Department of Physiotherapy, Universitat de Valencia, Gascó Oliag 5, 46010, Valencia, Spain; Department of Physiotherapy, Universidad Europea de Valencia, Paseo de la Alameda, 7, 46010, Valencia.
Department of Nursing, Universitat de Valencia, Menéndez Pelayo, 19, 46010, Valencia, Spain; Frailty and cognitive impairment Research Group (FROG), University of Valencia, Menéndez y Pelayo, 19, 46010, Valencia, Spain..
Geriatr Nurs. 2024 May-Jun;57:189-198. doi: 10.1016/j.gerinurse.2024.04.016. Epub 2024 Apr 28.
Respiratory function decreases with aging. The literature showed that non-ventilatory specific exercise could have a positive impact on respiratory muscles. A systematic literature review was conducted to assess the effects of non-ventilatory specific exercise on maximal inspiratory (MIP) and expiratory pressure (MEP) and peak expiratory flow (PEF) in older adults. The included 9 trials investigated the effects of resistance training, yoga, Pilates, physical activity based on walking, and whole-body vibration training. The meta-analysis showed no statistically significant differences in MIP, MEP, and PEF after implementation of a non-ventilatory specific exercise program in older individuals. Between-study heterogeneity was substantial for MIP and MEP outcomes but it was not statistically significant for PEF. Further RCTs will be necessary to determine the effects of physical exercise interventions. PROSPERO registry CRD42023478262.
随着年龄的增长，呼吸功能会下降。文献表明，非通气特异性运动对呼吸肌可能有积极影响。本系统综述旨在评估非通气特异性运动对老年人最大吸气（MIP）和呼气压力（MEP）及呼气峰流速（PEF）的影响。纳入的 9 项试验研究了阻力训练、瑜伽、普拉提、基于步行的身体活动和全身振动训练对这些参数的影响。荟萃分析显示，非通气特异性运动方案实施后，老年人的 MIP、MEP 和 PEF 无统计学显著差异。MIP 和 MEP 结果的研究间异质性较大，但 PEF 无统计学显著差异。需要进一步的 RCT 来确定体育锻炼干预的效果。PROSPERO 注册号 CRD42023478262。
