基于ICF老年人体育活动与功能康复研究

doi:10.3969/j.issn.1006-9771.2019.11.002

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (11): 1248-1254.doi: 10.3969/j.issn.1006-9771.2019.11.002

基于ICF老年人体育活动与功能康复研究

黄珂^1,2,3, 王国祥^1,2, 邱卓英^1,2,3,4, 李安巧^2,3,5, 马洪卓^2,3

1.苏州大学体育学院/苏州大学运动康复研究中心，江苏苏州市 215021
2.世界卫生组织国际分类家族中国合作中心，北京市 100068
3.中国ICF研究院，山东潍坊市 261053
4.中国康复研究中心/中国康复科学所康复信息研究所，北京市 100068
5.中国智力和发展性残疾分级、评估与康复（运动）重点实验室，郑州大学，河南郑州市 450001

收稿日期:2019-10-31 出版日期:2019-11-25 发布日期:2019-11-21
通讯作者: 王国祥，E-mail： kwang63@163.com E-mail:kwang63@163.com
作者简介:黄珂(1981- )，女，汉族，湖北黄石市人，博士研究生，主要研究方向：体育、健康与运动康复。
基金资助:
1.国家社会科学基金项目(No. 19BTY125)；2.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目) (No. 2017CZ-7; No. 2018CZ-4)

Effects of Physical Activities on Functioning and Health for Aging People Using ICF

HUANG Ke^1,2,3, WANG Guo-xiang^1,2, QIU Zhuo-ying^1,2,3,4, LI An-qiao^2,3,5, MA Hong-zhuo^2,3

1.School of Physical Education and Sport Sciences, Research Center of Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China
2.WHO Family of International Classifications Collaborating Center in China, Beijing 100068, China
3.China Academy of ICF, Weifang, Shandong 261053, China
4.Research Institute of Rehabilitation Information, China Rehabilitation Research Centre/China Rehabilitation Science Institute, Beijing 100068, China
5.China Key Laboratory of Classification, Evaluation and Rehabilitation Sport of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China

Received:2019-10-31 Published:2019-11-25 Online:2019-11-21
Contact: WANG Guo-xiang, E-mail: kwang63@163.com; QIU Zhuo- ying, E-mail: qiutiger@hotmail.com E-mail:kwang63@163.com
Supported by:
Supported by National Social Science Fund of China (No. 19BTY125) and National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research) (No. 2017CZ-7; No. 2018CZ-4)

摘要/Abstract

摘要： 目的基于ICF的理论和方法，探讨老年人身体活动与功能发展模式，研究体育活动对老年人身体功能、活动和参与功能以及相关的环境因素和个人健康行为方式的影响。方法采用ICF理论模式和方法以及文献研究方法。结果构建基于ICF架构的老年人体育活动与整体功能发展模式；体育活动对老年人整体功能和日常活动与参与能力有积极影响；不同运动方式改善老年人体适能、运动功能和认知功能。结论基于ICF生物-心理-社会的功能模式构建了老年人体育活动与老年功能健康的理论架构。老年人的体育活动有助于老年人的功能健康，表现为整体功能、功能独立性和日常生活活动能力的提升，并能改善其体适能和认知功能。不同体育活动对老年人身体功能的影响存在一定差异：中等至中高强度的有氧(耐力)体育活动使发病和死亡的相对风险降低30%以上，体育活动可以延缓或预防老年人认知功能的衰退，长期同时进行抗阻运动和有氧运动的健康老年人能降低痴呆风险。

