中年防失智 運動要量身訂做

運動筆記 udn聯合新聞網 發表於2018/04/11

 

2018-04-11 09:06 聯合報 記者黃安琪/台北報導

 

研究證實,延緩及預防失智從中年開始。(圖片來源:聯合報資料照片)

 

高齡社會失智人口攀升,國外研究證實,運動是失智症最佳的非藥物治療處方,延緩及預防失智從「中年」40、50 歲開始,從事增強心肺功能的運動,讓腦部海馬迴體增大、空間記憶增加。

據統計,全台失智人口逾 26 萬,亞東醫院神經醫學部一般神經科主任、北市認知功能促進協會理事長甄瑞興認為,當前的失智症政策皆屬發現後照護,缺乏延緩及預防,協會引進「澳洲運動生理學概念」,針對健康人、長者或失智長輩的個人生活習慣、興趣、身心狀況及體能限度設計個人化運動處方箋,延緩認知功能障礙。

美國梅約醫學中心 2011 年研究發現,將老人分 2 組,一組每日定時定量運動動腦,另一組維持平日生活,如在家看電視、一般活動等,實驗後發現,每日運動及動腦的長者,相較於另組維持原本生活習慣者,不但海馬迴體未萎縮,甚至增生增厚,改善及延緩退化。

甄瑞興說,研究發現,進行一年有氧運動後,能促進腦神經可塑性,改善腦部學習成果,並減少腦部年齡灰質體積的衰減,降低被認為是阿茲海默症主因的腦部 β 澱粉樣蛋白產生。

以往年長者雖運動,但並未針對個人體能、病史等量身訂做,運動生理學概念則是納入個人興趣、體能限度和病情等設計運動處方,如喜愛做飯的人能維持烹飪習慣,達到多用腦,同時視個人情況不同,考量氣喘、心臟疾病等搭配程度不等的有氧運動,達到生理變化。

甄瑞興表示,運動生理處方運用在失智患者上,特別鼓勵他們利用剩餘能力從事運動及感興趣的事物,循序漸進,避免長者生病後,陷入機構或安養中心的「倉儲化」照護。運動生理處方箋的執行,目前已在北市認知功能促進協會設立的敬智學苑開辦。

為提升民眾對失智症的重視,甄瑞興說,有些國家已陸續提倡將失智症正名為「認知功能障礙」,避免陷入標籤化,及早預防。

 

資料來源:udn 聯合新聞網

 

*健康新知 盡在運動筆記*


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