Inceoglu Selda Ciftci, Ayyildiz Aylin, Sahin Tulay, Yilmaz Figen, Keskin Kudret, Dede Banu, Cici Fatma, Kuran Banu
Department of Physical Medicine and Rehabilitation, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.
Department of Physical Medicine and Rehabilitation, Avcilar Murat Koluk State Hospital, Istanbul, Türkiye.
Sisli Etfal Hastan Tip Bul. 2024 Apr 5;58(1):68-74. doi: 10.14744/SEMB.2024.56898. eCollection 2024.
It is aimed to explain the impact of the combination of aerobic and resistive exercise on activities of daily living and the risk of falls in osteosarcopenic patients.
Female and male patients over 70 years of age followed up from the osteoporosis outpatient clinic were screened. Appropriate patients were evaluated for sarcopenia gait speed, grip strength and skeletal muscle mass. Patients with sarcopenia who did not have the exclusion criteria were included in the 3-month aerobic and resistive exercise program. Changes in skeletal muscle mass measurements, physical performance and balance tests were evaluated at 1 month and 3 months.
Sarcopenia was screened in 91 patients with osteoporosis and osteopenia. Sarcopenia was detected in 27 patients and 23 completed the 3-month study. The mean age of the patients was 78.4±5.7 years and the number of female patients was 16 (69.6%). There was no significant change in skeletal muscle mass measurements and Katz Activities of Daily Living Scale performed at 1 and 3 months (p>0.05). Short Physical Performance Battery (SPPB), Timed Up and Go Test (TUGT) and Berg Balance Test (BBT) were found to improve significantly in the first month, and it continued to develop in the third month (p<0.05).
Although the combination of aerobic and resistive exercise in osteosarcopenic patients did not lead to a significant increase in skeletal muscle mass, It has a significant effect on physical performance and balance. It can be foreseen that this will increase the independence of the person while reducing the risk of falling.
旨在解释有氧运动和抗阻运动相结合对骨质疏松性肌少症患者日常生活活动能力及跌倒风险的影响。
对从骨质疏松门诊随访的70岁以上的女性和男性患者进行筛查。对合适的患者进行肌少症评估，包括步态速度、握力和骨骼肌质量。将没有排除标准的肌少症患者纳入为期3个月的有氧运动和抗阻运动计划。在1个月和3个月时评估骨骼肌质量测量值、身体性能和平衡测试的变化。
在91例骨质疏松症和骨质减少症患者中筛查出肌少症。27例患者检测出肌少症，23例完成了为期3个月的研究。患者的平均年龄为78.4±5.7岁，女性患者有16例（69.6%）。在1个月和3个月时进行的骨骼肌质量测量和Katz日常生活活动量表评分无显著变化（p>0.05）。短身体性能量表（SPPB）、定时起立行走测试（TUGT）和伯格平衡测试（BBT）在第1个月有显著改善，并在第3个月持续改善（p<0.05）。
虽然骨质疏松性肌少症患者进行有氧运动和抗阻运动相结合并未导致骨骼肌质量显著增加，但对身体性能和平衡有显著影响。可以预见，这将增加患者的独立性，同时降低跌倒风险。
