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老年人短期抗阻训练可改善肌肉质量:一项随机对照试验。

Short-term resistance training in older adults improves muscle quality: A randomized control trial.

机构信息

Exercise and Human Performance Laboratory, Department of Health, Sport, and Exercise Sciences, University of Kansas-Edwards Campus, 12604 Quivira Road, BEST 160, Overland Park, KS 66213, USA.

Exercise and Human Performance Laboratory, Department of Health, Sport, and Exercise Sciences, University of Kansas-Edwards Campus, 12604 Quivira Road, BEST 160, Overland Park, KS 66213, USA.

出版信息

Exp Gerontol. 2021 Mar;145:111195. doi: 10.1016/j.exger.2020.111195. Epub 2020 Dec 26.

Abstract

The purpose of this study was to evaluate whether dumbbell resistance training (DBRT) and elastic band resistance training (EBRT) are equally beneficial in the older adult. Sixty-five healthy participants (mean±SD; age=66.5±7.09 years; height=165.2±10.6 cm; body mass=74.5±14.6 kg) volunteered for this study. Participants underwent a total body dual-energy x-ray absorptiometry (DXA) scan for segmental and total body muscle and fat estimation. Functional tests included the short physical performance battery, timed up-and-go, and heel-to-toe walk. Strength was measured on dominant handgrip strength, maximal bench press, and leg press. Participants were block randomized into one of three groups: elastic band resistance training (EBRT), dumbbell resistance training (DBRT), or control (CON). EBRT and DBRT were asked to visit the laboratory twice weekly over 6-weeks while CON maintained their daily routine. Data were analyzed using a two-way repeated measures ANOVA and an alpha set at 0.05. Results indicated there was a two-way interaction for bench press, leg press, upper- and lower-body muscle quality and total arm lean mass (p<0.05). Specifically, the EBRT and DBRT improved from pre to post for total arm lean mass (p<0.021, p<0.004, respectively). Additionally, for bench press and leg press, all groups improved pre to post training (p<0.05) with DBRT superior to CON. These data suggest that EBRT provides an effective, portable, and cost-effective means to enhance lower-body function and muscle quality in an aging population, yet DBRT may be more impactful for total-body improvements.

摘要

本研究旨在评估哑铃抗阻训练(DBRT)和弹性带抗阻训练(EBRT)对老年人是否同样有益。65 名健康参与者(平均±标准差;年龄=66.5±7.09 岁;身高=165.2±10.6 厘米;体重=74.5±14.6 公斤)自愿参加了这项研究。参与者接受了全身双能 X 线吸收法(DXA)扫描,以估计身体各部位和全身的肌肉和脂肪。功能测试包括短体物理性能电池、起身并走测试和脚跟到脚趾行走测试。力量通过惯用手握力、最大卧推和腿推测试进行测量。参与者按照弹性带抗阻训练(EBRT)、哑铃抗阻训练(DBRT)或对照组(CON)分为三组进行分组。EBRT 和 DBRT 要求在 6 周内每周到实验室两次,而 CON 则保持日常活动。使用双因素重复测量方差分析进行数据分析,设定 alpha 值为 0.05。结果表明,卧推、腿推、上下身肌肉质量和总手臂瘦体重的两因素交互作用具有统计学意义(p<0.05)。具体而言,EBRT 和 DBRT 组的总手臂瘦体重在治疗前后均有改善(p<0.021,p<0.004)。此外,对于卧推和腿推,所有组在训练前到后都有所改善(p<0.05),DBRT 优于 CON。这些数据表明,EBRT 是一种有效、便携且具有成本效益的方法,可以增强老年人群的下肢功能和肌肉质量,而 DBRT 可能对全身改善更有影响。

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