Jiang Guiping, Tan Xiaohuan, Zou Jiling, Wu Xueping
School of Physical Education, Harbin University, Harbin, Heilongjiang, China.
School of Physical Education, Shanghai University of Sport, Shanghai, China ; and.
J Strength Cond Res. 2025 Jan 1;39(1):e62-e69. doi: 10.1519/JSC.0000000000004941. Epub 2024 Sep 17.
Jiang, G, Tan, X, Zou, J, and Wu, X. A 24-week combined resistance and balance training program improves physical function in older adults: a randomized controlled trial. J Strength Cond Res 39(1): e62-e69, 2025-This randomized controlled trial assessed the feasibility of older adults performing combined resistance and balance training (RBT) and compared the effects of RBT on physical function with those of resistance training (RT) alone and with no exercise training in older adults. In total, 65 community-dwelling adults aged 60-74 years were randomly assigned to an RT (n = 22), RBT (n = 22), or control (n = 21) group. The exercise intervention consisted of RT or RBT for 45 minutes, 3 times per week for 24 weeks. The control group engaged in no exercise training. The compliance rates were 93% in the RT group and 92% in the RBT group. No training-related adverse effect was observed. In the RT and RBT groups, dynamic balance (p = 0.017; p < 0.001, respectively), maximum walking speed (p = 0.014; p < 0.001), upper extremity (p = 0.013; p = 0.009) and lower extremity (p = 0.009; p < 0.001) muscle strength, and spirometry (p = 0.043; p = 0.018) were significantly improved at 24 weeks compared with the control group. Only the RBT group showed significant improvement in normal walking speed (p = 0.002). Compared with the RT group, the RBT group showed additional significant improvements in dynamic balance (p = 0.001) and lower limb muscle strength (p = 0.027). The findings of this randomized controlled trial indicated that RBT was safe and feasible for older adults. Long-term RBT had better effects than either no exercise training or RT alone on improving physical function in older adults. Compared with RT, RBT additionally benefited dynamic balance and lower limb muscle function, which are clinically important factors in preventing falls, frailty, disability, and other geriatric syndromes.
姜，G；谭，X；邹，J；吴，X。一项为期24周的抗阻与平衡训练相结合的计划可改善老年人的身体功能：一项随机对照试验。《力量与体能研究杂志》39(1): e62 - e69，2025年。这项随机对照试验评估了老年人进行抗阻与平衡训练（RBT）的可行性，并比较了RBT与单独抗阻训练（RT）以及不进行运动训练对老年人身体功能的影响。总共65名年龄在60 - 74岁的社区居住成年人被随机分配到RT组（n = 22）、RBT组（n = 22）或对照组（n = 21）。运动干预包括RT或RBT，每次45分钟，每周3次，共24周。对照组不进行运动训练。RT组的依从率为93%，RBT组为92%。未观察到与训练相关的不良反应。在RT组和RBT组中，与对照组相比，24周时动态平衡（分别为p = 0.017；p < 0.001）、最大步行速度（分别为p = 0.014；p < 0.001）、上肢（分别为p = 0.013；p = 0.009）和下肢（分别为p = 0.009；p < 0.001）肌肉力量以及肺活量测定（分别为p = 0.043；p = 0.018）均有显著改善。只有RBT组在正常步行速度方面有显著改善（p = 0.002）。与RT组相比，RBT组在动态平衡（p = 0.001）和下肢肌肉力量（p = 0.027）方面有额外的显著改善。这项随机对照试验的结果表明，RBT对老年人是安全可行的。长期RBT在改善老年人身体功能方面比不进行运动训练或单独进行RT有更好的效果。与RT相比，RBT还对动态平衡和下肢肌肉功能有益，而这些是预防跌倒、虚弱、残疾和其他老年综合征的临床重要因素。
