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老年人抗阻训练:美国国家力量与体能协会立场声明。

Resistance Training for Older Adults: Position Statement From the National Strength and Conditioning Association.

机构信息

Quest Diagnostics, Secaucus, New Jersey.

School of Physical Education, Physiotherapy and Dance, Exercise Research Laboratory, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

J Strength Cond Res. 2019 Aug;33(8):2019-2052. doi: 10.1519/JSC.0000000000003230.

DOI:10.1519/JSC.0000000000003230
PMID:31343601
Abstract

Fragala, MS, Cadore, EL, Dorgo, S, Izquierdo, M, Kraemer, WJ, Peterson, MD, and Ryan, ED. Resistance training for older adults: position statement from the national strength and conditioning association. J Strength Cond Res 33(8): 2019-2052, 2019-Aging, even in the absence of chronic disease, is associated with a variety of biological changes that can contribute to decreases in skeletal muscle mass, strength, and function. Such losses decrease physiologic resilience and increase vulnerability to catastrophic events. As such, strategies for both prevention and treatment are necessary for the health and well-being of older adults. The purpose of this Position Statement is to provide an overview of the current and relevant literature and provide evidence-based recommendations for resistance training for older adults. As presented in this Position Statement, current research has demonstrated that countering muscle disuse through resistance training is a powerful intervention to combat the loss of muscle strength and muscle mass, physiological vulnerability, and their debilitating consequences on physical functioning, mobility, independence, chronic disease management, psychological well-being, quality of life, and healthy life expectancy. This Position Statement provides evidence to support recommendations for successful resistance training in older adults related to 4 parts: (a) program design variables, (b) physiological adaptations, (c) functional benefits, and (d) considerations for frailty, sarcopenia, and other chronic conditions. The goal of this Position Statement is to a) help foster a more unified and holistic approach to resistance training for older adults, b) promote the health and functional benefits of resistance training for older adults, and c) prevent or minimize fears and other barriers to implementation of resistance training programs for older adults.

摘要

弗拉加拉、卡多雷、多尔戈、伊兹奎尔多、克拉默、彼得森和瑞安。老年人的抗阻训练:国家力量与调节协会立场声明。《力量与调节研究杂志》33(8):2019-2052,2019-随着年龄的增长,即使没有慢性疾病,也会发生各种生物学变化,这些变化可能导致骨骼肌质量、力量和功能下降。这些损失降低了生理弹性,增加了对灾难性事件的脆弱性。因此,对于老年人的健康和幸福,有必要采取预防和治疗策略。本立场声明的目的是概述当前相关文献,并为老年人的抗阻训练提供循证建议。正如本立场声明所呈现的,当前的研究已经证明,通过抗阻训练来对抗肌肉失用是一种强大的干预措施,可以对抗肌肉力量和肌肉质量的丧失、生理脆弱性及其对身体功能、移动性、独立性、慢性疾病管理、心理健康、生活质量和健康预期寿命的不利后果。本立场声明提供了支持在老年人中成功进行抗阻训练的证据,涉及 4 个部分:(a)方案设计变量,(b)生理适应,(c)功能益处,以及(d)虚弱、肌肉减少症和其他慢性疾病的考虑因素。本立场声明的目的是:(a)帮助培养老年人抗阻训练的更统一和整体的方法,(b)促进老年人抗阻训练的健康和功能益处,(c)预防或最小化老年人实施抗阻训练计划的恐惧和其他障碍。

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