Effects of Resistance Training of Peripheral Muscles Versus Respiratory Muscles in Older Adults With Sarcopenia Who are Institutionalized: A Randomized Controlled Trial
Effects of Resistance Training of Peripheral Muscles Versus Respiratory Muscles in Older Adults With Sarcopenia Who are Institutionalized: A Randomized Controlled Trial
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DOI：
10.1123/japa.2017-0268
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发表时间：
2018-10-01
影响因子：
1.5
通讯作者：
Balasch-Parisi, Sebastia
中科院分区：
文献类型：
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作者：
Cebria i Iranzo, Maria A.;Balasch-Bernat, Merce;Balasch-Parisi, Sebastia
本研究比较了外周肌和呼吸肌两种抗阻训练方案对肌肉质量、力量和体能表现的影响，并确定了评估干预效果的适当肌肉质量参数。对37例西班牙老年人肌肉减少症患者进行分析：对照组（n = 17），呼吸肌训练组（n = 9），外周肌训练组（n = 11）。测量结果包括干预前后的尾骨骼肌质量（ASM/身高(2)、ASM/体重和ASM/BMI）、等距膝关节伸展、手臂屈曲和握力、最大吸气和呼气压力以及步态速度。训练组参加了为期12周的计划，最大静态吸气压力、最大静态呼气压力、膝关节伸展和手臂屈曲均有改善（p < 0.05），而三组干预前后的步态速度和ASM指数均无显著变化。总之，阻力训练提高了研究人群的骨骼肌力量，并且发现任何ASM指数都适合用于检测物理干预后的变化。
This study compares the effects of two resistance training programs in peripheral and respiratory musculature on muscle mass and strength and physical performance and identifies the appropriate muscle mass parameter for assessing the intervention effects. Thirty-seven institutionalized older Spanish adults with sarcopenia were analyzed: control group (n = 17), respiratory muscle training group (n = 9), and peripheral muscle training group (n = 11). Measured outcomes were appendicular skeletal muscle mass (ASM/height(2), ASM/weight, and ASM/BMI), isometric knee extension, arm flexion and handgrip strength, maximal inspiratory and expiratory pressures, and gait speed pre- and postintervention. Trained groups participated in a 12-week program and improved in maximum static inspiratory pressure, maximum static expiratory pressure, knee extension, and arm flexion (p < .05), whereas nonsignificant changes were found in gait speed and ASM indexes pre-and postintervention in the three groups. In conclusion, resistance training improved skeletal muscle strength in the studied population, and any ASM index was found to be appropriate for detecting changes after physical interventions.