Takaisin Tulosta

Ikääntymiseen liittyvät fysiologiset muutokset ja liikuntaharjoittelu

Lisätietoa aiheesta
Pirjo Komulainen ja Ilkka Vuori
15.10.2015

Lihaskato (sarkopenia)

Aerobinen kestävyys

Tasapaino

Notkeus (liikkuvuus)

  • Liikkuvuus pienenee selvästi iän mukana, ja siihen voivat vaikuttaa luuston epämuodostumat, lihasten heikkous, jänteiden lyhentyminen ja kudosten kimmoisuuden väheneminen.
  • Liikkuvuutta voidaan parantaa venyttävillä ja nivelten täysiä liikelaajuuksia sisältävillä harjoitteilla.
  • Huono liikkuvuus on yhteydessä toiminnanvajauksiin, mutta liikkuvuutta parantavat ohjelmat yksinään eivät ole vähentäneet toiminnanvajauksia «Singh MA. Exercise to prevent and treat functional...»3.

Kognitiiviset toiminnot

Kirjallisuutta

  1. Strandberg T, Viitanen M, Rantanen T ym. Vanhuksen hauraus-raihnausoireyhtymä. Duodecim 2006;122:1495-502 «PMID: 17091680»PubMed
  2. Doherty TJ. Invited review: Aging and sarcopenia. J Appl Physiol (1985) 2003;95:1717-27 «PMID: 12970377»PubMed
  3. Singh MA. Exercise to prevent and treat functional disability. Clin Geriatr Med 2002;18:431-62, vi-vii «PMID: 12424867»PubMed
  4. Brill PA, Macera CA, Davis DR ym. Muscular strength and physical function. Med Sci Sports Exerc 2000;32:412-6 «PMID: 10694125»PubMed
  5. Liu CJ, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev 2009;:CD002759 «PMID: 19588334»PubMed
  6. Van Roie E, Delecluse C, Coudyzer W ym. Strength training at high versus low external resistance in older adults: effects on muscle volume, muscle strength, and force-velocity characteristics. Exp Gerontol 2013;48:1351-61 «PMID: 23999311»PubMed
  7. Reid KF, Martin KI, Doros G ym. Comparative effects of light or heavy resistance power training for improving lower extremity power and physical performance in mobility-limited older adults. J Gerontol A Biol Sci Med Sci 2015;70:374-80 «PMID: 25199912»PubMed
  8. Hunter GR, McCarthy JP, Bamman MM. Effects of resistance training on older adults. Sports Med 2004;34:329-48 «PMID: 15107011»PubMed
  9. Fiatarone MA, Marks EC, Ryan ND ym. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA 1990;263:3029-34 «PMID: 2342214»PubMed
  10. Porter MM. Power training for older adults. Appl Physiol Nutr Metab 2006;31:87-94 «PMID: 16604125»PubMed
  11. Orr R, de Vos NJ, Singh NA ym. Power training improves balance in healthy older adults. J Gerontol A Biol Sci Med Sci 2006;61:78-85 «PMID: 16456197»PubMed
  12. Tanaka H, Seals DR. Invited Review: Dynamic exercise performance in Masters athletes: insight into the effects of primary human aging on physiological functional capacity. J Appl Physiol (1985) 2003;95:2152-62 «PMID: 14555676»PubMed
  13. Nelson ME, Rejeski WJ, Blair SN ym. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007;39:1435-45 «PMID: 17762378»PubMed
  14. U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. Be Active, Healthy, and Happy! ODPHP Publication No. U0036 October 2008. «http://www.health.gov/paguidelines/pdf/paguide.pdf»1
  15. Lonkkamurtuma (online). Käypä hoito -suositus. Suomalaisen Lääkäriseuran Duodecimin ja Suomen Ortopediyhdistyksen asettama työryhmä. 10.06.2011 «http://www.kaypahoito.fi»2
  16. Pajala S. Iäkkäiden kaatumisten ehkäisy. THL. Opas 16:2012 «http://urn.fi/URN:NBN:fi-fe201205085108»3
  17. Fratiglioni L, Paillard-Borg S, Winblad B. An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol 2004;3:343-53 «PMID: 15157849»PubMed
  18. Kivipelto M, Viitanen M. Vanhus ja muisti - Vanhuudenhöperyyttä vai orastavaa Alzheimeria? Duodecim 2006;122:1513-20 PubMed
  19. Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 2003;14:125-30 «PMID: 12661673»PubMed
  20. Blazer DG, Yaffe K, Karlawish J. Cognitive aging: a report from the Institute of Medicine. JAMA 2015;313:2121-2 «PMID: 25875498»PubMed
  21. Barnes DE, Yaffe K. The projected effect of risk factor reduction on Alzheimer's disease prevalence. Lancet Neurol 2011;10:819-28 «PMID: 21775213»PubMed
  22. Yaffe K, Hoang TD, Byers AL ym. Lifestyle and health-related risk factors and risk of cognitive aging among older veterans. Alzheimers Dement 2014;10:S111-21 «PMID: 24924664»PubMed
