Body composition influenced by progressive elastic band resistance exercise of sarcopenic obesity elderly women: a pilot randomized controlled trial
Body composition influenced by progressive elastic band resistance exercise of sarcopenic obesity elderly women: a pilot randomized controlled trial
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渐进式弹力带抗阻运动对老年少肌型肥胖妇女体成分影响的随机对照试验
DOI：
10.23736/s1973-9087.17.04443-4
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发表时间：
2017-08-01
影响因子：
4.5
通讯作者：
Liou, Tsan-Hon
中科院分区：
文献类型：
--
作者：
Huang, Shih-Wei;Ku, Jan-Wen;Liou, Tsan-Hon
背景：肌肉减少症涉及与年龄相关的肌肉力量和肌肉质量下降，导致老年人虚弱和残疾。目的：探讨老年少肌性肥胖（SO）女性患者在弹力带抗阻训练后身体成分的变化。设计：随机单盲地点：学术医学中心。人群：35名老年（>60岁）SO妇女。方法：本试验性随机对照试验集中于老年SO妇女。研究组进行渐进式弹力带抗阻训练，每周3次，共12周。对照组只接受了40分钟的关于锻炼概念的课程。在干预前后进行双能X线吸收测量以评估身体成分。使用Mann-Whitney U和Wilcoxon符号等级检验来分析这些组内和组间的差异。结果：总共招募了35名患有SO的老年女性并分为研究（N.= 18)和对照组（N.= 17）。两组之间在年龄、生化参数或体重指数方面没有观察到差异。干预后，研究组右上肢（P=0.03）、左上肢（P=0.04）、总脂肪（P=0.035）和脂肪百分比（P=0.012）的体成分脂肪比例降低，骨密度（BMD）（P=0.026）、T评分（P=0.028）和Z评分（P=0.021）增加。此外，统计学差异观察结果测量右上肢（P=0.013），总脂肪（P=0.023），和脂肪百分比（P=0.012）之间的groups.CONCLUSIONS：我们的研究表明，渐进式弹性带阻力运动可以减少脂肪量和增加骨密度的老年妇女SO，这种运动计划是可行的，这一人口。更多的研究，更大的样本量和更长的干预periods.Clinical康复的影响：12周的渐进式弹力带阻力锻炼计划是安全和有效的SO老年妇女。
BACKGROUND: Sarcopenia involves age-related decreases in muscle strength and muscle mass, leading to frailty and disability in elderly people. When combined with obesity, it is defined as sarcopenic obesity (SO), which can result in more functional limitations and metabolic disorders than either disorder alone.AIM: The aim of this study was to investigate body composition changes after elastic band resistance training in elderly women with SO.DESIGN: Randomized single-blinded (assessor blinded) controlled pilot trial.SETTING: Academic medical center.POPULATION: Thirty-five elderly (>60 years old) women with SO.METHODS: This pilot randomized controlled trial focused on elderly women with SO. The study group underwent progressive elastic band resistance training for 12 weeks (3 times per week). The control group received only a 40-minute lesson about the exercise concept. Dual-energy X-ray absorptiometry was performed before and after intervention to evaluate body composition. Mann-Whitney U and Wilcoxon signed rank tests were used to analyze the differences within and between these groups.RESULTS: In total, 35 elderly women with SO were enrolled and divided into study (N.=18) and control groups (N.=17). No difference was observed in age, biochemical parameters, or Body Mass Index between both groups. After the intervention, the fat proportion of body composition in the right upper extremity (P=0.03), left upper extremity (P=0.04), total fat (P=0.035), and fat percentage (P=0.012) had decreased, and bone mineral density (BMD) (P=0.026), T-score (P=0.028), and Z-score (P=0.021) had increased in the study group. Besides, statistical difference was observed in outcome measurements of right upper extremity (P=0.013), total fat (P=0.023), and fat percentage (P=0.012) between the groups.CONCLUSIONS: Our study demonstrated that progressive elastic band resistance exercise can reduce fat mass and increase BMD in elderly women with SO, and that this exercise program is feasible for this demographic. Additional studies with larger sample sizes and longer intervention periods should be conducted.CLINICAL REHABILITATION IMPACT: Twelve weeks of progressive elastic band resistance exercise program is safe and effective for SO elder women.