抗阻运动对肌少症肥胖老年人的影响：一项系统评价与荟萃分析
Effects of Resistance Exercise in Older Adults With Sarcopenic Obesity: A Systematic Review and Meta-Analysis.
作者信息
Chen Su-Ru, Chen Mei-Chuan, Hou Wen-Hsuan, Lin Pi-Chu
机构信息
Post-Baccalaureate Program in Nursing and School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Daan District Health Center, Taipei City.
出版信息
J Nurs Res. 2025 Aug 1;33(4):e406. doi: 10.1097/jnr.0000000000000685.
BACKGROUND
In Taiwan's aging society, age-related sarcopenic obesity has gradually become an important health issue. Sarcopenic obesity is associated with functional limitations, falls, disabilities, mental health problems, and even mortality.
PURPOSE
The aim of this meta-analysis was to examine the effects of resistance exercise on body composition and physical functioning in older adults with sarcopenic obesity.
METHODS
A search of randomized controlled trials was conducted in six electronic medical databases from their inception to December 2023.
RESULTS
Twelve studies were included in the systematic review and meta-analysis, with results indicating a significant increase in grip strength (effect size=1.560, 95% confidence interval [CI]=[0.178, 2.941]; p =.027) and significant reduction in body fat percentage (effect size=-1.737, 95% CI=[-2.563, -0.912], p <.001) in the experimental group versus the control group. However, gait speed and body mass index were not significantly improved by resistance exercise interventions.
CONCLUSIONS
The findings support a positive effect of resistance exercise on grip strength and body fat percentage in older adults with sarcopenic obesity.
背景
在台湾老龄化社会中，与年龄相关的肌少症性肥胖已逐渐成为一个重要的健康问题。肌少症性肥胖与功能受限、跌倒、残疾、心理健康问题甚至死亡率相关。
目的
本荟萃分析的目的是研究抗阻运动对患有肌少症性肥胖的老年人身体成分和身体功能的影响。
方法
在六个电子医学数据库中进行了从建库至2023年12月的随机对照试验检索。
结果
系统评价和荟萃分析纳入了12项研究，结果表明，与对照组相比，实验组的握力显著增加（效应量=1.560，95%置信区间[CI]=[0.178, 2.941]；p = 0.027），体脂百分比显著降低（效应量=-1.737，95% CI=[-2.563, -0.912]，p < 0.001）。然而，抗阻运动干预并未显著改善步速和体重指数。
结论
研究结果支持抗阻运动对患有肌少症性肥胖的老年人握力和体脂百分比有积极影响。
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