Barbalho Matheus, Monteiro Elren P, Costa Rochelle R, Raiol Rodolfo
Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia, GO, BR.
Neurosciences and Rehabilitation Laboratory, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, BRAZIL.
Int J Exerc Sci. 2019 May 1;12(3):567-580. doi: 10.70252/IJTI8994. eCollection 2019.
Parkinson's disease (PD) is a progressive, neurodegenerative disorder of the central nervous system that affects the elderly and results in a decrease of functional capacity, motor control, and muscle strength. Resistance training (RT) has been shown to be a non-drug alternative in both elderly and parkinsonian patients in increasing functional capacity and muscle strength. The present study aimed to verify the effects of low-volume RT in people with PD in relation to muscular strength, body composition, anthropometry and functional capacity. Fifteen elderly patients with idiopathic PD were divided into two groups: 7 in the resistance-training group (RTG): RT twice a week for 12 weeks, and 8 in the control group (CG): No exercise. Before the training period, the subjects performed maximum strength (1-RM), body composition (Bioimpedance), anthropometry, and functional capacity (GDLAM protocol) tests. The endpoints were analyzed by the Generalized Estimates (GEE) with post hoc Bonferroni, being adopted for the analyses α < 0.05. The results showed that the RTG had muscle strength gains: Bench Press 113.33%, Lat Pull Down 71.83% and Leg press 45º 94.48%, ( < 0.001), functional capacity (IG: -10.47%), and lean mass: 11.98%, ( < 0.001), while the GC presented significant changes before and after functional capacity only (GI: -1.61%) ( < 0.001). In addition, the RTG obtained reductions in the percentage of body fat (-2.30%) and in the waist-hip ratio (-2.22) without changes indicated in the CG. RT was efficient in improving muscle strength, functional capacity, body composition and anthropometric health indicators in individuals with PD.
帕金森病（PD）是一种中枢神经系统的进行性神经退行性疾病，影响老年人，导致功能能力、运动控制和肌肉力量下降。抗阻训练（RT）已被证明是老年人和帕金森病患者增加功能能力和肌肉力量的一种非药物替代方法。本研究旨在验证低容量抗阻训练对帕金森病患者肌肉力量、身体成分、人体测量学和功能能力的影响。15名特发性帕金森病老年患者分为两组：抗阻训练组（RTG）7人，每周进行两次抗阻训练，共12周；对照组（CG）8人，不进行运动。在训练期之前，受试者进行了最大力量（1-RM）、身体成分（生物电阻抗）、人体测量学和功能能力（GDLAM方案）测试。通过广义估计（GEE）和事后Bonferroni分析终点，分析采用α<0.05。结果显示，抗阻训练组肌肉力量增加：卧推增加113.33%，下拉增加71.83%，45°腿举增加94.48%（P<0.001），功能能力（IG：-10.47%），瘦体重增加11.98%（P<0.001），而对照组仅在功能能力前后有显著变化（GI：-1.61%）（P<0.001）。此外，抗阻训练组的体脂百分比（-2.30%）和腰臀比（-2.22）降低，而对照组无变化。抗阻训练对改善帕金森病患者的肌肉力量、功能能力、身体成分和人体测量健康指标有效。
