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抗阻训练对肌少症患者肌肉力量、耐力、身体成分及功能表现的影响:一项系统评价

Effects of resistance training on muscular strength, endurance, body composition and functional performance among sarcopenic patients: a systematic review.

作者信息

Sharma Nidhi, Chahal Aksh, Balasubramanian Karthick, Sanjeevi Ramya Ramasamy, Rai Richa Hirendra, Bansal Nitesh, Muthukrishnan Ramprasad, Sharma Abhishek

机构信息

Department of Physiotherapy, Uttaranchal College of Health Sciences, Uttaranchal University, Prem Nagar, Dehradun, 248007 Uttarakhand India.

Department of Physiotherapy, School of Medical and Allied Health Sciences, Galgotias University, Greater Noida, 203201 Uttar Pradesh India.

出版信息

J Diabetes Metab Disord. 2023 Sep 2;22(2):1053-1071. doi: 10.1007/s40200-023-01283-5. eCollection 2023 Dec.

Abstract

BACKGROUND

Sarcopenia, a gradual loss of muscle mass and strength associated with ageing, contributes to a decline in physical abilities, increase in disability and frailty and loss of functional independence. This functional deterioration which comes with ageing, can be slowed in pace with exercise.

OBJECTIVE

The objective of the current review was to thoroughly search for literature assessing impact of RT on physical performance, body composition, muscle strength and endurance in sarcopenic elderly patients.

METHODS

PubMed, Scopus, Web of Science, and PEDro databases were brought in use for a thorough search for articles published from 2010 to 2023. Two researchers independently retrieved data from studies that complied with the inclusion and exclusion criteria, while they also evaluated quality of the evidence.

RESULTS

In total, 14 studies with 742 patients with mean age of 72.4 ± 9.22 years were included in the analysis for this review. Results indicate, RT improves body composition ( = 0.001), functional performance (p 0.001), postural stability ( = 0.005) and muscle strength (p 0.001) in elderly sarcopenic patients.

CONCLUSION

A promising intervention for the management of sarcopenia is RT. To yield RT's positive effects, a well-designed prescription is the need of the hour, just like it is with other treatment strategies.

摘要

背景

肌肉减少症是一种与衰老相关的肌肉质量和力量逐渐丧失的病症,会导致身体能力下降、残疾和虚弱增加以及功能独立性丧失。这种伴随衰老而来的功能衰退可以通过运动减缓。

目的

本综述的目的是全面检索评估抗阻训练(RT)对肌肉减少症老年患者身体机能、身体成分、肌肉力量和耐力影响的文献。

方法

使用PubMed、Scopus、科学网和PEDro数据库全面检索2010年至2023年发表的文章。两名研究人员独立从符合纳入和排除标准的研究中检索数据,同时他们还评估了证据的质量。

结果

本综述分析共纳入14项研究,742例患者,平均年龄72.4±9.22岁。结果表明,抗阻训练可改善老年肌肉减少症患者的身体成分(p=0.001)、功能表现(p<0.001)、姿势稳定性(p=0.005)和肌肉力量(p<0.001)。

结论

抗阻训练是一种有前景的肌肉减少症管理干预措施。为了产生抗阻训练的积极效果,精心设计的处方是当务之急,就像其他治疗策略一样。

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Effects of resistance training on muscular strength, endurance, body composition and functional performance among sarcopenic patients: a systematic review.
J Diabetes Metab Disord. 2023 Sep 2;22(2):1053-1071. doi: 10.1007/s40200-023-01283-5. eCollection 2023 Dec.

本文引用的文献

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Resistance exercise as a treatment for sarcopenia: prescription and delivery.
Age Ageing. 2022 Feb 2;51(2). doi: 10.1093/ageing/afac003.
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Supervised Exercise (Vivifrail) Protects Institutionalized Older Adults Against Severe Functional Decline After 14 Weeks of COVID Confinement.
J Am Med Dir Assoc. 2021 Jan;22(1):217-219.e2. doi: 10.1016/j.jamda.2020.11.007. Epub 2020 Dec 6.
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Enablers and barriers to older people's participation in strength and balance activities: A review of reviews.
J Frailty Sarcopenia Falls. 2018 Jun 1;3(2):105-113. doi: 10.22540/JFSF-03-105. eCollection 2018 Jun.
9
Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions.
Cochrane Database Syst Rev. 2019 Oct 3;10(10):ED000142. doi: 10.1002/14651858.ED000142.

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