운동영양학회지 (Korean Journal of Exercise Nutrition)

한국운동영양학회
권호 표지
DOI QR코드

DOI QR Code

The effects of elastic band exercises and nutritional education on frailty, strength, and nutritional intake in elderly women

  • Bong, Yena (Health and Exercise Science Laboratory, Institute of Sports Science, Seoul National University) ;
  • Song, Wook (Health and Exercise Science Laboratory, Institute of Sports Science, Seoul National University)
  • 투고 : 2020.02.28
  • 심사 : 2020.03.29
  • 발행 : 2020.03.31
⟨ 이전 논문 다음 논문 ⟩

초록

[Purpose] The purpose of this study was to examine the effects of elastic band exercises and nutritional education, as well as to identify the factors influencing frailty, strength, and nutritional intake of elderly women. [Methods] The subjects in this study were 30 elderly women who were divided into four groups. All groups agreed to participate in four programs: health education only (HE), elastic band exercises only (EX), nutritional education only (NU), and elastic band exercises plus nutritional education (EX+NU). Frailty was evaluated by measuring the frailty factors according to Fried et al. Leg strength was measured using a leg-extension machine. Nutritional intake was assessed by the 24-hour recall method and food records. Nutritional intake was analyzed by CAN Pro 5.0 program. [Results] After three months, the prevalence of frailty significantly decreased in the EX+NU group (P=0.013) compared with that of the HE group (P=0.088). There was significant improvement in leg strength in both the EX (P=0.012) and EX+NU groups (P=0.003) compared with that of the HE group (EX, P=0.005; EX+NU, P=0.002). The nutritional intake significantly decreased in the EX group compared with that of the HE group (P<0.05, P<0.05). [Conclusion] The combination of elastic exercises and nutrition education had positive effects on frailty and leg strength, while having negative effects on total calories, carbohydrate, sodium, and iron intake in elderly women. Elastic exercises only had positive effects on leg strength while having negative effects on nutritional intake in elderly women.

키워드

과제정보

The author declares that there is no conflict of interest regarding the publication of this article.

