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弹力带训练对老年人身体成分和身体机能的影响:一项系统评价与荟萃分析

Effects of elastic band training on body composition and physical performance in older people: A systematic review with meta-analysis.

作者信息

Hernandez-Martinez Jordan, Cid-Calfucura Izham, Chiguay Constanza, Weinberger Matias, Delgado-Floody Pedro, Muñoz-Vásquez Cristopher, Aristegui-Mondaca Juan, Levín-Catrilao Álvaro, Herrera-Valenzuela Tomas, Branco Braulio Henrique Magnani, Valdés-Badilla Pablo

机构信息

Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno, Chile; Programa de Investigación en Deporte, Sociedad y Buen Vivir, Universidad de los Lagos, Osorno, Chile.

Department of Physical Activity, Sports and Health Sciences, Faculty of Medical Sciences, Universidad de Santiago de Chile (USACH), Santiago, Chile.

出版信息

Exp Gerontol. 2024 Oct 15;196:112553. doi: 10.1016/j.exger.2024.112553. Epub 2024 Aug 30.

DOI:10.1016/j.exger.2024.112553
PMID:39197674
Abstract

OBJECTIVES

This systematic review with meta-analysis aimed to evaluate the effects of elastic band training (EBT) on body composition and physical performance in apparently healthy older people.

METHODS

A systematic literature search was conducted between October 2023 and May 2024 using the core collection of six generic databases: PubMed, ProQuest, EBSCOhost, CINAHL Complete, Scopus, and Web of Science. The PRISMA, TESTEX, RoB 2, and GRADE tools assessed the evidence's methodological quality and certainty. The protocol was registered in PROSPERO (code: CRD42024547050).

RESULTS

Of 5916 records, 9 randomized and non-randomized controlled trials involving 477 healthy older people were included. Six meta-analyses were performed showing significant improvements in 30-second chair stand (SMD = 3.03; 95 % CI = 0.14 to 5.93; I = 100 %; p = 0.04), sit-and-reach (SMD = 2.09; 95 % CI = 0.15 to 4.03; I = 100 %; p = 0.04) and timed up-and-go (SMD = 3.10; 95 % CI = 1.67 to 4.53; I = 98 %; p < 0.0001) tests. However, in maximal isometric handgrip strength, back-scratch test, and fat-free mass, no significant improvements (p > 0.05) in favor of EBT were reported.

CONCLUSION

EBT improves 30-second chair stand, sit-and-reach, and timed up-and-go in older people. Nevertheless, the certainty of evidence is very low; thus, not definitive recommendations can be made.

摘要

目的

本项荟萃分析系统评价旨在评估弹力带训练(EBT)对明显健康的老年人身体成分和身体机能的影响。

方法

于2023年10月至2024年5月期间,使用六个通用数据库的核心合集进行系统文献检索:PubMed、ProQuest、EBSCOhost、CINAHL Complete、Scopus和Web of Science。PRISMA、TESTEX、RoB 2和GRADE工具评估了证据的方法学质量和确定性。该方案已在PROSPERO中注册(代码:CRD42024547050)。

结果

在5916条记录中,纳入了9项涉及477名健康老年人的随机和非随机对照试验。进行了六项荟萃分析,结果显示30秒坐立试验(标准化均数差[SMD]=3.03;95%置信区间[CI]=0.14至5.93;I²=100%;p=0.04)、坐位体前屈试验(SMD=2.09;95%CI=0.15至4.03;I²=100%;p=0.04)和计时起立行走试验(SMD=3.10;95%CI=1.67至4.53;I²=98%;p<0.0001)有显著改善。然而,在最大等长握力、背部抓挠试验和去脂体重方面,未报告EBT有显著改善(p>0.05)。

结论

EBT可改善老年人的30秒坐立、坐位体前屈和计时起立行走能力。然而,证据的确定性非常低;因此,无法给出明确的建议。

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