Resistance exercise for muscular strength in older adults: a meta-analysis.
Resistance exercise for muscular strength in older adults: a meta-analysis.
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DOI：
10.1016/j.arr.2010.03.004
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发表时间：
2010-07
影响因子：
13.1
通讯作者：
Gordon, Paul M.
中科院分区：
文献类型：
--
作者：
Peterson, Mark D.;Rhea, Matthew R.;Sen, Ananda;Gordon, Paul M.
抗阻运动对老年人力量改善的有效性在各项研究中并不一致，并且缺乏对多种力量结果的研究综合。系统评价遵循系统评价和荟萃分析的首选报告项目 (PRISMA) 建议。一项荟萃分析旨在确定抗阻运动 (RE) 对老年人多种力量结果的影响。纳入了 50 岁以上成年人的随机对照试验和随机或非随机研究。使用随机效应模型汇集数据。对 4 种常见力量测试的结果进行了主效应分析。使用 Cochran Q 和 I2 统计数据评估研究之间的异质性，并通过漏斗图的物理检查以及正式的等级相关统计来评估发表偏倚。纳入线性混合模型回归来检查结果之间的差异以及潜在的研究水平预测变量。纳入了 47 项研究，代表 1079 名参与者。确定了每项力量结果的积极影响，但研究之间存在异质性。回归显示，更高强度的训练与更大的进步相关。力量增加范围为 9.8 – 31.6 公斤，腿部推举、胸部推举、膝盖伸展和背阔肌拉力的百分比变化分别为 29 ± 2、24 ± 2、33 ± 3 和 25 ± 2。 RE 对于提高老年人的力量非常有效，尤其是在进行更高强度的训练时。因此，研究结果表明，RE 可能被认为是预防与衰老相关的全身性肌肉无力的可行策略。
The effectiveness of resistance exercise for strength improvement among aging persons is inconsistent across investigations, and there is a lack of research synthesis for multiple strength outcomes. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. A meta-analysis was conducted to determine the effect of resistance exercise (RE) for multiple strength outcomes in aging adults. Randomized controlled trials and randomized or non-randomized studies among adults ≥ 50 years, were included. Data were pooled using random effect models. Outcomes for 4 common strength tests were analyzed for main effects. Heterogeneity between studies was assessed using the Cochran Q and I2 statistics, and publication bias was evaluated through physical inspection of funnel plots as well as formal rank-correlation statistics. A linear mixed model regression was incorporated to examine differences between outcomes, as well as potential study-level predictor variables. Forty-seven studies were included, representing 1079 participants. A positive effect for each of the strength outcomes was determined however there was heterogeneity between studies. Regression revealed that higher intensity training was associated with greater improvement. Strength increases ranged from 9.8 – 31.6 kg, and percent changes were 29 ± 2, 24 ± 2, 33 ± 3, and 25 ± 2, respectively for leg press, chest press, knee extension, and lat pull. RE is effective for improving strength among older adults, particularly with higher intensity training. Findings therefore suggest that RE may be considered a viable strategy to prevent generalized muscular weakness associated with ageing.
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影响因子：
158.5
作者：
Benson, K;Hartz, AJ
通讯作者：
Hartz, AJ
影响因子：
3
作者：
Candow, Darren G.;Chilibeck, Philip D.;Zello, Gordon A.
通讯作者：
Zello, Gordon A.
影响因子：
9.8
作者：
Ballor, DL;HarveyBerino, JR;CallesEscandon, J
通讯作者：
CallesEscandon, J
DOI：
10.1097/00008483-199901000-00001
发表时间：
1999-01-01
期刊：
Journal of cardiopulmonary rehabilitation
影响因子：
--
作者：
Beniamini, Y;Rubenstein, J J;Crim, M C
通讯作者：
Crim, M C
影响因子：
158.5
作者：
Concato, J;Shah, N;Horwitz, RI
通讯作者：
Horwitz, RI