Causality Analysis of Muscle Activation, Physical Strength and Daily Living Abilities Change among the Elderly due to a Health Promotion Exercise Program

건강운동에 의한 노인의 근활성, 체력 및 일상생활능력 변화의 인과관계

  • Kim, Hee-Ra (Department of Medical Center, Classion Senior Town)
  • Received : 2010.03.10
  • Accepted : 2010.06.03
  • Published : 2010.08.25

Abstract

Purpose: The purpose of this study was (1) to examine the effects of a Health Promotion Exercise Program (HPEP) on functional improvement, physical strength (PS) and muscle activation (MA), and the interactive influence with activities of daily living (ADL) and instrumental activities of daily living (IDAL) in the elderly, and (2) to develop and provide a HPEP for the elderly in order to prevent declines and impairments in integrated nerve function and physical capacity. Methods: Our study included relatively healthy elderly people aged 65 years or older. The experimental group, which was composed of 30 people, participated in a HPEP 50~60 minutes a day, 3 times a week, for a total of 12 weeks. Results: Confirmatory factor analysis (CFA) validated the measurement models for MA, physical strength, ADL and IADL with a p<0.01. This confirms (i) the beneficial effects of the ADFP on their MA and PS, and (ii) that their improvement in PS, in turn, can improve their IADL. The results of this study indicates that ADFP can help Korean seniors 65 years or older improve their MA, PS, ADL, and IADL, and do so synergistically. Conclusion: An HPEP, when organized in such a way that the elderly can easily do it, and when exercise items and intensity can be programmed and reorganized accordingly to individual physical and physiological characteristics by presenting 5 categorized health domains of physical strength, may be useful, especially because it can be practiced irrespective of time and place.

Keywords

References

  1. Um KM. Effects of the old women's muscular strength, flexibility and IADL by exercise therapy. Konkuk University. Dissertation of Doctorate Degree. 1998.
  2. Troen BR. The biology of aging. Mt Sinai J Med. 2003;70(1):3-22.
  3. Bortz WM. Disuse and aging. JAMA. 1982;248(10):1203-8. https://doi.org/10.1001/jama.248.10.1203
  4. Moore SR. Walking for health: a nurse-managed activity. J Gerontol Nurs. 1989;15(7):26-8.
  5. Kwon OY. Characteristics of fall incidence in an elderly community population and the effects of exercise training on strength and balance for elderly fallers. Keimyung University. Dissertation of Doctorate Degree. 1997.
  6. Greig CA, Young A, Skelton DA et al. Exercise studies with elderly volunteers. Age Ageing. 1994;23(3):185-9. https://doi.org/10.1093/ageing/23.3.185
  7. Song GY, Kim YI, LeeG. 1989 National Health Survey - contraction of a disease and medical use. Korea Institute for Health Social Affairs. 1990.
  8. Shin HK, Cho KH. Association between physical performance and bone mineral density in elderly women. J Kor Soc Phys Ther. 2009;21(4):37-42.
  9. Karkkainen M, Rikkonen T, Kroger H et al. Physical tests for patient selection for bone mineral density measurements in postmenopausal women. Bone. 2009;44(4):660-5. https://doi.org/10.1016/j.bone.2008.12.010
  10. Daly RM, Ahlborg HG, Ringsberg K et al. Association between changes in habitual physical activity and changes in bone density, muscle strength, and functional performance in elderly men and women. J Am Geriatr Soc. 2008;56(12):2252-60. https://doi.org/10.1111/j.1532-5415.2008.02039.x
  11. Bergstrom I, Brinck J, Saaf M. Effects of physical training on bone mineral density in fertile women with idiopathic osteoporosis. Clin Rheumatol. 2008;27(8):1035-8. https://doi.org/10.1007/s10067-008-0894-0
  12. Kang JS. The effect of 24-week exercise program on muscle fitness, flexibility, balance and proprioceptive function in the elderly women. Dankook University. Dissertation of Master's Degree. 2008.
  13. Emery CF, Gatz M. Psychological and cognitive effects of an exercise program for community-residing older adults. Gerontologist. 1990;30(2):184-8. https://doi.org/10.1093/geront/30.2.184
  14. Roos NP, Havens B. Predictors of successful aging: a twelve-year study of Manitoba elderly. Am J Public Health. 1991;81(1):63-8. https://doi.org/10.2105/AJPH.81.1.63
  15. Kim G, Kim SH, Seo SK et al. Effects of elastic band resistance exercise on improving the balance ability in the elderly. J Kor Soc Phys Ther. 2008;20(2):1-10.
  16. Moffat M, Lewis CB. Age-defying fitness: making the most of your body for the rest of your life. Georgia, Peachtree Publishers, 2006.
  17. DeLagi EF, Perotto AO. Anatomic guide for the electromyographer: the limbs. 2nd ed. Springfield, Charles C Thomas, 1991.
  18. Park SH. Comparative analysis of physical fitness, gait parameter, and lower extremity muscle activity in stroke parients by exercise types. Changwon University. Dissertation of Master's Degree. 2007.
  19. Morris JN, Fries BE, Bernabei R et al. RAI-home care (RAI-HC) assessment manual for version 2.0. Marblehead, MA: Opus Communications, 2000.
  20. Kim CY, Kim SM. RAI-HC assessment manual version 2.0 in Korean by inter RAI. Seoul, Korea Medical Consulting Co, 2000.
  21. Yi GM, Kim HJ. Depression and anxiety in community - dwelling older persons of Korea. Journal of the Korean Gerontological Society. 2000;20(2):109-21.
  22. Chonnam National University Medical School. A model development for program coordinating health and welfare services for the rural elderly: based on interdiscipliary case management team approach. Korea, Ministry for Health, Wellfare and Family Affairs, 2003.
  23. Kim GS.AMOS structural equation modeling analysis. Seoul, SPSS ACADEMY, 2004.
  24. Kligman EW, Pepin E. Prescribing physical activity forolder patients. Geriatrics. 1992;47(8):33-47.