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基于最小监督的家庭抗阻训练与老年人肌肉功能:一项荟萃分析。

Minimally supervised home-based resistance training and muscle function in older adults: A meta-analysis.

机构信息

The Faculty of Health Sciences, Ariel University, Ariel, Israel; Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; The Sackler Faculty of Medicine, Tel Aviv University, Israel; Robert H Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.

出版信息

Arch Gerontol Geriatr. 2019 Sep-Oct;84:103909. doi: 10.1016/j.archger.2019.103909. Epub 2019 Jul 8.

Abstract

In an attempt to define feasible means to improve compliance with current recommendations on resistance training in older subjects, published evidence on the efficacy and safety of minimally supervised home-based resistance training (MSHBRT) on muscle strength and functionality was systematically evaluated in this population segment for the first time. We performed a meta-analysis using the following data sources: MEDLINE (Ovid), EMBASE and Cochrane, with a total of 1160 subjects with a mean age of 72 ± 6.3 years. MSHBRT modestly increased lower body strength (MD 0.6 Kg, 95% CI, 0.16-1.04) in a diverse population of older adults including subjects with significant age-related diseases. Although earlier evidence indicates that larger increments in muscle performance and function can be attained through more intense and directly supervised resistance training, MSHBRT may comprise a useful and inexpensive method to preserve and even enhance lower body muscle strength in older adults.

摘要

为了寻找提高老年人遵循当前抗阻训练推荐的可行方法,本研究首次针对该人群,系统评估了低监督居家抗阻训练(MSHBRT)在增强肌肉力量和功能方面的疗效和安全性。我们通过以下数据源进行了荟萃分析:MEDLINE(Ovid)、EMBASE 和 Cochrane,共纳入了 1160 名平均年龄为 72±6.3 岁的受试者。MSHBRT 适度增加了下肢力量(MD 0.6 Kg,95%CI,0.16-1.04),包括患有严重与年龄相关疾病的老年人在内的各种人群。虽然早期证据表明,通过更剧烈和直接监督的抗阻训练可以获得更大的肌肉性能和功能提升,但 MSHBRT 可能是一种有用且廉价的方法,可用于维持甚至增强老年人的下肢肌肉力量。

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