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老年人仅通过简单的抗阻干预能否维持肌肉质量?泰国的一项集群随机对照试验。

Can Muscle Mass Be Maintained with A Simple Resistance Intervention in the Older People? A Cluster Randomized Controlled Trial in Thailand.

机构信息

Nursing Service Department, Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

Department of Public Health, Kawasaki Medical School, Kurashiki 701-0192, Japan.

出版信息

Int J Environ Res Public Health. 2021 Dec 23;19(1):140. doi: 10.3390/ijerph19010140.

Abstract

The aging population is rapidly increasing worldwide. Sarcopenia is a common and important health problem among older people. The prevalence of sarcopenia among older Thai adults is increasing. Exercise intervention for sarcopenia prevention may significantly improve muscle strength, body balance, and muscle mass. Therefore, this study aimed to investigate the effects of a simple resistance intervention (SRI) program in preventing sarcopenia on physiological outcomes among community-dwelling older Thai adults. This study was a 12-week randomized controlled trial, which included 80 community-dwelling older adults in Chiang Mai, Thailand, who were randomly assigned into control (40 participants who performed usual exercise) and intervention (40 participants who performed the SRI program) groups. The SRI program was a home-based program consisting of 30 min of resistance exercise three times/week for 12 weeks, health education on sarcopenia. After 12 weeks, all physiological outcomes were measured and were significantly improved in the intervention group compared with baseline; hand grip, skeletal muscle mass index, and walking speed were significantly improved in the intervention group compared with the control group. Based on our results, the SRI program may prevent muscle weakness in community-dwelling older people in Thailand.

摘要

全球人口老龄化正在迅速增加。肌少症是老年人中常见且重要的健康问题。泰国老年人肌少症的患病率正在增加。针对肌少症的运动干预可能会显著改善肌肉力量、身体平衡和肌肉质量。因此,本研究旨在调查一种简单的抗阻干预(SRI)方案对预防社区居住的泰国老年人肌少症的生理结局的影响。这是一项为期 12 周的随机对照试验,纳入了 80 名来自泰国清迈的社区居住的老年人,他们被随机分为对照组(40 名进行常规运动的参与者)和干预组(40 名进行 SRI 方案的参与者)。SRI 方案是一种基于家庭的方案,包括每周 3 次、每次 30 分钟的抗阻运动,持续 12 周,并进行肌少症健康教育。12 周后,所有生理结局均进行了测量,与基线相比,干预组均显著改善;与对照组相比,干预组的握力、骨骼肌质量指数和步行速度均显著改善。基于我们的结果,SRI 方案可能预防泰国社区居住老年人的肌肉无力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95d0/8750258/a2dedaecf8f7/ijerph-19-00140-g001.jpg

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