抗阻训练对60岁及以上老年人生活质量、抑郁、肌肉力量和功能性运动能力的系统回顾和荟萃分析

IF 1.9 4区 医学 Q2 NURSING Biological research for nursing Pub Date : 2023-01-01 DOI:10.1177/10998004221120945
Sholeh Khodadad Kashi, Zahra Sadat Mirzazadeh, Vahid Saatchian
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引用次数: 15

摘要

背景:衰老通常与许多代谢和身体变化有关,这些变化增加了对几种慢性疾病、残疾和生活质量下降的易感性。目的:本荟萃分析的目的是调查阻力训练对老年人(≥60岁)生活质量、抑郁、肌肉力量和功能运动能力的影响。数据来源:系统检索PubMed, MEDLINE, Cochrane, Google Scholar和Scopus,截止到2021年12月20日。结果:共纳入21项研究(N = 1610)。抗阻训练显著改善身体机能(标准平均差异(SMD), 0.31;p = 0.02)、心理健康(SMD, 0.44;p = 0.001),身体疼痛(SMD, -0.52;p = 0.004),一般健康(SMD, 0.43;p = 0.002),社会功能(SMD, 0.25;p = 0.006),心理成分评分(SMD, 0.51;P = 0.001)。抑郁(SMD, -1.13;p = 0.01)、上肢肌力(MD)(平均差值15.26 kg;p = 0.002),下肢肌力(MD, 48.46 kg;p = 0.02),握力(MD, 1.35 kg;P = 0.003)阻力训练后显著改善。在活力、身体成分评分、生活质量总分和6分钟步行距离方面没有发现任何益处。结论:初步证据表明,阻力训练可以有效改善老年人的生活质量、上肢和下肢肌肉力量、握力和抑郁。因此,需要更多的证据来得出可靠的结论。
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A Systematic Review and Meta-Analysis of Resistance Training on Quality of Life, Depression, Muscle Strength, and Functional Exercise Capacity in Older Adults Aged 60 Years or More.

Background: Aging is generally associated with numerous metabolic and physical changes that augment susceptibility to several chronic conditions, disability, and diminished quality of life.

Objective: The purpose of this meta-analysis was to investigate the efficacy of resistance training on quality of life, depression, muscle strength, and functional exercise capacity in older adults (≥60 years).

Data sources: A systematic search was conducted in PubMed, MEDLINE, Cochrane, Google Scholar, and Scopus up to December 20, 2021.

Results: 21 studies (N = 1610) were included. Resistance training significantly improved physical functioning (standard mean differences (SMD), 0.31; p = 0.02), mental health (SMD, 0.44; p = 0.001), bodily pain (SMD, -0.52; p = 0.004), general health (SMD, 0.43; p = 0.002), social functioning (SMD, 0.25; p = 0.006), and mental component score (SMD, 0.51; p = 0.001) subscales. Moreover, depression (SMD, -1.13; p = 0.01), upper-limb muscle strength (mean difference (MD), 15.26 kg; p = 0.002), lower-limb muscle strength (MD, 48.46 kg; p = 0.02), and handgrip muscle strength (MD, 1.35 kg; p = 0.003) significantly improved following resistance training. No benefits were found for vitality, physical component score, total score of quality of life, and the 6-min walk distance.

Conclusion: Preliminary evidence reveals that resistance training can be effective for improving most domains of quality of life, upper- and lower-limb muscle strength, handgrip strength, and depression in aged people. More proof is hence needed to draw solid conclusions.

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来源期刊
CiteScore
5.10
自引率
4.00%
发文量
58
审稿时长
>12 weeks
期刊介绍: Biological Research For Nursing (BRN) is a peer-reviewed quarterly journal that helps nurse researchers, educators, and practitioners integrate information from many basic disciplines; biology, physiology, chemistry, health policy, business, engineering, education, communication and the social sciences into nursing research, theory and clinical practice. This journal is a member of the Committee on Publication Ethics (COPE)
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