关键词: 国际功能、残疾和健康分类, 体育活动, 老年, 日常生活活动, 运动处方

Abstract: Objective To explore the developmental model of physical activities and function of older adults in the perspective of ICF to research the influence of physical activities on their body function, activity and participation, including related environmental factors and personal health behavior. Methods Theory and methods of ICF had been implemented. Results A framework of physical activities and overall function for aging people was developed based on ICF. Physical activities positively affected on the overall function, activities of daily living and participation for aging people. Different exercises played different roles on fitness, motor function and cognitive function. Conclusion The theoretical framework of physical activities and functional health for aging people has been established based on the bio-psycho-social model of ICF. For aging people, physical activities contribute to improvement of functioning and health, such as overall function, functional independence and activities of daily living, as well as physical fitness, and cognitive function. There are different effects of different types of sports on the body function for aging people. Moderate to moderate-vigorous aerobic (endurance) exercise could reduce 30% or more the risks of morbidity and mortality. Exercise and sports may delay or prevent the impairment of cognitive function. Long-term resistance exercise and aerobic exercise can reduce the risk of dementia.

Key words: International Classification of Functioning, Disability and Health, physical activities, aged, activities of daily living, sports prescription

中图分类号:

R165

黄珂, 王国祥, 邱卓英, 李安巧, 马洪卓. 基于ICF老年人体育活动与功能康复研究[J]. 《中国康复理论与实践》, 2019, 25(11): 1248-1254.

HUANG Ke, WANG Guo-xiang, QIU Zhuo-ying, LI An-qiao, MA Hong-zhuo. Effects of Physical Activities on Functioning and Health for Aging People Using ICF[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(11): 1248-1254.