참고문헌

  1. Statistics Korea. 2017 Elderly statistics. KOSIS. 2017. Retrieved from https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=363362
  2. World Health Organization(WHO). 2005. Retrieved from http://www.who.int
  3. Kurimori S, Fukuda Y, Nakamura K, Watanabe M, Takano T. Calculation of prefectural disability-adjusted life expectancy (DALE) using long-term care prevalence and its socioeconomic correlates in Japan. Health Policy. 2006;76(3):346-58. https://doi.org/10.1016/j.healthpol.2005.06.017
  4. Statistics Korea. 2016 Life table. KOSIS. 2016. Retrieved from http://kosis.nso.go.kr/.
  5. Statistics Korea. 2018 Resident Registration Population of the Ministry of Public Administration and Security. KOSIS. 2018. Retrieved from http://kosis.nso.go.kr/.
  6. Sergi G, Veronese N, Fontana L, De Rui M, Bolzetta F, Zambon S, Corti M, Baggio G, Toffanello ED, Crepaldi G, Perissinotto E, Manzato E. Pre-frailty and risk of cardiovascular disease in elderly men and women: the Pro. VA study. J Am Coll Cardiol. 2015;65:976-83. https://doi.org/10.1016/j.jacc.2014.12.040
  7. Mitnitski A, Song X, Skoog I, Broe GA, Cox JL, Grunfeld E, Rockwood K. Relative fitness and frailty of elderly men and women in developed countries and their relationship with mortality. J Am Geriatr Soc. 2005;53:2184-9. https://doi.org/10.1111/j.1532-5415.2005.00506.x
  8. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, J.Kop W, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146-56. https://doi.org/10.1093/gerona/56.3.M146
  9. Lipsitz LA. Dynamics of stability: the physiologic basis of functional health and frailty. J Gerontol A Biol Sci Med Sci. 2002;57:B115-25. https://doi.org/10.1093/gerona/57.3.B115
  10. Lipsitz LA, Goldberger AL. Loss of 'complexity' and aging: potential applications of fractals and chaos theory to senescence. JAMA. 1992;267:1806-9. https://doi.org/10.1001/jama.1992.03480130122036
  11. Hawkins SA, Wiswell RA, Marcell TJ. Exercise and the master athlete-a model of successful aging? J Gerontol A Biol Sci Med Sci. 2003;58:M1009-11. https://doi.org/10.1093/gerona/58.11.M1009
  12. Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler Jr GB, Walston JD; Interventions on Frailty Working Group. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc. 2004;52:625-34. https://doi.org/10.1111/j.1532-5415.2004.52174.x
  13. Manal B, Suzana S, Singh DK. Nutrition and frailty: a review of clinical intervention studies. J Frailty Aging. 2015;4:100-6.
  14. Daniels R, van Rossum E, de Witte L, Kempen GI, van den Heuvel W. Interventions to prevent disability in frail community-dwelling elderly: a systematic review. BMC Health Serv Res. 2008;8:278. https://doi.org/10.1186/1472-6963-8-278
  15. Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev. 2009;2:CD003288.
  16. Nykanen I, Rissanen TH, Sulkava R, Hartikainen S. Effects of individual dietary counseling as part of a comprehensive geriatric assessment (CGA) on nutritional status: a population-based intervention study. J Nutr Health Aging. 2014;18:54-8. https://doi.org/10.1007/s12603-013-0342-y
  17. Seino S, Nishi M, Murayama H, Narita M, Yokoyama Y, Nofuji Y, Taniguchi Y, Amano H, Kitamura A, Shinkai S. Effects of a multifactorial intervention comprising resistance exercise, nutritional and psychosocial programs on frailty and functional health in community-dwelling older adults: A randomized, controlled, cross-over trial. Geriatr Gerontol Int. 2017;17:2034-45. https://doi.org/10.1111/ggi.13016
  18. Choi Y, Kim C, Park Y. The Effect of Nutrition Education Program in Physical Health, Nutritional Status and Health-Related Quality of Life of the Elderly in Seoul. J Nutr Health. 2007;40:270-80.
  19. Lee M. An Effect of Muscle Strengthening Exercise Program on Muscle Strength, Pain, Depression, Self- efficacy, and Quality of Life of Patients with Knee Osteoarthritis. J Korean Acad Nurs. 1996;26:556-75.
  20. Bullani R, El-Housseini Y, Giordano F, Larcinese A, Ciutto L, Bertrand PC, Wuerzner G, Burnier M, Teta D. Effect of intradialytic resistance band exercise on physical function in patients on maintenance hemodialysis: a pilot study. J Ren Nutr. 2011;21:61-5. https://doi.org/10.1053/j.jrn.2010.10.011
  21. SunWoo D, Lee SH, Park JS, Bae SS, Cho YH, Kim CB, Koh KW, Kim YA. Analysis of the Effects of Muscle Strength Exercise on Physical Function and Quality of Life in the Frail Elderly. Korean J Health Edu Promot. 2008;25:39-53.
  22. Kim HG, Nam HK. The Effect of Thera Band Exercise on Muscle Flexibility, Balance Ability, Muscle Strength in Elderly Women. J Korean Acad Community Health Nurs. 2011;22:451-7. https://doi.org/10.12799/jkachn.2011.22.4.451
  23. Lee HS, Sin YI. The Effects of Resistive Exercise using Elastic Band on Basic Physical Fitness and Muscle Strength for the Female Elderly People. J Coaching Dev. 2007;9:277-89.
  24. Hong S, Choi S. A Study on Meal Management and Nutrient Intake of the Elderly. J Korean Soc Food Sci Nutr. 1996;25:1055-61.
  25. Schlenker ED. Nutrition in aging. 1993. Retrieved from http://www.nal.usda.gov
  26. Splett PL. Federal food assistance programs: a step to food security for many. Nutrition Today. 1994;29:6-13. Retrieved from http://www.journals.lww.com https://doi.org/10.1097/00017285-199403000-00002
  27. Davies L. Practical aspects of nutrition of the elderly at home. In Nestle Nutrition Workshop Series (USA). 1992. Retrieved from http://www.nal.usda.gov
  28. Haspolat K, Ece A, Gurkan F, Atamer Y, Tutanc M, Yolbas I. Relationships between leptin, insulin, IGF-1 and IGFBP-3 in children with energy malnutrition. Clin Biochem. 2007;40:201-5. https://doi.org/10.1016/j.clinbiochem.2006.11.008
  29. Wang H, Zhang H, Jia Y, Zhang Z, Craig R, Wang X, Elbein SC. Adiponectin receptor 1 gene (ADIPOR1) as a candidate for type 2 diabetes and insulin resistance. Diabetes. 2004;53:2132-36. https://doi.org/10.2337/diabetes.53.8.2132
  30. King NA. What processes are involved in the appetite response to moderate increases in exercise-induced energy expenditure? Proc Nutr Soc. 1999;58:107-13. https://doi.org/10.1079/PNS19990015