Abstract
段蕾蕾,赵玉斌,耳玉亮,叶鹏鹏,王薇,高欣,邓晓,金叶,汪媛,纪翠蓉,马新颜,高从,赵昱红,朱素秋,苏书贞,郭新娥,彭娟娟,喻彦,杨琛,苏亚娅,赵鸣,郭丽花,吴逸平,罗央努,孟瑞琳,徐浩锋,刘华章,阮慧红,谢博,张慧敏,廖宇华,陈颜,王临虹.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[J].Chinese journal of Epidemiology,2024,45(2):250-256
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
Received:May 06, 2023  
DOI:10.3760/cma.j.cn112338-20230506-00283
KeyWord: 平衡功能  整群随机对照试验  老年人  跌倒预防  八段锦
English Key Word: Balance  Cluster randomized control trial  Older adults  Falls prevention  Ba Duan Jin
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Author NameAffiliationE-mail
Duan Leilei 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  
Zhao Yubin Shijiazhuang People′s Hospital, Shijiazhuang 050031, China  
Er Yuliang 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  
Ye Pengpeng 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  
Wang Wei National Clinical Research Center for Cardiovascular Diseases/National Center for Cardiovascular Diseases/Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China  
Gao Xin Office of Chronic Disease and Ageing Health Management, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
Deng Xiao 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  
Jin Ye 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  
Wang Yuan 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  
Ji Cuirong 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  
Ma Xinyan Institute for Chronic and Non-communicable Disease Control and Prevention, Shijiazhuang Municipal Center for Disease Control and Prevention, Shijiazhuang 050011, China  
Gao Cong Institute for Chronic and Non-communicable Disease Control and Prevention, Shijiazhuang Municipal Center for Disease Control and Prevention, Shijiazhuang 050011, China  
Zhao Yuhong Shijiazhuang Chang'an District Center for Disease Control and Prevention, Shijiazhuang 050011, China  
Zhu Suqiu Department of Chronic Prevention and Control, Shijiazhuang Chang'an District Center for Disease Control and Prevention, Shijiazhuang 050011, China  
Su Shuzhen Department of Nursing, Shijiazhuang Hospital of Traditional Chinese Medicine, Shijiazhuang 050051, China  
Guo Xin'e Department of Nursing, Shijiazhuang Hospital of Traditional Chinese Medicine, Shijiazhuang 050051, China  
Peng Juanjuan Department of Injury Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Yu Yan Department of Injury Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Yang Chen Department of Cancer and Injury Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai 200136, China  
Su Yaya Department of Cancer and Injury Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai 200136, China  
Zhao Ming Department of Chronic and Non-communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China  
Guo Lihua Department of Chronic and Non-communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China  
Wu Yiping General Office, Cixi Municipal Center for Disease Control and Prevention of Zhejiang Province, Ningbo 315302, China  
Luo Yangnu General Office, Cixi Municipal Center for Disease Control and Prevention of Zhejiang Province, Ningbo 315302, China  
Meng Ruilin Department of Chronic and Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511483, China  
Xu Haofeng Department of Chronic and Non-communicable Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511483, China  
Liu Huazhang Guangzhou Municipal Center for Disease Control and Prevention, Guangzhou 510440, China  
Ruan Huihong Department of Chronic and Non-communicable Disease Control and Prevention, Chronic Disease Prevention and Control Station of Guangzhou Panyu District, Guangzhou 511400, China  
Xie Bo Department of Psychiatric, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen 518054, China  
Zhang Huimin Department of Psychiatric, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen 518054, China  
Liao Yuhua Department of Psychiatric, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen 518054, China  
Chen Yan Department of Psychiatric, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen 518054, China  
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 wanglinhong@ncncd.chinacdc.cn 
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Abstract:
      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1 028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 1 028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。
English Abstract:
      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 1 028 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 1 028 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.
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