参考文献

1 邱卓英. 《国际功能、残疾和健康分类》研究总论[J]. 中国康复理论与实践, 2003, 9(1): 2-5.
2 世界卫生组织. 国际功能、残疾与健康分类(国际中文增补版)[M]. 邱卓英,译. 日内瓦:世界卫生组织, 2015.
3 世界卫生组织,世界银行. 世界残疾报告(国际中文版)[M]. 邱卓英,译. 日内瓦:世界卫生组织, 2013.
4 邱卓英. 《世界残疾报告》的架构、方法与应用意义[J]. 中国康复理论与实践, 2013, 19(10): 901-904.
5 世界卫生组织,联合国教科文组织,国际劳工组织,等. 社区康复指南：以社区为基础的康复指南[M]. 日内瓦:世界卫生组织, 2010.
6 李峰. 体育概念及功能辨析[J]. 教师, 2011(16): 125-125.
7 世界卫生组织. 世卫组织2014~2021 年全球残疾问题行动计划：增进所有残疾人的健康[J]. 中国康复理论与实践, 2014, 20(7): 601-610.
8 KujalaU M, KaprioJ, SarnaS, et al. Relationship of leisure-time physical activity and mortality: the Finnish twin cohort [J]. JAMA, 1998, 279: 440-444.
9 JonesA J, AinsworthB E, CroftJ B, et al. Moderate leisure-time physical activity [J]. Arch Fam Med, 1998, 7: 285-289.
10 PollockM L, GaesserG A, ButcherJ D, et al. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults [J]. Med Sci Sports Exerc, 1998, 30(6): 975-991.
11 新浪体育. 2018年美国人体力活动指南（第二版）发布[EB/OL]. (2018-11-13). https://sports.sina.com.cn/run/2018-11-13/doc-ihmutuea9688998.shtml.
12 PatersonD, JonesG, RiceC. Ageing and physical activity: evidence to develop exercise recommendations for older adults [J]. Can J Public Health, 2007, 98: S69-S108.
13 WarburtonD, GledhillN, QuinneyA. The effects of changes in musculoskeletal fitness on health [J]. Can J Appl Physiol, 2001, 26: 161-216.
14 StuckA, WalthertJ, NikolausT, et al. Risk factors for functional status decline in community-living elderly people: a systematic literature review [J]. Soc Sci Med, 1999, 48: 445-469.
15 B?ckmandH, KaprioJ, KujalaU, et al. Physical and psychological functioning of daily living in relation to physical activity. A longitudinal study among former elite male athletes and controls [J]. Aging Clin Res, 2006, 18: 40-49.
16 PatersonD, GovindasamyD, VidmarM, et al. Longitudinal study of determinants of dependence in an elderly population [J]. J Am Geriatr Soc, 2004, 52: 1632-1638.
17 WarburtonD, GledhillN, QuinneyA. Musculoskeletal fitness and health [J]. Can J Appl Physiol, 2001, 26: 217-237.
18 LangI, GuralnikJ, MelzerD. Physical activity in middle-aged adults reduces risks of functional impairment independent of its effect on weight [J]. J Am Geriatr Soc, 2007, 55: 1836-1841.
19 BoyleP, BuchmanA S, WilsonR, et al. Physical activity is associated with incident disability in community-based older persons [J]. J Am Geriatr Soc, 2007, 55: 195-201.
20 StessmanJ, Hammerman-RozenbergR, MaaraviY, et al. Effect of exercise on ease in performing activities of daily living and instrumental activities of daily living from age 70 to 77: the Jerusalem longitudinal study [J]. J Am Geriatr Soc, 2002, 50: 1934-1938.
21 WangL, van BelleG, KukullW, et al. Predictors of functional changes: a longitudinal study of nondemented people aged 65 and older [J]. J Am Geriatr Soc, 2002, 50: 1525-1534.
22 BerkD, HubertH, FriesJ. Associations of changes in exercise level with subsequent disability among seniors: a 16-year longitudinal study [J]. J Gerontol A Biol Sci Med Sci, 2006, 61A: 97-102.
23 BruceB, FriesJ, HubertH. Regular vigorous physical activity and disability development in healthy overweight and normal-weight seniors: a 13-year study [J]. Am J Public Health, 2008, 98: 1294-1299.
24 WangB, RameyD, SchettlerJ, et al. Postponed development of disability in elderly runners: a 13-year longitudinal study [J]. Arch Intern Med, 2002, 162: 2285-2294.
25 ChakravartyE, HubertH, LingalaV, et al. Reduced disability and mortality among aging runners [J]. Arch Intern Med, 2008, 168: 1638-1646.
26 Al SnihS, MarkidesK, OttenbacherK, et al. Hang grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period [J]. Aging Clin Exp Res, 2004, 16: 481-486.
27 GiampaoliS, FerrucciL, CecchiF, et al. Hand-grip strength predicts incident disability in non-disabled older men [J]. Age Ageing, 1999, 28: 283-288.
28 RantanenT, GuralinkJ, FoleyD, et al. Midlife hand grip strength as a predictor of old age disability [J]. JAMA, 1999, 281: 558-560.
29 BuchmanA S, WilsonR, BoyleP, et al. Physical activity and leg strength predict decline in mobility performance in older persons [J]. J Am Geriatr Soc, 2007, 55: 1618-1623.
30 BrachJ S, FitzGeraldS, NewmanA, et al. Physical activity and functional status in community-dwelling older women: a 14-year prospective study [J]. Arch Intern Med, 2003, 163: 2565-2571.
