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老年肌骨综合征的运动干预进展

Progress in Exercise Intervention for Osteosarcopenia in Older Adults
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摘要 目的:定量评价运动对老年肌骨综合征的干预效果。方法:采用文献资料法、数理统计法等研究方法,通过检索中国知网(CNKI)、PubMed数据库,收集与运动、老年人、肌少症、骨质疏松症相关的随机对照试验数据,检索时间从建库起至2024年1月,共纳入14篇文献721名受试者。运用Review manager5.4软件对文献的发表偏倚性、文献异质性检验、同类指标的森林图和漏斗图进行绘制和分析。结果:与对照组相比,运动干预组显著提高了肌肉力量(MD=6.74,P=0.04,95%CI,I^(2)=99%),有氧运动对肌肉质量的影响不具有显著性,但具有促进作用(MD=0.06,P=0.87,95%CI,I^(2)=0%),运动对肌肉功能有积极作用(MD=0.02,P=0.94,95%CI,I^(2)>50%)。此外,抗阻运动对骨密度影响效果显著(MD=0.01,P=0.0004,95%CI,I^(2)=41%),有氧运动干预效果不明显。结论:抗阻运动可以有效改善老年肌骨综合征患者的肌肉力量和骨密度,有氧运动在一定程度上改善肌肉质量和肌肉功能。 OBJECTIVE:This study aims to quantitatively evaluate the effects of exercise intervention on osteosarcopenia in older adults.METHODS:Using literature research method and statistical analysis,relevant randomized controlled trial data related to exercise,older adults,sarcopenia,and osteoporosis were collected from the China National Knowledge Infrastructure(CNKI)and PubMed databases.The search period ranged from the inception of the databases to January 2024,resulting in the inclusion of 14 articles and 721 participants.Review Manager 5.4 software was used to assess publication bias,heterogeneity,and to generate forest plots and funnel plots for similar outcome measures.RESULTS:Compared to the control group,the exercise intervention group showed a significant improvement in muscle strength(MD=6.74,P=0.04,95%CI,I^(2)=99%).The impact of aerobic exercise on muscle mass was not significant but demonstrated a promoting effect(MD=0.06,P=0.87,95%CI,I^(2)=0%).Exercise had a positive effect on muscle function(MD=0.02,P=0.94,95%CI,I^(2)>50%).Furthermore,resistance exercise significantly influenced bone density(MD=0.01,P=0.0004,95%CI,I^(2)=41%),while the effect of aerobic exercise on bone density was inconclusive.CONCLUSION:Resistance exercise can effectively improve muscle strength and bone density in older adults with osteosarcopenia.Aerobic exercise partially improves muscle mass and muscle function.
作者 王秋月 袁春梅 杨依坤 Wang Qiuyue;Yuan Chunmei;Yang Yikun(College of Education and Sports Sciences,Yangtze University,Jingzhou 434023,China)
出处 《体育科技文献通报》 2024年第10期276-280,共5页 Bulletin of Sport Science & Technology
关键词 老年肌骨综合征 运动干预 META分析 老年人 osteosarcopenia exercise intervention meta-analysis older adults
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