「能量律動健康操」改善高齡者身體組成和睡眠品質之研究

Abstract

本研究旨在探討桃園地區高齡者參與12週的「能量律動健康操」後，其身體組成及睡眠品質改善之成效，並分析不同背景變項（性別、年齡、居住狀態、教育程度）是否影響上述變化。本研究對象計有55位（男性：17位、女性：38位，平均年齡：73.27歲），皆全程參與12週的「能量律動健康操」，每週在家自行練習2次每次30鐘。成效評估工具包括：「身體組成分析儀」與「匹茲堡睡眠品質量表（PSQI）」。研究數據以SPSS 23.0進行資料分析，結果顯示：一、 受試高齡者在參與12週「能量律動健康操」後，其「體內年齡」平均值下降，「上肢肌肉量」、「下肢肌肉量」及「全身相位角」平均值皆增加，且其中「體內年齡」、「右腿肌肉量」都有顯著的改善。二、 受試高齡者在參與12週「能量律動健康操」後，其「主觀睡眠品質」、「睡眠潛伏期」、「睡眠總時數」、「睡眠效率」、「藥物使用」、「日間功能障礙」平均分數及「PSQI平均總分」皆有下降，且其中「睡眠效率」及「PSQI平均總分」達顯著水準，表示整體睡眠狀況有所改善。三、 不同年齡對「生理年齡」及「四肢肌肉量」變化有顯著影響，其中「85歲以上」高齡者的「四肢肌肉量」成長高於「75-84歲」高齡者，意即12週的「能量律動健康操」對於85歲以上長輩的四肢肌肉量增長有更明顯的成效。至於性別、居住狀態、教育程度則對受試高齡者之身體組成變化無顯著影響。This study aims to explore the effects of a 12-week"Energy Rhythmic Health Exercise" program on body composition and sleep quality among older adults in the Taoyuan area. It also examines whether demographic factors such as gender, age, living situation, and education level influence these outcomes. A total of 55 participants (17 men and 38 women, with an average age of 73.27 years) completed the 12-week program, practicing the exercise at home twice a week for 30 minutes each session. Assessment tools included a body composition analyzer and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using SPSS 23.0, and the results indicated the following:1. After participating in the 12-week program, participants showed an average decrease in"biological age," along with increases in "upper limb muscle mass," "lower limb muscle mass," and "whole-body phase angle." Notably, both "biological age" and "right leg muscle mass" demonstrated significant improvements. 2. Regarding sleep quality, participants experienced decreases in scores for "subjective sleep quality," "sleep latency," "total sleep duration," "sleep efficiency," "use of sleeping medication," "daytime dysfunction," and the "overall PSQI score." Among these, improvements in"sleep efficiency" and the "overall PSQI score" reached statistical significance, indicating an overall enhancement in sleep quality. 3. Age differences had a significant impact on changes in "biological age" and "limb muscle mass." Specifically, participants aged 85 and above exhibited greater improvements in limb muscle mass compared to those aged 75–84, suggesting that the 12-week program was particularly effective in enhancing limb muscle mass among the oldest participants. Conversely, gender, living situation, and education level did not significantly affect changes in body composition.