Hassan Bothaina H, Hewitt Jennifer, Keogh Justin W L, Bermeo Sandra, Duque Gustavo, Henwood Tim R
The University of Queensland, School of Nursing and Midwifery, Brisbane, Australia; Alexandria University, Faculty of Nursing, Alexandria, Egypt.
Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
Geriatr Nurs. 2016 Mar-Apr;37(2):116-21. doi: 10.1016/j.gerinurse.2015.11.001. Epub 2015 Dec 13.
The impact of progressive resistance training on sarcopenia among very old institutionalized adults was investigated. Residents of Nursing Care Facilities were included in a controlled trial of twice weekly resistance and balance exercise program for six months (Age: 85.9 ± 7.5 years, Time in care: 707.1 ± 707.5 days, N = 21 per group). Sarcopenia was measured based on the European Working Group on Sarcopenia in Older People criteria. Of the recruited 42 participants, 35.7% had sarcopenia at baseline, with prevalence increasing in the control group post-intervention (42.9%-52.4%). Following training, the exercise group experienced a significant increase in grip strength when compared to controls (p = .02), and a within-group decrease in body mass index and increase in grip strength (p ≤ .007). Resistance and balance exercise has positive benefits for older adults residing in a nursing care facilities which may transfer to reduce disability and sarcopenia transition, but more work is needed to ensure improved program uptake among residents.
研究了渐进性抗阻训练对高龄机构养老成年人肌肉减少症的影响。护理机构的居民参与了一项对照试验,该试验为每周两次的抗阻和平衡训练计划,为期六个月(年龄:85.9±7.5岁,护理时间:707.1±707.5天,每组N = 21人)。根据欧洲老年人肌肉减少症工作组的标准测量肌肉减少症。在招募的42名参与者中,35.7%在基线时患有肌肉减少症,干预后对照组的患病率有所增加(从42.9%增至52.4%)。训练后,与对照组相比,运动组的握力显著增加(p = 0.02),且组内体重指数下降,握力增加(p≤0.007)。抗阻和平衡训练对居住在护理机构的老年人有积极益处,这可能有助于减少残疾和肌肉减少症的转变,但需要开展更多工作以确保居民对该计划的接受度得到提高。