【中图分类号】G861.1 【文献标识码】A 【文章编号】2095-2813（2025）20-0001-04

[Abstract] Under the emerging concept of integrating sports and medicine，the combination of sports and medical care has become one of the important ways for people to improve their health.Asage increases，middle-aged and elderly womenoftenexperiencedual psychologicaland physical changes，ultimatelyfacing problems suchas decreased physical fitness，decreased balance，anddeclineincardiovascularandpulmonaryfunction.Therefore，choosinganeffective exercise intervention method is extremely important for them.This article focuses onmiddle-agedand elderly women， discusses the positive effcts of breaststrokeon their healthy physical fitness.Through literature review and logical reasoning methods，the article systematically analyzes the efects of breaststroke five aspects of middle-aged and elderly women including cardiopulmonary ftness，muscle strength and endurance fitness， flexibility fitness and body composition.Research has found that breaststroke not only efectively improves cardiovascular levels，but also significantly improves thebodycomposition，musclestrength，and balanceabilityof midle-agedand elderlywomen. Finally，withintheframework of integrating sports and medicine，providing more scientificexercise prescriptions and guidance for middle-aged and elderly women can promote the formation ofa healthier and more active group of middle-aged and elderly women， contributing to the construction of a healthy society.

作者简介：李想（2001一），男，硕士，研究方向为社会体育指导。

[Keywords] Integration of sports andmedicine;Breaststroke;Middle-agedand elderlywomen;Healthyphysical fitness

随着我国人口老龄化形势严峻，中老年人群的健康问题备受关注。根据世界卫生组织（WHO）的最新标准，将60～74岁的人群定义为中老年人群。《中国老龄事业发展报告》指出，到2025年，我国65岁及以上人口将占总人口的 20% 左右，60岁以上女性人口占总比例的 55% ，这标志着我国即将步入深度老龄化社会。根据《2024年中国老龄化社会健康与福祉状况调查报告》，我国约有 55% 的中老年人群患有某种慢性疾病，如高血压、糖尿病等。中老年人口比例高、慢性病患病率高，且进入中老年阶段后身体活动能力和代谢率逐年降低，容易造成脂肪积累。女性步入中老年后，身体指标往往比男性下降更显著，还会经历绝经这一生理现象。女性进入绝经期后，身体内雌性激素水平急剧下降，容易导致内分泌系统失调，最终引发更年期综合征。

体医融合作为健康中国战略实施策略中的重要组成部分，已成为提高全民健康水平的重要路径。该文期望为中老年女性群体提供更为科学的运动干预方案，以推动体医融合在中老年人群健康管理中的实际应用。

1体医融合的概念及内涵

体医融合这个概念最早源于2016年国务院下发的《“健康中国2030”规划纲要》，其具体定义为：发挥全民科技健身作用，即通过普及科学的健身知识和方法，促进健康、预防慢性病以及帮助疾病康复[1]。这一概念强调建立一个全面的运动处方库，以适应不同人群、不同环境以及不同健康状况的需求。……