运动干预老年人的肌少性肥胖

Exercise intervention for sarcopenic obesity in older adults

背景:运动是老年人肌少性肥胖防治与管理的重要策略,但目前缺乏对于老年人肌少性肥胖的精准个性化运动处方的探索与研究。目的:综述老年人肌少性肥胖的串联机制以及不同运动方式对老年肌少性肥胖患者的干预效果,以期为老年人肌少性肥胖运动处方的制定提供理论与实践指导。方法:以英文检索词“sarcopenic obesity,sarcopenic adiposity,aging,sport,exercise,exercise intervention,exercise prescription,resistant training,aerobic training,combination training,muscle strength,muscle mass,physical activity”;中文检索词“肌少性肥胖,少肌性肥胖,肥胖性肌少症,老年人,运动,运动干预,运动处方,抗阻运动,有氧运动,联合运动,肌肉力量,肌肉质量,身体活动”,分别检索PubMed、Web of Science、中国知网、维普、万方数据库,严格按照纳入与排除标准,对纳入的85篇文献进行综述分析。结果与结论:①抗阻运动仍然是预防与缓解老年人肌少性肥胖的有效运动方式,抗阻运动在改善与提高骨骼肌质量、肌肉力量与耐力以及身体功能等方面效果更为显著,但在实际应用中应循序渐进,逐渐增加至中高强度。②有氧运动也是防治、减缓肌少性肥胖进程的重要干预方法,其在改善老年肌少性肥胖患者心肺耐力、降低体脂百分比以及减少内脏脂肪面积等方面更为有效。③有氧-抗阻联合运动将有氧运动与抗阻运动的优势相结合,可以更好地改善身体成分,同时在降低心血管疾病危险因素方面有更好的效果。联合运动在一定程度上优于单一的运动方式。

BACKGROUND:Exercise is an important strategy for the prevention and management of sarcopenic obesity in older adults,but there is a lack of exploration and research on accurate and personalized exercise prescription for sarcopenic obesity in older adults.OBJECTIVE:To review the tandem mechanism of sarcopenic obesity in older adults and the effects of different exercise interventions in older patients with sarcopenic obesity,in order to provide theoretical and practical guidance for the formulation of exercise prescriptions for sarcopenic obesity in older adults.RESULTS AND CONCLUSION:(1)Resistance exercise is still an effective exercise method to prevent and alleviate sarcopenic obesity in older adults.Resistance exercise is more significant in improving and improving skeletal muscle mass,muscle strength and endurance,and physical function ability.However,in practice,it should be applied in a gradual manner,with a gradual increase in intensity to a medium-to-high level.(2)Aerobic exercise is also an important intervention to control and slow the progress of sarcopenic obesity,and it is more effective in improving cardiorespiratory endurance,decreasing percentage of body fat,and decreasing the area of visceral fat in older patients with sarcopenic obesity.(3)Combining the advantages of aerobic exercise and resistance exercise can better improve body composition and reduce cardiovascular disease risk factors.To some extent,combined exercise is better than single exercise.