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力量训练与传统抗阻训练,哪一种更有益于老年人的身体机能?一项荟萃分析。

Is power training or conventional resistance training better for function in elderly persons? A meta-analysis.

机构信息

Physiotherapie Tschopp, Leukerbad, Valais, Switzerland.

出版信息

Age Ageing. 2011 Sep;40(5):549-56. doi: 10.1093/ageing/afr005. Epub 2011 Mar 7.

DOI:10.1093/ageing/afr005
PMID:21383023
Abstract

OBJECTIVE

to determine the effects of power training with high movement velocity compared with conventional resistance training with low movement velocity for older community-dwelling people.

DESIGN

systematic review of randomised controlled trials.

DATA SOURCES

the Cochrane Central Register of Controlled TRIALS, PubMed (Medline), EMBASE, CINAHL, PEDro and Scholar-Google.

TRIALS

all randomised or quasi-randomised trials investigating power training with high movement velocity versus conventional resistance training with low movement velocity in elderly persons over the age of 60 years. The primary outcomes were measures of functional outcomes; secondary outcomes were balance, gait, strength, power, muscle volume and adverse effects.

RESULTS

eleven trials were identified involving 377 subjects. The pooled effect size for the follow-up values of the functional outcomes was 0.32 in favour of the power training (95% CI 0.06 to 0.57) and 0.38 (95% CI -0.51 to 1.28) for the change value. The pooled effect from three studies for self-reported function was 0.16 in favour of power training (95% CI -0.17 to 0.49).

CONCLUSION

power training is feasible for elderly persons and has a small advantage over strength training for functional outcomes. No firm conclusion can be made for safety.

摘要

目的

比较高速运动的力量训练与低速运动的传统抗阻训练对老年社区居民的影响。

设计

系统评价随机对照试验。

资料来源

Cochrane 对照试验中心注册库、PubMed(Medline)、EMBASE、CINAHL、PEDro 和 Scholar-Google。

试验

所有比较高速运动力量训练与低速运动传统抗阻训练的针对 60 岁以上老年人的随机或准随机试验。主要结局指标为功能结局指标;次要结局指标为平衡、步态、力量、功率、肌肉量和不良反应。

结果

确定了 11 项试验,共涉及 377 名受试者。功能结局的随访值的合并效应大小有利于力量训练为 0.32(95%CI 0.06 至 0.57),变化值的合并效应大小有利于力量训练为 0.38(95%CI -0.51 至 1.28)。三项研究中自我报告功能的合并效应有利于力量训练为 0.16(95%CI -0.17 至 0.49)。

结论

力量训练对老年人是可行的,并且在功能结局方面优于抗阻训练。对于安全性,不能得出明确的结论。

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