[[alternative]]Effectiveness of Resistance Band Exercise on Physical Fitness and Sport Health Literacy of the Community Older Adults.

[[abstract]]背景:老化使得身體功能退化，而低健康識能影響資訊的獲得與理解，導致 醫療使用率增加，衝擊年長者的生活品質。美國運動醫學會與心臟學會共同針對 高齡者的運動處方發表(2007):阻力訓練不僅能防止老化所引起之肌肉流失、低 骨質密度和低心血管循環能力，亦能強化其平衡能力、步態及體適能。目的:本研究旨在探討彈力帶運動對社區長者之功能性體適能及運動健康識 能的影響。方法:採單一組別介入研究設計，經知情同意，招募社區 65 歲以上 長者(N=60)，進行每週 1 次、每次 60 分鐘團體彈力帶運動+每週 2 次居家自主 彈力帶運動，連續 12 週的介入措施，於介入前後收集功能性體適能、自擬彈力 帶運動健康識能量表、情緒臉譜量表、自覺健康狀態量表等成效指標，以成對樣 本 t 檢定(pair-t test)進行分析。結果:經 12 周彈力帶運動介入後，長者除握力外，功能性體適能皆有提升， 其中 30 秒屈臂測驗(t =16.58, p <.001)、30 秒椅子坐立(t =5.60, p <.001)、8 英尺 繞行測驗(t =-2.39, p <.05) 3 項達顯著差異。在彈力帶運動健康識能方面，取得運 動資訊的主動性增加，在自覺彈力帶運動健康識能(t =2.866, p <.01)、彈力帶運動 態度(t =2.331 , p <.05)、彈力帶運動知識(t =5.093, p <.001)達顯著差異。在情緒臉 譜量表(t =3.219, p <.01)及自覺健康狀態量表(t =2.930, p <.01)亦有顯著差異。結 論:彈力帶運動能改善老年人的功能性體適能、運動健康識能、自覺情緒及健康 狀態，配合彈力帶運動手冊，有助於長者在家自主操作，以掌握動作要領，激發 持續彈力帶運動意願，有助於培養規律運動習慣及推廣社區高齡運動健康促進。[[abstract]]Background: Aging degrades body functions, and low health awareness can affect the acquisition and understanding of information, leading to increased medical utilization and impact on the quality of life of the elderly. Progressive resistance training can not only prevent muscle loss, low bone density and low cardiovascular circulation capacity caused by aging, but also strengthen its balance ability, gait, and physical fitness. Aim: This study aims to explore the impact of resistance band exercise on the Physical fitness and health awareness of elders in the community. Methods: A single group intervention study design was adopted (N=60). Resistance band exercise once a week for 60 minutes two voluntary resistance band exercises per week. Intervention measures for 12 weeks were collected from pre and post the intervention. Data analyze by paired t test. Results: After 12 weeks of resistance band exercise intervention, the physical fitness of the elders was improved. One-arm curl test (t =16.58***), chair-stand test (t =5.60***) 8 ft. up-and-go test (t = -2.39*) three items reached significant differences. In terms of Sport healthy literacy, the initiative to obtain exercise information has increased. In conscious Sport healthy literacy (t = 2.866**), exercise attitude (t = 2.331*), exercise knowledge (t = 5.093***) were significant differences. There are also significant differences of the emotional scale (t = 3.219**) and perceptive health status (t = 2.930**). Conclusion: Resistance band exercise can improve the physical fitness, Sport healthy literacy, and perceptive emotional and health status of the elderly. The resistance band exercise manual helps the elderly to operate autonomously at home, it is helpful to cultivate regular exercise habits and enhance the health promotion of the community older adults