短期多组分运动干预对住院老年患者肌肉力量的影响:一项随机临床试验的二次分析
Eduardo L Cadore1, Mikel Izquierdo2,3, Juliana Lopes Teodoro1
1Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Journal of cachexia, sarcopenia and muscle
|November 21, 2023
概括
住院的老年人经历了显著改善的肌肉力量和功率后3天多元组件的炼干预. 这项计划增强了最大的力量和肌肉力量,有助于老年患者的功能恢复.
科学领域:
- 老年学是指老年学的学科.
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 住院和随后的床上休息可以导致老年人的功能下降.
- 维持肌肉功能对于保持老年人的独立性至关重要.
- 短期的运动干预措施可以减轻住院对老年患者的负面影响.
研究的目的:
- 评估一个简短的,多元组件的炼计划对住院老年患者的肌肉力量和功率的影响.
- 为了研究在急性护理住院期间个性化力量训练,平衡和步行练习的有效性.
- 为了确定3天的干预可以逆转与床上休息相关的力量和功率损失.
主要方法:
- 一项随机临床试验的二次分析,涉及90名老年患者 (平均年龄为87.7岁).
- 参与者被分配到为期3天的多组分运动干预 (包括力量训练,平衡,步行) 或标准护理.
- 最大力量 (最大1次重复) 和肌肉功率在基线和出院时被测量.
主要成果:
- 干预组的腿部按压 (40.4%) 和长椅按压 (19.7%) 显著增加.
- 在各种运动负载下 (≤30%和1RM的45-55%) 观察到峰值和平均推进功率的显著改善.
- 在对照组中,没有发现强度或功率的显著变化.
结论:
- 一个为期3天的个性化多元组件炼计划有效地增强了急性住院的老年人肌肉力量和力量.
- 这种干预表明,在住院期间,老年患者的功能可能会得到快速改善.
- 渐进式力量训练是改善肌肉功能的关键组成部分.
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