The Effect of Resistance Training on Bone Mineral Density in Older Adults: A Systematic Review and Meta-Analysis.
The Effect of Resistance Training on Bone Mineral Density in Older Adults: A Systematic Review and Meta-Analysis.
复制标题
抗阻训练对老年人骨密度的影响：系统评价和荟萃分析。
DOI：
10.3390/healthcare10061129
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发表时间：
2022-06-17
期刊：
影响因子：
2.8
通讯作者：
Pessoa Filho, Dalton M.
中科院分区：
文献类型：
--
作者：
Massini, Danilo A.;Nedog, Flavio H.;de Oliveira, Thiago P.;Almeida, Tiago A. F.;Santana, Caroline A. A.;Neiva, Cassiano M.;Macedo, Anderson G.;Castro, Eliane A.;Espada, Mario C.;Santos, Fernando J.;Pessoa Filho, Dalton M.
抗阻训练被认为是一种有效刺激骨矿物质形成的干预措施，因此被推荐用于降低骨形态功能特性随年龄增长而丧失的速率。因此，本荟萃分析旨在分析RT方案在促进老年人骨密度（BMD）变化方面的有效性。系统综述和荟萃分析遵循PRISMA指南（PROSPERO CRD 42020170859）。根据皮科策略，使用描述符在电子数据库中进行检索。采用PEDro量表评估方法学质量和偏倚风险，采用Hedges g.七项研究涉及370名老年人，RT计划作为一种独特的运动干预模式，显示了四到五个上肢和下肢肌肉组织的练习，每次练习两到三组，在70- 90%1 RM的情况下重复八到十二次，每组之间休息60-120 s，每周执行三次，持续12-52周。RT方案被分为良好和极好，并且无论介入长度如何，都证明对髋关节（0.64%）和脊柱（0.62%）的BMD有积极影响，但对股骨颈（-0.22%）没有影响。RT干预后BMD的正或负变化范围狭窄，最多支持对老年人群中骨脆弱风险增加的预防作用，这在RT实践参与12周后是明显的。
Resistance training (RT) has been considered an intervention with effective stimulus on bone mineral formation and is, therefore, recommended to decrease the rate of bone morpho-functional proprieties loss with aging. Thus, this meta-analysis aimed to analyze the effectiveness of RT protocols in promoting changes in bone mineral density (BMD) in older adults. The systematic reviews and meta-analysis followed the PRISMA guidelines (PROSPERO CRD42020170859). The searches were performed in the electronic databases using descriptors according to the PICO strategy. The methodological quality and risk of bias were assessed with the PEDro scale, and the magnitude of the results was determined by Hedges’ g. Seven studies involving 370 elderlies, with the RT planned as a unique exercise mode of intervention, showed designs with four to five exercises for upper- and lower-limbs musculature, two to three sets per exercise, eight to twelve repetitions to failure at 70–90% 1 RM, 60–120 s of rest between sets, and executed three times per week for 12–52 weeks. The RT protocols were classified between good and excellent and evidenced a positive effect on the BMD at the hip (0.64%) and spine (0.62%) but not in the femoral neck (−0.22%) regardless of the intervention length. The narrow range of either positive or negative changes in the BMD after the RT intervention support, at best, a preventive effect against the increasing risk of bone frailty in an older population, which is evident beyond 12 weeks of RT practice engagement.
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影响因子：
3.2
作者：
Maher, CG;Sherrington, C;Elkins, M
通讯作者：
Elkins, M
影响因子：
3.7
作者：
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影响因子：
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作者：
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4.1
作者：
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通讯作者：
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影响因子：
4
作者：
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通讯作者：
Carvalho, Joana