94 years", European Journal of Clinical Nutrition, Vol.55, No.8, pp.663-72, Aug, 2001. DOI: https://doi.org/10.1038/sj.ejcn.1601198
  22. J. Tichet, S. Vol, D. Goxe, A. Salle, G. Berrut, "Prevalence of sarcopenia in the French senior population", The Journal of Nutrition Health and Aging, Vol.12, No.3, pp.202-206, Mar, 2008. https://doi.org/10.1007/BF02982621
  23. Y. Rolland, V. Lauwers-Cances, M. Cournot, F. Nourhashémi, W. Reynish, D."Sarcopenia, calf circumference, and physical function of elderly women: a cross‐sectional study", Journal of the American Geriatrics Society, Vol.51, No.8, pp.1120-1124, Jul, 2003. DOI: https://doi.org/10.1046/j.1532-5415.2003.51362.x
  24. R. N. Baumgartner, K. M. Koehler, D. Gallagher, L. Romero, S. B. Heymsfield, "Epidemiology of sarcopenia among the elderly in New Mexico", American Journal of Epidemiology, Vol.147. No.8, pp.755-763, Apr, 1998. DOI: https://doi.org/10.1093/oxfordjournals.aje.a009520
  25. S. U. Ko, S. Stenholm, E. J. Metter, L. Ferrucci, "Age-associated gait patterns and the role of lower extremity strength-results from the Baltimore Longitudinal Study of Aging" Archives of Gerontology and Geriatrics, Vol.55, No.2, pp.474-479, Oct, 2012. DOI: https://doi.org/10.1016/j.archger.2012.04.004
  26. A. C. Rencher, W. F. Christensen, Methods of Multivariate Analysis 3rd Edition, p.800, Wiley, 2012, pp.800.
  27. H. Sung, "Impacts of Walking Activity in Daily Life on Individual Health Improvement" The Korea Spatial Planning Review, Vol.62, pp.43-63, Nov, 2003. https://doi.org/10.15793/kspr.2009.62..003
  28. S. H. Shin, "Analysis of the effect of obesity on gait performance and variability in old adults", The Korean Journal of Physical Education, Vol.53, No.3, pp.759-767, May, 2014.
  29. C. S. Chung, I. S. Shin, J. S. Seo, S. D. Eun, "The Analysis of a Gait Pattern and the Mechanical Efficiency on Ages and Speed Conditions", Korean Journal of Sport Biomechanics, Vol.10, No.2, pp.205-219, Jan, 2001.
  30. A. P. Hills, E. M. Hennig, M. McDonald, O. Bar-Or,"Plantar pressure differences between obese and non-obese adults: a biomechanical analysis", International Journal of Obesity, Vol.25, No.11, pp.1674-1979, Nov, 2001. https://doi.org/10.1038/sj.ijo.0801785
  31. M. D. Tsiros, A. M. Coates, P. R. C. Howe, P. N. Grimshaw, J. D. Buckley, "Obesity: the new childhood disability?", Obesity Reviews, Vol.12, No.1, pp.26-36, Dec, 2010, DOI: https://doi.org/10.1111/j.1467-789X.2009.00706.x
  32. S. A. Studenski, "Gait speed in hospitalized older people: comment on "assessing gait speed in acutely ill older patients admitted to an acute care for elders hospital unit", Archives of Internal Medicine, Vol.172, No.4, pp.358-359, Feb, 2012. DOI: https://doi.org/10.1001/archinternmed.2011.1951
  33. J. S. McPhee, D. P. French, D. Jackson, J. Nazroo, N. Pendleton, H. Degens, "Physical activity in older age: perspectives for healthy ageing and frailty", Biogerontology, Vol.17, No.3, pp.567-580, Jun, 2016. https://doi.org/10.1007/s10522-016-9641-0
  34. M. H. Park, H. J. Park, D. W. Oh, "The relationship between physical characteristics and walking ability in elderly: a cross-sectional study", Journal of the Korea Academia-Industrial cooperation Society, Vol.13, No.6, pp.2664-2671, Jun, 2012. DOI: https://doi.org/10.5762/KAIS.2012.13.6.2664
  35. Y. S. Park, S. N. Lee, "An Analysis of Gait Variables by Muscle Strength Imbalance of Low Extremity and Descent-Stair Walking in Elderly Women", The Korean Journal of Growth and Development, Vol.20, No.2, pp.127-132, 2012.