Liu Tai Wa, Wong Bonny Y M, Yam Timothy T T, Tsang William W N, Tse Gary, Kwan Queenie C M, Hung Kevin, Chui John K T, Wu H C, Leung C P, Wong Janet Y H
School of Nursing and Health Sciences, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong SAR, China.
Exergaming Research Centre for Healthy Aging, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong SAR, China.
Eur Geriatr Med. 2025 Sep 11. doi: 10.1007/s41999-025-01294-w.
To compare exergaming with a resistance component and traditional resistance training in terms of feasibility and the preliminary effects on sarcopenia, cognition, functional mobility, and frailty among pre-frail and frail nursing home residents.
A two-arm pilot randomized controlled trial was conducted in three nursing homes. Thirty residents who met the criteria for pre-frailty or frailty and had low handgrip strength were randomized to participate in either exergaming with resistance (EGRG) or traditional resistance training (TRTG) for 12 weeks (twice-weekly, 40-min sessions). The primary outcomes included sarcopenia-related parameters (e.g., muscle mass, strength, lower extremity function, SARC-CalF). The secondary outcomes were cognition (HK-MoCA), functional mobility (TUG), and frailty (CFS-C). Assessments were performed at baseline and 6, 12, 16, and 24 weeks.
Thirty of 93 approached residents were enrolled and randomized (EGRG; n = 15, TRTG; n = 15), and 24 completed the study (80% retention). No significant group × time interaction was found for any outcome. Both groups showed significant improvements in handgrip strength, knee flexor/extensor strength, and the SPPB, TUG, and HK-MoCA scores from post-intervention to the 3-month follow-up. No significant changes were observed in the muscle mass, SARC-CalF, or CFS-C scores. Adherence was higher in the EGRG group (77.7%) than in the TRTG group (60.1%).
Exergaming with a resistance component is feasible for pre-frail and frail nursing home residents and yields comparable improvements in muscle strength, physical function, and cognition to those achieved with traditional resistance training.
比较带有阻力成分的运动游戏与传统阻力训练在可行性以及对虚弱前期和虚弱的养老院居民肌肉减少症、认知、功能活动能力和衰弱方面的初步影响。
在三家养老院进行了一项双臂试点随机对照试验。30名符合虚弱前期或虚弱标准且握力较低的居民被随机分为两组，分别参与带有阻力的运动游戏（EGRG）或传统阻力训练（TRTG），为期12周（每周两次，每次40分钟）。主要结局包括与肌肉减少症相关的参数（如肌肉质量、力量、下肢功能、SARC-CalF）。次要结局为认知（HK-MoCA）、功能活动能力（TUG）和衰弱（CFS-C）。在基线、6周、12周、16周和24周进行评估。
93名意向性居民中有30名被纳入并随机分组（EGRG组15名，TRTG组15名），24名完成了研究（保留率80%）。在任何结局方面均未发现显著的组×时间交互作用。两组在干预后至3个月随访期间，握力、膝屈伸肌力量以及SPPB、TUG和HK-MoCA评分均有显著改善。肌肉质量、SARC-CalF或CFS-C评分未观察到显著变化。EGRG组的依从性（77.7%）高于TRTG组（60.1%）。
带有阻力成分的运动游戏对虚弱前期和虚弱的养老院居民是可行的，在肌肉力量、身体功能和认知方面产生的改善与传统阻力训练相当。