31 KosterA, PatelK, VisserM, et al. Joint effects of adiposity and physical activity on incident mobility limitation in older adults [J]. J Am Geriatr Soc, 2008, 56: 636-643.
32 BrachJ S, van SwearingenJ M, Fitz GeraldS, et al. The relationship among physical activity, obesity, and physical function in community-dwelling older women [J]. Prev Med, 2004, 39: 74-80.
33 VisserM, SimonsickE, ColbertL, et al. Type and intensity of activity and risk of mobility limitation: the mediating role of muscle parameters [J]. J Am Geriatr Soc, 2005, 53: 762-770.
34 KeysorJ. Does late-life physical activity or exercise prevent or minimize disablement? A critical review of the scientific evidence [J]. Am J Prev Med, 2003, 25: 129-136.
35 MoreyM, PieperC, Cornoni-HuntleyJ. Physical fitness and functional limitations in community-dwelling older adults [J]. Med Sci Sports Exerc, 1998, 30: 715-723.
36 SimoesE, KobauR, KappJ, et al. Associations of physical activity and body mass index with activities of daily living in older adults [J]. J Community Health, 2006, 12: 115-121.
37 DavidsonL, HudsonR, KilpatrickK, et al. Effects of exercise modality on insulin resistance and functional limitation in older adults [J]. Arch Intern Med, 2009, 169: 122-131.
38 CapodaglioP, CapodaglioM E, FacioliM, et al. Long-term strength training for community-dwelling people over 75: impact on muscle function, functional ability and lifestyle [J]. Eur J Appl Physiol, 2007, 100: 535-542.
39 CavaniV, MierC, MustoA, et al. Effects of a 6-week resistance training programme on functional fitness of older adults [J]. J Aging Phys Act, 2002, 10: 443-452.
40 LathamN, AndersonC, BennettD, et al. Progressive resistance strength training for physical disability in older people [J]. Cochrane Database Syst Rev, 2003, 89(2): CD002759.
41 季浏,殷恒婵,颜军. 体育心理学[M]. 北京:高等教育出版社, 2010.
42 BroeG, CreasyH, JormA, et al. Health habits and risk of cognitive impairment and dementia in old age: a prospective study on the effects of exercise, smoking, and alcohol consumption [J]. Aust N Z J Public Health, 1998, 22: 621-623.
43 BulloV, GobboS, VendraminB, et al. Nordic Walking can be incorporated in the exercise prescription to increase aerobic capacity, strength and quality of life for elderly: a systematic review and meta-analysis [J]. Rejuvenation Res, 2018, 21(2): 141-161.
44 VergheseJ, LeValleyA, DerbyC, et al. Leisure activities and the risk of amnesic mild cognitive impairment in the elderly [J]. Neurology, 2006, 66: 821-827.
45 LindsayJ, LaurinD, VerreaultR, et al. Risk factors for Alzheimer's disease: a prospective analysis from the Canadian Study of Health and Aging [J]. Am J Epidemiol, 2002, 156: 445-453.
46 AbbottR, WhiteL, RossG, et al. Walking and dementia in physically capable elderly men [J]. JAMA, 2004, 292: 1447-1453.
47 PodewilsL, GuallarE, KullerL, et al. Physical activity, APOE genotype, and dementia risk: findings from the Cardiovascular Health Cognition Study [J]. Am J Epidemiol, 2005, 161: 639-651.
48 LarsonE, WangL, BowenD, et al. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older [J]. Ann Intern Med, 2006, 144: 73-81.
49 van GelderB, TijhuisM, KalmijnS, et al. Physical activity in relation to cognitive decline in elderly men: the FINE Study [J]. Neurology, 2004, 63: 2316-2321.
50 LandiF, RussoA, BarillaroC, et al. Physical activity and risk of cognitive impairment among older persons living in the community [J]. Aging Clin Exp Res, 2007, 19: 410-416.
51 BarnesD, YaffeK, SatarianoW, et al. A longitudinal study of cardiorespiratory fitness and cognitive function in healthy older adults [J]. J Am Geriatr Soc, 2003, 51: 459-465.
52 CassilhasR, VianaV, GrassmannV, et al. The impact of resistance exercise on the cognitive function of the elderly [J]. Med Sci Sports Exerc, 2007, 39: 1401-1407.
53 AngevarenM, AufdemkampeG, VerhaarH, et al. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment [J]. Cochrane Database Syst Rev, 2008, 3: CD005381.
54 LaurinD, VerreaultR, LindsayJ, et al. Physical activity and risk of cognitive impairment and dementia in elderly persons [J]. Arch Neurol, 2001, 58: 498-504.

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基于ICF老年人体育活动与功能康复研究

Effects of Physical Activities on Functioning and Health for Aging People Using ICF

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