抗力训练对二次性肉症患者的影响:系统性审查和元分析
Fang Cheng1,2, Na Li3, Jinfeng Yang1,2
1Department of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, China.
Scientific reports
|November 20, 2024
概括
抵抗训练 (RT) 在患有二次性肉类的患者中显著改善肌肉力量和质量. 然而,RT并没有显著提高身体功能,结果因训练类型和患者并发症而异.
科学领域:
- 老年学和康复医学 老年学和康复医学
- 运动生理学和运动科学 运动生理学和运动科学
背景情况:
- 二次性肉类,以肌肉损失为特征,影响各种患者群体的身体功能和生活质量.
- 阻力训练 (RT) 是一种潜在的干预措施,但其在二次肉类的不同并发症中的有效性需要全面分析.
研究的目的:
- 进行一项元分析,评估抗力训练 (RT) 对二次肉类症患者的肌肉力量 (手握力),肌肉质量 (骨肌肉质量指数) 和身体功能 (步行速度) 的影响.
- 根据干预方法和患者的并发症,探索RT有效性的变化.
主要方法:
- 2015年至2024年1月期间发表的12项随机对照试验 (RCT) 的系统元分析,涉及639名患有二次肉类的患者.
- 在6个主要的电子数据库中确定了研究. 使用Review Manager 5.3提取和分析数据,使用随机效应模型和标准化平均差异 (SMD).
- 亚组分析检查了不同的RT模式 (弹性与非弹性带) 和患者并发症 (肥胖,2型糖尿病,阿尔茨海默病,血液透析,胰腺癌).
主要成果:
- RT显著改善了手握强度 (SMD = 2.47,p < 0.01) 和骨肌肉质量指数 (SMD = 0.94,p < 0.01).
- 对步行速度的影响没有统计学意义 (SMD = 2.18,p ≥ 0.05).
- 与弹性带电阻相比,非弹性带电阻在抓地力方面表现出更大的改善. 在2型糖尿病和肥胖患者中,RT对握力有显著的益处.
结论:
- 阻力训练在增强肌肉力量和质量方面是有效的,对于患有二次性肉症的人来说.
- RT对身体功能 (步行速度) 的影响需要进一步研究. 干预的有效性受RT类型和特定并发症的存在的影响.
- 根据患者的特征和并发症量身定制RT干预措施可以优化治疗结果.
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