运动健身方案对农村老年高血压合并肌少症患者的影响  

Effect of exercise fitness program on rural elderly patients with hypertension complicated with sarcopenia

作　　者：莫才云 周小艳[1] 何绍前 林先燕[1] MO Caiyun;ZHOU Xiaoyan;HE Shaoqian;LIN Xianyan(Qiannan Ethnic Medical College,Duyun 558003,China)

机构地区：[1]黔南民族医学高等专科学校,558003

出　　处：《中国老年保健医学》2024年第2期26-30,共5页Chinese Journal of Geriatric Care

基　　金：贵州省卫生健康委科学技术基金项目(编号:gzwkj2023⁃279);黔南民族医学高等专科学校基金(编号:QNYZ2021015)。

摘　　要：目的评估24周的低强度运动健身方案对农村老年高血压合并肌少症患者的影响。方法选取黔南布依族苗族自治州(黔南州)农村的327例患者(男性192例,女性135例)作为研究对象,实施运动干预,并通过t检验等方法分析干预前后的变化,显著性水平设为P<0.05。结果干预后,患者体重、体质量指数(BMI)、体脂百分比、三围等身体形态指标保持稳定,未发生显著变化;但身体活动能力显著提升,具体表现在肌肉力量和耐力的提升(P<0.05);总体血管年龄较干预前显著下降近1岁(P<0.05);高抬腿测试(评估下肢肌肉功能)显示,男性和女性患者均有显著改善(P<0.01)。结论24周低强度运动健身方案能够降低农村老年高血压合并肌少症患者的血管年龄,增强肌肉功能,提高日常生活能力。Objective To evaluate the impact of a 24⁃week low⁃intensity exercise program on elderly patients with hypertension and sarcopenia.Methods A total of 327 patients(192 males and 135 females)from rural areas of Qiannan Buyi and Miao Autonomous Prefecture were selected as study participants.Exercise intervention was implemented,and changes before and after the inter⁃vention were analyzed using methods such as the t⁃test,with a significance level set at P<0.05.Results After the intervention,body weight,body mass index(BMI),body fat percentage,and body measurements remained stable without significant changes;however,there was a significant improvement in physical performance,specifically in muscle strength and endurance(P<0.05).The overall vascular age decreased significantly by nearly one year compared to before the intervention(P<0.05).The high⁃leg lift test,used to assess lower limb muscle function,showed significant improvement in both male and female patients(P<0.01).Con⁃clusion The 24⁃week low⁃intensity exercise program can reduce vascular age,enhance muscle function,and improve daily living abilities in rural elderly patients with hypertension and sarcopenia.

关 键 词：农村 老年高血压患者 肌少症 运动健身方案 

分 类 号：R544.1[医药卫生—心血管疾病] R685[医药卫生—内科学]