多组分运动对脆弱老年人虚弱状态和身体功能的影响:元分析和系统审查
Xinyu Yang1, Shasha Li1, Lingfen Xu2
1Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.
Experimental gerontology
|October 19, 2024
概括
多元组件运动显著改善了老年人的虚弱和身体功能. 12周的干预是最优的,在脆弱个体的医院环境中显示出更大的益处.
科学领域:
- 老年学和运动科学
- 公共卫生与老龄化问题
背景情况:
- 虚弱是老年人的重大健康问题,增加了不良结果的风险.
- 多组分运动干预越来越多地被探索为一种打击脆弱及其后果的策略.
研究的目的:
- 系统地审查和元分析多组分运动对虚弱老年人虚弱状态和身体功能的影响.
- 在这个人群中确定最佳的干预持续时间和多组分运动的设置.
主要方法:
- 随机对照试验和准实验研究的系统审查和元分析.
- 搜索了多个数据库 (PubMed,EMBASE,科学网等) 从开始到2024年3月.
- 包括28项试验,共有4857名年龄≥60岁的参与者被诊断患有虚弱.
主要成果:
- 多组分运动显著改善了脆弱状态 (SMD = -1.40).
- 在肌肉力量 (SMD = 0.31),步行速度 (SMD = 0.27),平衡 (SMD = 0.27),SPPB (SMD = 1.03) 和TUG (SMD = -3.05) 中观察到显著的改善.
- 发现12周的干预持续时间是最佳的,在医院环境中效果更大.
结论:
- 多元组件运动有效改善老年人的虚弱状态和身体功能.
- 这些发现表明,多组分运动在减轻脆弱性方面起着保护作用.
- 干预的持续时间和设置是影响有效性的重要因素.
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