Effects of resistance training on body composition and physical function in elderly patients with osteosarcopenic obesity: a systematic review and meta-analysis,Archives of Osteoporosis

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Effects of resistance training on body composition and physical function in elderly patients with osteosarcopenic obesity: a systematic review and meta-analysis
Archives of Osteoporosis ( IF 3.1 ) Pub Date : 2022-06-03 , DOI: 10.1007/s11657-022-01120-x
Jia-Ming Yang ₁ , Hua Ye ₁ , Qiang Zhu ₂ , Jia-Hong Zhang ₂ , Qin-Qin Liu ₂ , Hui-Yong Xie ₁ , Yi Long ₁ , Hui Huang ₂ , Yan-Long Niu ₁ , Yun Luo ₃ , Mao-Yuan Wang ₂

Affiliation

Summary

Osteosarcopenic obesity (OSO) is a complex disease commonly seen in the elderly. We found that resistance training may improve bone mineral density, skeletal muscle mass, and body fat percentage in patients with OSO. Therefore, resistance training is beneficial for elderly OSO patients and is worth being promoted.

Purpose

Investigate effects of resistance training on body composition and physical function in elderly osteosarcopenic obesity (OSO) patients.

Methods

PubMed, Web of Science, Embase, Cochrane Library, Medline, SinoMed, CNKI, and Wanfang Database were searched from inception until October 13, 2021.Two independent researchers extracted the key information from each eligible study. The methodological quality of included studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. The Cochrane Risk of Bias Tool was used to assess the risk of bias. Grading of Recommendations Assessment Development and Evaluation (GRADE) was used to evaluate the quality of the outcomes. Sensitivity analysis indicated the stability of the results. Statistical analysis was performed using Review Manager 5.3.

Results

Four randomized controlled studies meeting the inclusion criteria were included, with 182 participants. Twelve weeks of resistance training improved bone mineral density (BMD, mean difference (MD) = 0.01 g/cm², 95% confidence interval (CI): 0.001, 0.02, P = 0.03, I² = 0%), skeletal muscle mass (SMM, MD = 1.19 kg, 95% CI: 0.50, 1.89, P = 0.0007, I² = 0%), Z score, timed chair rise test (TCR), and body fat percentage (BFP, MD = − 1.61%, 95% CI: − 2.94, − 0.28, P = 0.02, I² = 50%) but did not significantly affect skeletal muscle mass index (SMI, MD = 0.20 kg/m², 95% CI: − 0.25, 0.64, P = 0.38, I² = 0%) or gait speed (GS).

Conclusions

Resistance training is a safe and effective intervention that can improve many parameters, including BFP, SMM, and Z score, among OSO patients and is a good option for elderly individuals to improve their physical fitness.

中文翻译：

阻力训练对老年骨肌肉减少性肥胖患者身体成分和身体机能的影响：一项系统评价和荟萃分析

概括

骨肌肉减少性肥胖症（osteosarcopenic obesity，OSO）是一种常见于老年人的复杂疾病。我们发现阻力训练可以改善 OSO 患者的骨密度、骨骼肌质量和体脂百分比。因此，阻力训练对老年OSO患者有益，值得推广。

目的

研究阻力训练对老年骨肌肉减少性肥胖 (OSO) 患者身体成分和身体机能的影响。

方法

从开始到 2021 年 10 月 13 日，对 PubMed、Web of Science、Embase、Cochrane Library、Medline、SinoMed、CNKI 和 Wanfang Database 进行了搜索。两名独立研究人员从每项符合条件的研究中提取了关键信息。使用物理治疗证据数据库 (PEDro) 量表评估纳入研究的方法学质量。Cochrane 偏倚风险工具用于评估偏倚风险。建议评估发展和评估分级 (GRADE) 用于评估结果的质量。敏感性分析表明结果的稳定性。使用 Review Manager 5.3 进行统计分析。

结果

纳入了符合纳入标准的四项随机对照研究，共有 182 名参与者。十二周的阻力训练提高了骨矿物质密度（BMD，平均差 (MD) = 0.01 g/cm ²，95% 置信区间 (CI)：0.001、0.02，P = 0.03，I ² = 0%）、骨骼肌质量(SMM, MD = 1.19 kg, 95% CI: 0.50, 1.89, P = 0.0007, I ² = 0%), Z分数, 定时椅子起立测试 (TCR), 和体脂百分比 (BFP, MD = − 1.61% , 95% CI: − 2.94, − 0.28, P = 0.02, I ² = 50%) 但未显着影响骨骼肌质量指数 (SMI, MD = 0.20 kg/m ², 95% CI: − 0.25, 0.64, P = 0.38, I ² = 0%) 或步态速度 (GS)。