  23. Petersen RC. Clinical practice. Mild cognitive impairment. N Engl J Med 2011;364:2227-34 «PMID: 21651394»PubMed
  24. Heyn P, Abreu BC, Ottenbacher KJ. The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehabil 2004;85:1694-704 «PMID: 15468033»PubMed
  25. Brown BM, Peiffer JJ, Martins RN. Multiple effects of physical activity on molecular and cognitive signs of brain aging: can exercise slow neurodegeneration and delay Alzheimer's disease? Mol Psychiatry 2013;18:864-74 «PMID: 23164816»PubMed
  26. Angevaren M, Aufdemkampe G, Verhaar HJ ym. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev 2008;:CD005381 «PMID: 18425918»PubMed
  27. Cassilhas RC, Viana VA, Grassmann V ym. The impact of resistance exercise on the cognitive function of the elderly. Med Sci Sports Exerc 2007;39:1401-7 «PMID: 17762374»PubMed
  28. Liu-Ambrose T, Nagamatsu LS, Graf P ym. Resistance training and executive functions: a 12-month randomized controlled trial. Arch Intern Med 2010;170:170-8 «PMID: 20101012»PubMed
  29. Komulainen P, Kivipelto M, Lakka TA ym. Exercise, fitness and cognition - a randomized controlled trial in older individuals: the DR's EXTRA study. Eur Geriatr Med 2010;1:266-72
  30. Lautenschlager NT, Almeida OP. Physical activity and cognition in old age. Curr Opin Psychiatry 2006;19:190-3 «PMID: 16612202»PubMed
  31. Rovio S, Kåreholt I, Helkala EL ym. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer's disease. Lancet Neurol 2005;4:705-11 «PMID: 16239176»PubMed
  32. Podewils LJ, Guallar E, Kuller LH ym. Physical activity, APOE genotype, and dementia risk: findings from the Cardiovascular Health Cognition Study. Am J Epidemiol 2005;161:639-51 «PMID: 15781953»PubMed
  33. Larson EB, Wang L, Bowen JD ym. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med 2006;144:73-81 «PMID: 16418406»PubMed
  34. Colcombe SJ, Erickson KI, Scalf PE ym. Aerobic exercise training increases brain volume in aging humans. J Gerontol A Biol Sci Med Sci 2006;61:1166-70 «PMID: 17167157»PubMed
  35. Dishman RK, Berthoud HR, Booth FW ym. Neurobiology of exercise. Obesity (Silver Spring) 2006;14:345-56 «PMID: 16648603»PubMed
  36. Kramer AF, Erickson KI, Colcombe SJ. Exercise, cognition, and the aging brain. J Appl Physiol (1985) 2006;101:1237-42 «PMID: 16778001»PubMed
  37. Erickson KI, Voss MW, Prakash RS ym. Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci U S A 2011;108:3017-22 «PMID: 21282661»PubMed
  38. Ruscheweyh R, Willemer C, Krüger K ym. Physical activity and memory functions: an interventional study. Neurobiol Aging 2011;32:1304-19 «PMID: 19716631»PubMed
  39. Erickson KI, Leckie RL, Weinstein AM. Physical activity, fitness, and gray matter volume. Neurobiol Aging 2014;35 Suppl 2:S20-8 «PMID: 24952993»PubMed
  40. Liu-Ambrose T, Nagamatsu LS, Voss MW ym. Resistance training and functional plasticity of the aging brain: a 12-month randomized controlled trial. Neurobiol Aging 2012;33:1690-8 «PMID: 21741129»PubMed
  41. Nagamatsu LS, Handy TC, Hsu CL ym. Resistance training promotes cognitive and functional brain plasticity in seniors with probable mild cognitive impairment. Arch Intern Med 2012;172:666-8 «PMID: 22529236»PubMed
  42. Yarrow JF, White LJ, McCoy SC ym. Training augments resistance exercise induced elevation of circulating brain derived neurotrophic factor (BDNF). Neurosci Lett 2010;479:161-5 «PMID: 20553806»PubMed
  43. Phillips C, Baktir MA, Srivatsan M ym. Neuroprotective effects of physical activity on the brain: a closer look at trophic factor signaling. Front Cell Neurosci 2014;8:170 «PMID: 24999318»PubMed
  44. Ngandu T, Lehtisalo J, Solomon A ym. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet 2015;385:2255-63 «PMID: 25771249»PubMed
  45. Pitkälä K, Savikko N, Poysti M ym. Efficacy of physical exercise intervention on mobility and physical functioning in older people with dementia: a systematic review. Exp Gerontol 2013;48:85-93 «PMID: 22960590»PubMed
  46. Rolland Y, Pillard F, Klapouszczak A ym. Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial. J Am Geriatr Soc 2007;55:158-65 «PMID: 17302650»PubMed