八段锦对社区老年人平衡功能影响效果的整群随机对照试验研究  

The effect of Ba Duan Jin on the balance of community-dwelling older adults:a cluster randomized control trial

作　　者：段蕾蕾[1] 赵玉斌 耳玉亮[1] 叶鹏鹏 王薇 高欣[4] 邓晓[1] 金叶[1] 汪媛[1] 纪翠蓉[1] 马新颜[5] 高从[5] 赵昱红 朱素秋 苏书贞[8] 郭新娥[8] 彭娟娟[9] 喻彦[9] 杨琛[10] 苏亚娅 赵鸣[11] 郭丽花[11] 吴逸平[12] 罗央努[12] 孟瑞琳[13] 徐浩锋[13] 刘华章[14] 阮慧红 谢博 张慧敏 廖宇华 陈颜 王临虹[1] Duan Leilei;Zhao Yubin;Er Yuliang;Ye Pengpeng;Wang Wei;Gao Xin;Deng Xiao;Jin Ye;Wang Yuan;Ji Cuirong;Ma Xinyan;Gao Cong;Zhao Yuhong;Zhu Suqiu;Su Shuzhen;Guo Xin'e;Peng Juanjuan;Yu Yan;Yang Chen;Su Yaya;Zhao Ming;Guo Lihua;Wu Yiping;Luo Yangnu;Meng Ruilin;Xu Haofeng;Liu Huazhang;Ruan Huihong;Xie Bo;Zhang Huimin;Liao Yuhua;Chen Yan;Wang Linhong(Division of Injury Prevention and Mental Health,National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Shijiazhuang People′s Hospital,Shijiazhuang 050031,China;National Clinical Research Center for Cardiovascular Diseases/National Center for Cardiovascular Diseases/Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037,China;Office of Chronic Disease and Ageing Health Management,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Institute for Chronic and Non-communicable Disease Control and Prevention,Shijiazhuang Municipal Center for Disease Control and Prevention,Shijiazhuang 050011,China;Shijiazhuang Chang'an District Center for Disease Control and Prevention,Shijiazhuang 050011,China;Department of Chronic Prevention and Control,Shijiazhuang Chang'an District Center for Disease Control and Prevention,Shijiazhuang 050011,China;Department of Nursing,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang 050051,China;Department of Injury Control and Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China;Department of Cancer and Injury Control and Prevention,Shanghai Pudong New Area Center for Disease Control and Prevention,Shanghai 200136,China;Department of Chronic and Non-communicable Disease Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China;General Office,Cixi Municipal Center for Disease Control and Prevention of Zhejiang Province,Ningbo 315302,China;Department of Chronic and Non-communicable Disease Control and Prevention,Guangdong Provi

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控与心理健康室,北京100050 [2]石家庄市人民医院,石家庄050031 [3]中国医学科学院阜外医院/国家心血管病中心/国家心血管疾病临床医学研究中心,北京100037 [4]中国疾病预防控制中心慢病和老龄健康管理处,北京102206 [5]石家庄市疾病预防控制中心慢性非传染性疾病防治所,石家庄050011 [6]石家庄市长安区疾病预防控制中心,石家庄050011 [7]石家庄市长安区疾病预防控制中心慢病防控科,石家庄050011 [8]石家庄市中医院护理部,石家庄050051 [9]上海市疾病预防控制中心伤害防治科,上海200336 [10]上海市浦东新区疾病预防控制中心肿瘤伤害防治科,上海200136 [11]浙江省疾病预防控制中心慢性非传染性疾病预防控制所,杭州310051 [12]浙江省慈溪市疾病预防控制中心中心办公室,宁波315302 [13]广东省疾病预防控制中心慢性非传染性疾病预防控制所,广州511483 [14]广州市疾病预防控制中心,广州510440 [15]广州市番禺区慢性病防治站慢性非传染性疾病防控科,广州511400 [16]深圳市南山区慢性病防治院精神卫生科,深圳518054

出　　处：《中华流行病学杂志》2024年第2期250-256,共7页Chinese Journal of Epidemiology

摘　　要：目的评价八段锦锻炼6个月对社区老年人平衡功能的影响。方法使用两平行组整群随机对照试验的方法对我国5个省(市)40个社区的1028名60~80岁社区居住老年人进行干预研究。干预组研究对象(20个社区、523名)进行每天1 h、每周5 d、持续6个月的八段锦锻炼和3次预防老年人跌倒健康教育;对照组研究对象(20个社区、505名)仅接受3次预防跌倒健康教育。研究主要指标为Berg平衡量表(BBS)得分,次要指标包括单脚站立时间、双脚前后站立时间、闭目原地踏步时间、计时起立行走时间。结果1028名研究对象进入分析,包括731名女性(71.11%)和297名男性(28.89%),年龄(69.87±5.67)岁。与基线调查相比,干预3个月后干预组BBS得分较对照组增加3.05(95%CI:2.23~3.88)分(P<0.001);干预6个月后干预组BBS得分较对照组增加4.70(95%CI:4.03~5.37)分(P<0.001)。与对照组相比,干预6个月后干预组研究对象的各项次要指标均有改善(P<0.05)。结论八段锦运动可以提高60~80岁社区老年人的平衡功能,运动时间越长,改善效果越好。Objective To assess the effectiveness of a 6-month Ba Duan Jin exercise program in improving the balance of community-dwelling older adults.Methods A two arms,parallel-group,cluster randomized controlled trial was conducted in 1028 community residents aged 60-80 years in 40 communities in 5 provinces of China.Participants in the intervention group(20 communities,523 people)received Ba Duan Jin exercise 5 days/week,1 hour/day for 6 months,and three times of falls prevention health education,and the control group(20 communities,505 people)received falls prevention health education same as the intervention group.The Berg balance scale(BBS)score was the leading outcome indicator,and the secondary outcome indicators included the length of time of standing on one foot(with eyes open and closed),standing in a tandem stance(with eyes open and closed),the closed circle test,and the timed up to test.Results A total of 1028 participants were included in the final analysis,including 731 women(71.11%)and 297 men(28.89%),and the age was(69.87±5.67)years.After the 3-month intervention,compared with the baseline data,the BBS score of the intervention group was significantly higher than the control group by 3.05(95%CI:2.23-3.88)points(P<0.001).After the 6-month intervention,compared with the baseline data,the BBS score of the intervention group was significantly higher than the control group by 4.70(95%CI:4.03-5.37)points(P<0.001).Ba Duan Jin showed significant improvement(P<0.05)in all secondary outcomes after 6 months of exercise in the intervention group compared with the control group.Conclusions This study showed that Ba Duan Jin exercise can improve balance in community-dwelling older adults aged 60-80.The longer the exercise time,the better the improvement.

关 键 词：平衡功能 整群随机对照试验 老年人 跌倒预防 八段锦 

分 类 号：R212[医药卫生—中医学]