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抗阻运动对老年肌少症危险人群肌肉量、肌力和活动能力的影响 被引量:56

Effects of resistance exercise on muscle mass,muscle strength and physical performance in the elderly at risk of sarcopenia
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摘要 目的:分析抗阻运动对老年肌少症危险人群肌肉量、肌力和活动能力的影响。方法:采用便利抽样法,选择某养老机构内符合纳入标准且被评估为肌少症危险人群的老年人60名为研究对象,根据入住楼层,分成实验组(n=31)和对照组(n=29)。对照组接受常规的生活照料,实验组在此基础上参加为期12周的弹力带抗阻运动训练,每周3次(共36次),每次40~50 min。采用人体成分分析仪、握力计、5次坐立试验、计时起立行走测试和Berg平衡量表来评估干预前后两组研究对象肌肉量、肌力和法能力情况,并进行对比。结果:干预后,有26位实验组研究对象完成了33次及以上的训练,运动依从率为83.87%。干预过程中,实验组老年人无一例发生运动相关不良反应。干预12周后,实验组总肌肉量、骨骼肌指数、握力值和Berg平衡量表评分均高于对照组(P<0.05);实验组5次坐立试验时间和计时起立行走测试时间均少于对照组(P<0.05)。结论:弹力带抗阻运动在老年肌少症危险人群中具有较好的可行性,并可以增加老年肌少症危险人群的肌肉量和肌力,改善其活动能力。 Objective:To analyze the effect of elastic band resistance exercise on muscle mass,muscle strength and physical performance in the elderly at risk of sarcopenia.Methods:A total of 60 elderly people who met the inclusion criteria and were assessed as at risk of sarcopenia in a nursing home were selected.According to the different oors,we divided them into the experimental group and the control group with 31 in the experimental group and 29 in the control group.The control group received routine care,while the experimental group also took part in elastic band resistance exercise training 3 times a week for 12 weeks(36 training sessions in total).The body composition analyzer,hand-dynamometer,five-times sit-to-stand test,timed up and go test and Berg balance scale were used to evaluate and compare muscle mass,muscle strehgth and physical performance of 2 groups befere and after intervention.Results:After the intervention,26 of the 31 subjects in the experimental group finished 33 or more training sessions and the exercise compliance rate was 83.87%.During the intervention,no exercise-related adverse events in the subjects of experimental group occurred.After 12 weeks of intervention,the total muscle mass,skeletal muscle index,grip strength and the score of Berg balance scale in the experimental group were higher than those in the control group(P<0.05 respectively).The time of five-times sit-to-stand test and timed up and go test in the experimental group was less than that in the control group(P<0.05).Conclusion:Elastic band resistance exercise is feasible in the elderly at risk of sarcopenia,which can increase muscle mass and muscle strength of the elderly at risk of sarcopenia and improve their physical performance.
作者 董欣 莫懿晗 王秀华 王小清 DONG Xin;MO Yihan;WANG Xiuhua;WANG Xiaoqing(Xiang Ya Nursing School of Central South University,Changsha,410013,China;不详)
出处 《中国护理管理》 CSCD 2021年第8期1190-1195,共6页 Chinese Nursing Management
基金 湖南省重点研发计划项目(2018SK21312)。
关键词 肌少症 抗阻运动 活动能力 养老机构 sarcopenia resistance exercise physical performance nursing home
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