Department of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC.
Department of Nursing, National Taipei University of Nursing & Health Sciences, Taipei, Taiwan, ROC.
J Clin Nurs. 2020 Jul;29(13-14):2544-2556. doi: 10.1111/jocn.15277. Epub 2020 Apr 24.
To measure the effect of chair resistance training (RT) on the quality of life (QoL) of older long-term care residents with sarcopenic obesity (SO).
Sarcopenia combined with obesity, commonly called SO, is considered to be related to health-related QoL. Despite concerns regarding SO-related long-term healthcare issues, intervention studies on SO residents in nursing homes are scant in Taiwan.
This research was a quasi-experiment conducted according to the TREND Checklist. A total of 123 older persons were enrolled from six nursing facilities. The RT was implemented between October 2015-March 2016.
The intervention group received progressive RT with sandbags/dumbbells twice a week for 3 months, whereas the comparison group received the usual care. QoL was the major outcome variable. Data were analysed using chi-square test, Student's t test and generalised estimating equation (GEE).
The various definition criteria for SO can influence the results of QoL in the older persons. From the body composition perspective, in the GEE analysis, the SO cut-off points for neither skeletal muscle mass percentage (SMMp) nor appendicular skeletal muscle mass index demonstrated significant between-group differences in the QoL variable after the 3-month RT intervention. Between-group analysis revealed a significant effect of time on anxiety/depression [Exp(B): 0.41, 95% confidence interval: 0.18-0.93, p-value < .05] in participants who met all three criteria of the definition of SO (low SMMp, low handgrip strength, and obesity). RT was one of the protective factors.
In the SO group, the effect of muscle strength on QoL is greater than the effect of changes in body composition after RT.
This study analysed the influence of RT on QoL in subjects with different categories of SO. RT is one of the ways to promote QoL among the SO population. ClinicalTrials.gov Identifier: NCT02912338.
测量椅子抗阻训练（RT）对患有肌肉减少性肥胖症（SO）的老年长期护理居民生活质量（QoL）的影响。
肌肉减少症与肥胖症结合，通常称为 SO，被认为与健康相关的 QoL 有关。尽管人们对 SO 相关的长期医疗保健问题感到担忧，但在台湾，针对养老院 SO 居民的干预研究却很少。
这是一项根据 TREND 清单进行的准实验研究。共有 123 名老年人从六个养老院参加。RT 于 2015 年 10 月至 2016 年 3 月进行。
干预组每周接受两次沙袋/哑铃渐进式 RT，持续 3 个月，而对照组则接受常规护理。QoL 是主要的观察结果变量。使用卡方检验、学生 t 检验和广义估计方程（GEE）进行数据分析。
SO 的各种定义标准会影响老年人 QoL 的结果。从身体成分的角度来看，在 GEE 分析中，无论是骨骼肌质量百分比（SMMp）还是四肢骨骼肌质量指数的 SO 截断点，在 3 个月 RT 干预后，两组之间的 QoL 变量均无显著差异。组间分析显示，在满足 SO 定义的所有三个标准（低 SMMp、低握力和肥胖）的参与者中，时间对焦虑/抑郁的影响具有显著的组间差异[Exp(B)：0.41，95%置信区间：0.18-0.93，p 值<0.05]。RT 是保护因素之一。
在 SO 组中，肌肉力量对 QoL 的影响大于 RT 后身体成分变化的影响。
本研究分析了 RT 对不同 SO 类别受试者 QoL 的影响。RT 是提高 SO 人群 QoL 的方法之一。
NCT02912338。
