血流限制训练和常规阻力训练对老年人肌肉减少症改善的比较:系统回顾和荟萃分析

IF 2.3 Q2 SPORT SCIENCES Sports Medicine and Health Science Pub Date : 2023-12-01 DOI:10.1016/j.smhs.2022.12.002
Jianda Kong, Zhilin Li, Lei Zhu, Lin Li, Si Chen
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引用次数: 2

摘要

与年龄相关的肌肉疏松症给医护人员和患者家庭带来了巨大的负担。血流限制(BFR)训练可能是减少肌肉疏松症的一种有前途的治疗方法,与传统的阻力训练相比,它具有许多优势。本综述旨在比较血流限制训练与传统阻力训练对临床延迟性老年人肌肉疏松症的影响。我们检索了 PubMed、Web of Science、Embase 和 Science Direct 等数据库,以确定符合条件的研究;进行了盲法数据提取以评估研究质量,并将冲突提交给第三方。有人做出决定。一位作者使用了Review Manager(RevMan)5.4,并与另一位作者为此目的获得的数据进行了比较。共有 14 项研究符合本综述的纳入标准。这些研究的漏斗图未显示任何实质性的发表偏倚。与高负荷阻力训练(HL-RT)相比,低负荷血流限制(LL-BFR)对肌肉质量没有显著影响(P = 0.74,SMD = 0.07,95% CI:0.33 至 0.46),而与 HL-RT 相比,LL-BFR 对肌肉力量有显著影响(P = 0.03,Z = 2.16,SMD = -0.34,95% CI:0.65 至 -0.03)。与 LL-RT 相比,LL-BFR 对体重略有影响(p = 0.26,SMD = 0.25,95% CI:0.19 至 0.69)。敏感性分析产生的变化并不显著,这表明本研究的结果是合理的。总之,这些数据表明,BFR 训练有可能改善与年龄相关的肌肉疏松症。
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Comparison of blood flow restriction training and conventional resistance training for the improvement of sarcopenia in the older adults: A systematic review and meta-analysis

Age-related sarcopenia places a tremendous burden on healthcare providers and patients' families. Blood flow restriction (BFR) training may be a promising treatment to bring sarcopenia down, and it offers numerous advantages over traditional resistance training. The purpose of this review was to compare the effects of BFR training and conventional resistance training on clinically delayed sarcopenia in the elderly. Databases such as PubMed, Web of Science, Embase, and Science Direct were searched to identify eligible studies; blinded data extraction was performed to assess study quality, and conflicts were submitted to third parties. Someone made the decision. One author used Review Manager (RevMan) 5.4 and compared it with data obtained by another author for this purpose. A total of 14 studies met the inclusion criteria for this review. The funnel plots of the studies did not show any substantial publication bias. Low-load blood flow restriction (LL-BFR) had no significant effect on muscle mass compared with high-load resistance training (HL-RT) (p ​= ​0.74, SMD ​= ​0.07, 95% CI: 0.33 to 0. 46) and LL-BFR had a significant effect on muscle strength compared with HL-RT (p ​= ​0.03, Z ​= ​2.16, SMD ​= ​-0.34, 95% CI: 0.65 to -0.03). LL-BFR showed a slight effect on mass compared to LL-RT (p ​= ​0.26, SMD ​= ​0.25, 95% CI: 0.19 to 0.69). Sensitivity analysis produced a nonsignificant change, suggesting that the results of this study are reasonable. In conclusion, the data suggest the possibility that BFR training improves age-related sarcopenia.

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来源期刊
Sports Medicine and Health Science
Sports Medicine and Health Science Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
5.50
自引率
0.00%
发文量
36
审稿时长
55 days
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