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蛋白质补充剂单独或与运动相结合用于萨科佩尼亚和身体虚弱:随机对照试验的系统审查和元分析
Yoshihiro Yoshimura1, Ayaka Matsumoto1, Tatsuro Inoue2
1Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
蛋白质补充剂与运动相结合,可以改善老年人肉症和身体虚弱的肌肉质量和力量. 然而,证据质量非常低,需要进一步研究.
科学领域:
- 老年学是一门学科.
- 营养科学 营养科学
- 运动生理学 运动生理学
背景情况:
- 麻症和身体虚弱是与年龄相关的疾病,影响老年人的死亡率和生活质量.
- 这些综合征涉及肌肉质量和功能的逐渐丧失.
- 作为一种潜在的干预措施,正在探索蛋白质补充剂.
研究的目的:
- 系统地审查蛋白质补充剂对萨尔科佩尼亚和身体脆弱性的有效性.
- 评估结果,包括肌肉质量,力量和身体表现.
主要方法:
- 在Medline,CENTRAL和Ichushi Web (2000-2023/2024) 中进行系统搜索.
- 包括65岁以上的成年人患有肉症或脆弱性的随机对照试验.
- 主要结局:肌肉质量,力量和身体表现.
主要成果:
- 13项试验 (n=1,057) 符合标准.
- 结合蛋白质和运动显著改善了骨肌肉指数和手握强度,而不是单独炼.
- 仅仅蛋白质显示了适度的强度益处,但性能影响有限;没有严重的不良事件.
结论:
- 与运动一起补充蛋白质显示出改善老年人肌肉质量和力量的前景.
- 证据质量始终被评为非常低.
- 需要进一步的高质量试验来确定最佳策略.
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