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中等强度综合运动计划对患有肌肉减少症的老年女性身体成分、肌肉力量和身体机能的影响。

Effect of a moderate-intensity comprehensive exercise program on body composition, muscle strength, and physical performance in elderly females with sarcopenia.

作者信息

Chen Bo-Yuan, Chen Yuan-Zhe, Shin So-Hee, Jie Chun-Yang, Chang Zhi-Liang, Ding Hui, Yang Hong

机构信息

Department of Physical Education, Henan University of Science and Technology, Luoyang, 471023, China.

School of Sport and Exercise Science, University of Ulsan, 93 Daehak-ro, Nam-gu, Ulsan, 44610, South Korea.

出版信息

Heliyon. 2023 Aug 6;9(8):e18951. doi: 10.1016/j.heliyon.2023.e18951. eCollection 2023 Aug.

Abstract

OBJECTIVE

This study aimed at examining an eight-week moderate-intensity comprehensive exercise training program on the parameters of sarcopenia in elderly females.

METHODS

A total of 49 community-dwelling elderly females with sarcopenia (65.5 ± 2.5) were assigned randomly to an experiment group (EG, n = 25) and a control group (CG, n = 24). In the EG, an eight-week comprehensive exercise training program was implemented, in 1 h, 3 times per week, a total of 24 sessions. The CG only received health public education per two weeks, a total of 4 times. Subsequently, the differences between the two groups were tested through two-way repeated ANOVA.

RESULTS

ASM, SMM, and SMI in the EG were significantly improved by 0.26 kg, 0.18 kg, and 0.10 kg/m, respectively. Group-by-time interactions were significantly different on the ASM [F (1,47) = 6.25, η = 0.12] and SMI [F (1,47) = 6.77, η = 0.13]. Muscle strength was improved 0.8 kg in the EG. Significant group-by-time interaction differences were reported in the handgrip strength [F (1,47) = 6.8, η = 0.13] after the eight-week intervention. Compared with the baseline, gait speed was improved a 0.05 m/s and 5-time chair stand was decreased a 0.27 s in the EG. Group-by-time interactions were significantly different in 5-time chair stand [F (1, 47) = 6.35, η = 0.12].

CONCLUSIONS

The moderate-intensity comprehensive exercise was confirmed as a safe and convenient exercise program. Although a load of training intensity is not sufficient to improve the gait speed, this exercise protocol is promising in delaying overall results in community-dwelling sarcopenia elderly females and contributes to the improvement of muscle mass, handgrip strength, and 5TCS.

摘要

目的

本研究旨在探讨一项为期八周的中等强度综合运动训练计划对老年女性肌肉减少症参数的影响。

方法

将49名社区居住的肌肉减少症老年女性(65.5±2.5岁)随机分为实验组(EG,n = 25)和对照组(CG,n = 24)。在实验组中,实施一项为期八周的综合运动训练计划,每次1小时,每周3次,共24节课程。对照组仅每两周接受一次健康公共教育,共4次。随后,通过双向重复方差分析检验两组之间的差异。

结果

实验组的去脂体重(ASM)、骨骼肌质量(SMM)和骨骼肌指数(SMI)分别显著提高了0.26kg、0.18kg和0.10kg/m。在ASM[F(1,47)= 6.25,η = 0.12]和SMI[F(1,47)= 6.77,η = 0.13]方面,组间时间交互作用存在显著差异。实验组的肌肉力量提高了0.8kg。在为期八周的干预后,握力方面报告了显著的组间时间交互作用差异[F(1,47)= 6.8,η = 0.13]。与基线相比,实验组的步速提高了0.05m/s,5次起坐时间减少了0.27s。在5次起坐方面,组间时间交互作用存在显著差异[F(1, 47)= 6.35,η = 0.12]。

结论

中等强度综合运动被确认为一种安全便捷的运动计划。虽然训练强度负荷不足以提高步速,但该运动方案有望延缓社区居住的肌肉减少症老年女性的整体衰退,并有助于改善肌肉质量、握力和5次起坐能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b1d/10432972/418117dbd642/gr1.jpg

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