改善老年人肌肉力量的水中运动的最佳剂量:基于贝叶斯模型的元分析
Yifei Wang1, Jin Zhao2, Mingchen Gao1
1School of Physical Education, Chengdu Sport University, Chengdu, Sichuan, China.
Frontiers in public health
|December 29, 2025
概括
水上运动显著提高老年人的肌肉力量. 最佳的效果是每周2-3次每次40分钟的会议,在中度至高强度,以获得长期益处.
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
- 康复科学 康复科学 康复科学
背景情况:
- 全球人口老龄化对由于肌肉力量下降而导致的功能独立性提出了挑战.
- 老年人的逐渐肌肉损失需要有效的干预措施来维持功能能力.
- 水上运动成为缓解与年龄相关的肌肉衰退的有希望的干预措施.
研究的目的:
- 系统量化水上运动参数和健康老年人肌肉力量之间的剂量反应关系.
- 确定最佳的水上运动方案,以最大限度地提高肌肉力量.
- 通过基于证据的建议,为老年人提供精确的运动处方.
主要方法:
- 在多个数据库 (PubMed,Embase等) 中进行系统搜索. 在2025年3月之前进行了相关的随机对照试验 (RCT).
- 一个常规的元分析评估了整体效应,其次是基于贝叶斯模型的剂量反应元分析,使用立方限制分线.
- 标准化平均差异 (SMD) 与95%的置信区间 (CI) 或可信区间 (CrI) 被用作影响度量.
主要成果:
- 包括13项涉及531名参与者的RCT,显示水上运动显著改善肌肉力量 (SMD = 0.56).
- 剂量反应分析表明最佳干预期达到24周 (SMD = 0.65).
- 在每周2-3次,每周总持续时间为100分钟,每次40分钟,强度中等至高 (Borg RPE 10-12) 时,观察到显著的强度增加.
结论:
- 水上运动有效增强健康老年人的肌肉力量,并观察到显著的非线性剂量反应关系.
- 一个最佳的方案包括每周2-3次40分钟的中度至高强度 (Borg RPE 10-12) 会议,以获得长期的疗效.
- 异质性和潜在的出版偏差需要谨慎地解释汇总结果.
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