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超过10周的抗阻训练对70岁以上患有肌肉减少症的老年人肌肉和骨密度的影响:一项随机对照试验的系统评价和荟萃分析

Effects of over 10 weeks of resistance training on muscle and bone mineral density in older people with sarcopenia over 70 years old: A systematic review and meta-analysis of randomized controlled trials.

作者信息

Peng Di, Zhang Yu, Wang Lejun, Zhang Shengnian

机构信息

Key Laboratory of Exercise and Health Sciences of Ministry of Education, School of Exercise and Health, Shanghai University of Sport, Shanghai, China.

Sport and Health Research Center, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Physical Education Department, Tongji University.

出版信息

Geriatr Nurs. 2024 Nov-Dec;60:304-315. doi: 10.1016/j.gerinurse.2024.09.016. Epub 2024 Oct 4.

Abstract

We aimed to examine the effects of more than 10 weeks of resistance training (RT) on muscle structure, muscle function, and bone mineral density (BMD) in older people with sarcopenia over 70 years old METHODS: PubMed, Web of Science, Embase, MEDLINE, Cochrane Library, and CINAHL databases were searched for randomized controlled trials. Standardized mean difference (MD) or standard mean difference (SMD) was used to pool the effect of the RT intervention RESULTS: Thirteen studies with 2080 older adults with sarcopenia were included. Resistance exercise significantly affected handgrip strength (MD = 1.67 kg; P = 0.02) and isometric muscle strength (standard mean difference [SMD] = 0.53; P = 0.02). Significant differences in chair stand test (SMD = 0.40; P = 0.02) and skeletal muscle mass index (mean difference [MD] = 1.67 kg/m; P = 0.0002) were found between the RT and control groups CONCLUSION: More than 10 weeks of RT has beneficial effects on muscle but no favorable effect on BMD in older people with sarcopenia over 70 years old.

摘要

我们旨在研究超过10周的抗阻训练(RT)对70岁以上患有肌肉减少症的老年人的肌肉结构、肌肉功能和骨密度(BMD)的影响。方法:检索PubMed、Web of Science、Embase、MEDLINE、Cochrane图书馆和CINAHL数据库中的随机对照试验。采用标准化均数差(MD)或标准化平均差(SMD)汇总RT干预的效果。结果:纳入了13项研究,共2080名患有肌肉减少症的老年人。抗阻运动显著影响握力(MD = 1.67 kg;P = 0.02)和等长肌力(标准化平均差[SMD] = 0.53;P = 0.02)。RT组和对照组在椅子站立测试(SMD = 0.40;P = 0.02)和骨骼肌质量指数(均数差[MD] = 1.67 kg/m;P = 0.0002)方面存在显著差异。结论:超过10周的RT对70岁以上患有肌肉减少症的老年人的肌肉有有益影响,但对骨密度没有有利影响。

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