Oesen Stefan, Halper Barbara, Hofmann Marlene, Jandrasits Waltraud, Franzke Bernhard, Strasser Eva-Maria, Graf Alexandra, Tschan Harald, Bachl Norbert, Quittan Michael, Wagner Karl Heinz, Wessner Barbara
Research Platform Active Ageing, University of Vienna, Vienna, Austria.
Karl Landsteiner Institute for Remobilization and Functional Health and Institute for Physical Medicine and Rehabilitation, Kaiser Franz Joseph Hospital, Social Medical Center South, Kundratstrasse 3, 1100 Vienna, Austria.
Exp Gerontol. 2015 Dec;72:99-108. doi: 10.1016/j.exger.2015.08.013. Epub 2015 Sep 2.
OBJECTIVES: To evaluate the effects of elastic band resistance training in combination with nutrient supplementation on muscular strength and the ability to perform mobility-related activities of daily living in older adults living in retirement care facilities. DESIGN: Randomized controlled trial, with a 6-month intervention period. SETTING: A retirement care facility, Vienna, Austria. PARTICIPANTS: One hundred and seventeen older adults (14 males (12%) and 103 females (88%)), aged 65 to 97 years (mean age: 82.8 ± 6.0), having a mini-mental state examination score ≥ 23 and no chronic diseases posing a medical contraindication to training therapy. INTERVENTION: Participants were randomly assigned, but stratified by sex, to one of three intervention groups: supervised resistance exercise training (RT), RT in combination with nutrient supplementation (RTS), or cognitive training group (CT). All interventions were performed two times a week for 6 months. RT was designed to train all major muscle groups using elastic bands. The nutrient supplement (rich in proteins, vitamin D, B2, B12) was distributed every morning as well as after each RT session. MEASUREMENTS: A battery of motor ability tests and functional test were performed prior to as well as following 3 months and finally after 6 months of intervention. These tests included isokinetic torque measurements of the knee extensors and flexors in concentric mode at 60 and 120°/s, isometric handgrip strength, senior arm-lifting test, chair stand test, maximum walking speed and a 6-minute walking test (6 MWT). RESULTS: A repeated-measures ANOVA analysis revealed significant improvements in physical function of lower (p=0.002) and upper extremities (p=0.006) for RT and/or RTS in comparison to CT. For isokinetic measurements, 6 MWT, and gait speed time effects (p<0.05) were detected without any group × time interaction effects. Dropouts showed lower performance in chair stand test (p=0.012), 6 MWT (p=0.003), and gait speed (p=0.013) at baseline than that of the finishers of the study. CONCLUSION: Six months of a low intensity resistance exercise using elastic bands and own body weight is safe and beneficial in improving functional performance of institutionalised older people. Multinutrient supplementation did not offer additional benefits to the effects of RT in improving muscular performance.
目的:评估弹力带抗阻训练结合营养补充对居住在退休护理机构的老年人肌肉力量以及进行与活动能力相关的日常生活活动能力的影响。 设计:随机对照试验,为期6个月的干预期。 地点:奥地利维也纳的一家退休护理机构。 参与者:117名老年人(14名男性(12%)和103名女性(88%)),年龄在65至97岁之间(平均年龄:82.8±6.0),简易精神状态检查表得分≥23,且无对训练治疗存在医学禁忌的慢性病。 干预措施:参与者按性别分层后随机分配到三个干预组之一:监督下的抗阻运动训练(RT)组、RT结合营养补充(RTS)组或认知训练组(CT)。所有干预每周进行两次,共6个月。RT旨在使用弹力带训练所有主要肌肉群。营养补充剂(富含蛋白质、维生素D、B2、B12)每天早上以及每次RT训练后分发。 测量指标:在干预前、干预3个月后以及最终6个月后进行一系列运动能力测试和功能测试。这些测试包括在60和120°/s的同心模式下对膝伸肌和屈肌进行等速扭矩测量、等长握力、老年上肢举升测试、椅子站立测试、最大步行速度和6分钟步行测试(6MWT)。 结果:重复测量方差分析显示,与CT组相比,RT组和/或RTS组的下肢(p=0.002)和上肢(p=0.006)身体功能有显著改善。对于等速测量、6MWT和步速,检测到时间效应(p<0.05),但没有任何组×时间交互效应。退出者在基线时的椅子站立测试(p=0.012)、6MWT(p=0.003)和步速(p=0.013)方面的表现低于研究完成者。 结论:为期6个月的使用弹力带和自身体重进行的低强度抗阻运动对改善机构养老老年人的功能表现是安全且有益的。多种营养补充对RT改善肌肉性能的效果没有额外益处。
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