Coelho-Júnior Hélio José, Uchida Marco Carlos, Picca Anna, Bernabei Roberto, Landi Francesco, Calvani Riccardo, Cesari Matteo, Marzetti Emanuele
Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Applied Kinesiology Laboratory-LCA, School of Physical Education, University of Campinas, Campinas, 13083-970, Brazil.
Aging Clin Exp Res. 2021 Aug;33(8):2069-2086. doi: 10.1007/s40520-021-01802-5. Epub 2021 Feb 15.
Frailty is a reversible state of reduced resilience to stressful events resulting from a multisystem impairment of the human body. As frailty progresses, people become more vulnerable to numerous adverse events, including falls and fractures, cognitive decline, disability, hospitalization, nursing home placement, and death. As such, substantial health care costs are associated with frailty. These features have led to the recognition of frailty as a public health problem. The identification of strategies for the management of frailty has, therefore, become a topic of extensive instigation. In this context, resistance (RT) and power training (PT) have received considerable attention, and experts in the field have recently suggested that both training modalities may improve frailty-related parameters. However, most studies have only included robust people and investigated frailty as a secondary outcome, so that current literature only allows RT and PT preventive programs against frailty to be designed. Here, we provide evidence-based critical recommendations for the prescription of RT and PT programs against incident frailty in community-dwellers.
衰弱是一种因人体多系统功能受损而导致对应激事件恢复力下降的可逆状态。随着衰弱的进展,人们更容易遭受众多不良事件,包括跌倒、骨折、认知能力下降、残疾、住院、入住养老院以及死亡。因此,衰弱会带来巨大的医疗保健成本。这些特征使得衰弱被视为一个公共卫生问题。因此,确定衰弱管理策略已成为广泛探讨的话题。在这种背景下,抗阻训练(RT)和力量训练(PT)受到了相当多的关注,该领域的专家最近指出,这两种训练方式都可能改善与衰弱相关的参数。然而,大多数研究仅纳入了健康状况良好的人群,并将衰弱作为次要结果进行研究,所以目前的文献仅允许设计针对衰弱的RT和PT预防方案。在此,我们针对社区居民预防发生衰弱的RT和PT方案的处方,提供基于证据的关键建议。