Department of Nursing, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Department of Orthopedic Surgery, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Osteoporos Int. 2022 Sep;33(9):1937-1947. doi: 10.1007/s00198-022-06456-1. Epub 2022 Jun 15.
The effectiveness of home-based resistance exercise in elder participants with osteoporosis remains unclear. This study demonstrates the beneficial effects of this mode of exercise on improving physical function, increasing confidence in exercise, and reducing fear of falling.
This study aims to evaluate the effect of a home-based resistance exercise (HBRE) program versus control on physical function, exercise self-efficacy, falling efficacy, and health-related quality of life (HRQOL).
This randomized controlled trial included 72 elderly participants with osteoporosis. Participants in the intervention group received a 12-week HBRE program, and the control group received usual care. The primary outcome was physical function, including muscle strength and balance ability; secondary outcomes were exercise self-efficacy, falling efficacy, and HRQOL. Within-group and between-group changes in outcome were evaluated by t-test and rank-sum test.
A total of 68 subjects were included in the final analysis. Improvement in physical function was significantly greater in the HBRE group compared with controls. On a psychological level, exercise self-efficacy and falling efficacy improved significantly in the HBRE group; no significant change was observed in the control group. Most of the dimensions of HRQOL demonstrated improvements as well. The adherence was 85.29%, with no adverse events related to the exercise.
A 12-week HBRE program was safe non-pharmacological therapy for elderly participants with osteoporosis, improving physical function, exercise self-efficacy, reduced fear of falling, and improved HRQOL.
Chinese Clinical Trial Register: ChiCTR2100051455. Registered 23.09.21. Retrospectively registered.
本研究旨在评估家庭为基础的抗阻运动（HBRE）方案与对照组在改善身体机能、提高运动自我效能、降低跌倒恐惧和提高健康相关生活质量（HRQOL）方面的效果。
这是一项随机对照试验，纳入了 72 名患有骨质疏松症的老年人。干预组接受 12 周的 HBRE 方案，对照组接受常规护理。主要结局是身体机能，包括肌肉力量和平衡能力；次要结局是运动自我效能、跌倒效能和 HRQOL。采用 t 检验和秩和检验评估组内和组间结局的变化。
共有 68 名受试者纳入最终分析。与对照组相比，HBRE 组的身体机能改善更为显著。在心理层面上，HBRE 组的运动自我效能和跌倒效能显著提高，而对照组无明显变化。HRQOL 的大部分维度也有所改善。依从性为 85.29%，无与运动相关的不良事件。
12 周的 HBRE 方案是一种安全的非药物治疗方法，可改善骨质疏松症老年患者的身体机能、运动自我效能、降低跌倒恐惧和提高 HRQOL。
中国临床试验注册中心：ChiCTR2100051455。注册日期：2021 年 9 月 23 日。前瞻性注册。
