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力量训练引起的老年人身体成分和身体功能变化之间的关联:一项前测-后测实验研究。

Associations between Power Training-Induced Changes in Body Composition and Physical Function in Older Men: A Pre-Test-Post-Test Experimental Study.

机构信息

Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, 4604 Kristiansand, Norway.

出版信息

Int J Environ Res Public Health. 2023 Nov 16;20(22):7070. doi: 10.3390/ijerph20227070.

Abstract

BACKGROUND

It is well-established that cross-sectional measurements of poor body composition are associated with impaired physical function and that power training effectively enhances total lean mass and physical function in older adults. However, it is unclear if power training-induced changes in body composition are associated with improved physical function in older adults.

AIM

The present study investigated associations between body composition and physical function cross-sectionally and with power training-induced changes in older men.

METHODS

Forty-nine older men (68 ± 5 yrs) completed a 10-week biweekly power training intervention. Body composition was measured using dual-energy X-ray absorptiometry. Physical function was assessed as a composite Z-score combining measures from Sit-to-stand power, Timed up-and-go time, and loaded and unloaded Stair-climbing time (15 steps). Linear and quadratic regression analyses were performed to assess associations between body composition and physical function.

RESULTS

At baseline, total (R = 0.11, < 0.05) and percentage body fat (R = 0.15, < 0.05) showed a non-linear relationship with physical function. The apex of the quadratic regression for body composition was 21.5% body fat. Furthermore, there was a non-linear relationship between changes in body fat percentage and physical function from pre- to post-intervention (R = 0.15, < 0.05).

CONCLUSION

The present study's findings indicate that participants with a body composition of ~20% body fat displayed the highest level of physical function at baseline. Furthermore, despite small pre-post changes in body fat, the results indicate that those who either preserved their body fat percentage or experienced minor alterations observed the greatest improvements in physical function.

摘要

背景

已有研究证实,身体成分的横断面测量与身体功能受损有关,而力量训练可以有效地增加老年人的总瘦体重和身体功能。然而,目前尚不清楚力量训练引起的身体成分变化是否与老年人身体功能的改善有关。

目的

本研究旨在探讨身体成分与身体功能的横断面关系,并研究力量训练对老年男性身体成分和身体功能的影响。

方法

49 名老年男性(68 ± 5 岁)完成了为期 10 周、每两周一次的力量训练干预。采用双能 X 射线吸收法测量身体成分。身体功能通过坐站力量、起身行走时间和上下楼梯(15 步)的时间等指标的综合 Z 评分来评估。采用线性和二次回归分析来评估身体成分与身体功能之间的关系。

结果

基线时,总身体脂肪量(R = 0.11,<0.05)和体脂百分比(R = 0.15,<0.05)与身体功能呈非线性关系。身体成分二次回归的顶点为 21.5%体脂。此外,从干预前到干预后,体脂百分比的变化与身体功能之间存在非线性关系(R = 0.15,<0.05)。

结论

本研究结果表明,参与者的身体成分在 20%体脂左右时,在基线时表现出最高水平的身体功能。此外,尽管体脂百分比的变化很小,但结果表明,那些保持体脂百分比或经历轻微变化的人观察到身体功能的最大改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5a2/10671734/5a4b509146ea/ijerph-20-07070-g001.jpg

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