Zhu Ya-Qiong, Peng Nan, Zhou Ming, Liu Pei-Pei, Qi Xiao-Lei, Wang Ning, Wang Gang, Wu Zhao-Pei
1Department of Geriatric Rehabilitation, Chinese PLA General Hospital, Beijing, 100853 China.
2Nankai University, Tianjin, 300071 China.
Eur J Ageing. 2019 Mar 2;16(3):273-282. doi: 10.1007/s10433-019-00498-x. eCollection 2019 Sep.
This study was to investigate the effects of Tai Chi (TC) and whole-body vibration (WBV) exercise in sarcopenic men in advanced old age. Ninety sarcopenic men (mean age 88.6 years; age range 85-101 years) were divided into three groups: TC group, WBV group, and control (CON) group. Patients in the two treatment groups received 8 weeks of training in either TC or WBV, while the control group received reminders not to change their level of physical exercise or lifestyle. Patients in all groups also received health information related to sarcopenia. Muscle mass, muscle strength, and physical performance [balance, gait speed, timed-up-and-go test (TUGT), and five-times-sit-to-stand test (FTSST)] were analyzed and compared among the three groups. Finally, seventy-nine subjects completed the study (TC = 24; WBV = 28; and CON 27). Muscle strength was significantly increased in the TC and WBV groups compared to the control group (< 0.01). Following 8 weeks of exercise, improvements were observed in all physical performance tests for the TC and WBV groups (< 0.05). The improvement in balance was greater in the TC group than the WBV group. Time × Group effects revealed significant improvements in muscle strength in the lower extremities (< 0.05) and physical performance (< 0.01) in both the TC and WBV groups. Changes in muscle mass, as measured by dual-energy X-ray absorptiometry, did not significantly differ between groups. These findings indicate that TC and WBV are effective treatments for improving muscle strength and physical performance in sarcopenic men in advanced old age.
本研究旨在调查太极拳（TC）和全身振动（WBV）运动对高龄肌肉减少症男性的影响。90名肌肉减少症男性（平均年龄88.6岁；年龄范围85 - 101岁）被分为三组：TC组、WBV组和对照组（CON）。两个治疗组的患者分别接受为期8周的TC或WBV训练，而对照组则收到不要改变其体育锻炼水平或生活方式的提醒。所有组的患者还收到了与肌肉减少症相关的健康信息。对三组患者的肌肉质量、肌肉力量和身体表现[平衡、步速、起立行走试验（TUGT）和五次坐立试验（FTSST）]进行了分析和比较。最后，79名受试者完成了研究（TC组 = 24名；WBV组 = 28名；CON组 = 27名）。与对照组相比，TC组和WBV组的肌肉力量显著增加（< 0.01）。经过8周的运动，TC组和WBV组在所有身体表现测试中均有改善（< 0.05）。TC组的平衡改善程度大于WBV组。时间×组效应显示，TC组和WBV组的下肢肌肉力量（< 0.05）和身体表现（< 0.01）均有显著改善。通过双能X线吸收法测量的肌肉质量变化在各组之间无显著差异。这些发现表明，TC和WBV是改善高龄肌肉减少症男性肌肉力量和身体表现的有效治疗方法。
