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全身振动训练对老年人肌肉力量/功率及骨骼的相关性

Relevance of Whole-Body Vibration Exercises on Muscle Strength/Power and Bone of Elderly Individuals.

作者信息

Bemben Debra, Stark Christina, Taiar Redha, Bernardo-Filho Mario

机构信息

Department of Health and Exercise Science, University of Oklahoma, Norman, OK, USA.

Children's and Adolescent's Hospital, and Cologne Centre for Musculoskeletal Biomechanics, University of Cologne, Cologne, Germany.

出版信息

Dose Response. 2018 Dec 6;16(4):1559325818813066. doi: 10.1177/1559325818813066. eCollection 2018 Oct-Dec.

Abstract

Beneficial effects are associated with whole-body vibration exercises (WBVEs). Increases in muscular strength/power, flexibility, and gait speed; improvements in bone mineral density, balance, and the quality of life; and decreased pain and risk of falls are reported. The aim is to present a review about the importance of WBVE for elderly individuals, considering clinical studies and meta-analyses, on bone and muscle strength/power. There is evidence supporting beneficial effect of WBVE in postmenopausal women (PW); however, effects in PW with osteoporosis are unclear. Age-related decrease in muscle mass and function contribute to undesirable health conditions, including death risk. The WBVEs improve muscle strength/power, functional independence measure, balance, and various fall risk factors, and mobility, measured by Timed Up and Go test, increased significantly after WBVE. An explanation for the absence of positive effects in some outcomes could be related to discrepancies in WBVE protocols as well as the populations tested. It is concluded that WBVE is effective for counteracting the loss of muscle strength associated with sarcopenia in elderly individuals. Balance and leg and plantar flexor strength improvements due to WBV indicate benefit to reduce risk and incidence of falls, frailty, and fracture risks. However, long-term feasibility of WBVE for musculoskeletal and bone health in elderly individuals needs further investigation.

摘要

全身振动运动(WBVEs)具有有益效果。据报道,其可增强肌肉力量/功率、提高柔韧性和步速;改善骨矿物质密度、平衡能力和生活质量;减轻疼痛并降低跌倒风险。目的是结合临床研究和荟萃分析,就WBVE对老年人骨骼和肌肉力量/功率的重要性进行综述。有证据支持WBVE对绝经后女性(PW)有有益作用;然而,其对患有骨质疏松症的PW的影响尚不清楚。与年龄相关的肌肉质量和功能下降会导致包括死亡风险在内的不良健康状况。WBVEs可提高肌肉力量/功率、功能独立性测量值、平衡能力以及各种跌倒风险因素,并且通过定时起立行走测试测量的活动能力在WBVE后显著提高。某些结果未产生积极影响的一个解释可能与WBVE方案以及受试人群的差异有关。得出的结论是,WBVE对于抵消老年人与肌肉减少症相关的肌肉力量丧失是有效的。WBV带来的平衡能力以及腿部和跖屈肌力量的改善表明,其有助于降低跌倒、虚弱和骨折风险的发生几率。然而,WBVE对老年人肌肉骨骼和骨骼健康的长期可行性需要进一步研究。

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