筋肉の強さとバランスの機能に対する運動介入の有効性: 弱体化前の高齢者の体系的なレビューとベイジアンネットワークのメタ解析
Ninghong Ma1,2, Zhiyi Lu1,2, Xinyi Mei1,2
1CR & WISCO General Hospital, Affiliated to Wuhan University of Science and Technology, Wuhan, China.
Frontiers in public health
|February 12, 2026
まとめ
運動による介入は,弱体期前の高齢者の強さとバランスを効果的に改善します. 弾性帯運動と太極拳による漸進的な運動は,この集団における身体機能を高めるための最適な選択です.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- 運動生理学 運動生理学
- リハビリテーション・サイエンス・サイエンス
背景:
- 脆弱性前期は,高齢者の年齢関連の衰弱の移行段階であり,筋肉の強さとバランスが低下することが特徴です.
- 運動は弱体期前の症状に効果的ですが,異なる運動タイプの比較効果は不明です.
研究 の 目的:
- 筋肉の強さとバランスに対する様々な運動介入の効果を評価する. 骨折前の高齢者の筋肉の強さとバランスを評価する.
主な方法:
- 系統的レビューと17件のランダム化対照試験 (RCT) のベイジアンネットワークメタ解析で,1,107人の弱体前の高齢者が参加した.
- 2025年3月までPubMed,Embase,Web of Science,コクラン図書館で検索しました.
- ハンドグリップの強さ,ショート・フィジカル・パフォーマンス・バッテリー (SPPB) スコア,タイムアップ・アンド・ゴー (TUG) テストのパフォーマンスを評価し,SUCRA (Surface Under the Cumulative Ranking Curve) を用いて介入をランク付けした.
主要な成果:
- 弾性帯運動は,握り力において最も大きな改善を示した (SUCRA = 87.51%).
- 太極拳のスナックプログラムによる漸進的な運動は,SPPBスコア (SUCRA = 90.03%) とTUGタイム (SUCRA = 79.27%) に最も効果的でした.
- マルチコンポーネントとエクセルゲームによるトレーニングも,大きな利益をもたらしました.
結論:
- 運動介入は,弱体前の高齢者の筋肉の強さとバランスを著しく改善します.
- 弾性帯運動と太極拳による漸進的な運動は,最適な介入として推奨されます.
- 将来の研究は,長期的な効果と栄養との戦略の組み合わせを調査する必要があります.
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