Estele Caroline Welter Meereis Lemos, E. C. Guadagnin, C. Mota
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引用次数: 15
摘要
体育锻炼是维持老年人功能独立性的重要选择,然而,目前尚不清楚哪种类型的运动最有益:力量运动还是多组分运动。目的是通过荟萃分析的系统评价来验证力量训练和多组分训练对健康老年患者功能的有效性。注册号:CRD42017071887。两名独立评估人员检索了Pubmed、Web of Science、PEDro、Cochrane和Lilacs数据库。在发现的1434项研究中,32项临床试验调查了老年人单独进行力量训练和/或结合其他方式(多组分)的效果,并评估了Timed up and Go (TUG)、sit-to-stand (STS)和/或Berg Balance Scale (BBS)。方法质量用Downs & Black量表进行评估。与Software Review Manager一起进行数据分析。与对照组相比,在进行多组分训练时,所有调查结果都得到了证实。与对照组相比,力量训练只对坐转站测试有好处。比较这两种训练的研究发现它们之间没有区别。纳入研究的方法学质量评价平均分不高是本研究的一个局限性。综上所述,这两种类型的训练都能有效地改善功能,是老年人良好的训练策略。然而,由于两种训练方式的比较研究较少,无法推断出哪种训练方式对功能更有效,提示需要实现新的临床试验。
Influence of strength training and multicomponent training on the functionality of older adults: systematic review and meta-analysis
Abstract Physical exercise is an important option to maintain functional independence in older adults, however, it is not clear which type of exercise is the most benefic: strength or multicomponent. The objective was to verify the effectiveness of strength training and multicomponent training on functionality of healthy older patients through a systematic review with meta-analysis. Registration number: CRD42017071887. Two independent evaluators searched Pubmed, Web of Science, PEDro, Cochrane and Lilacs databases. Of the 1434 studies found, 32 clinical trials that investigated the effects of strength training only and/or combined with other modalities (multicomponent) in older adults and evaluated the Timed up and Go (TUG), sit-to-stand (STS) and/or Berg Balance Scale (BBS were included. The methodological quality was evaluated with the Downs & Black scale. Data analysis was performed with the Software Review Manager. It was verified improvement in all the investigated outcomes when performing multicomponent training in comparison to control groups. Strength training, compared to control groups, showed benefit only for sit to stand test. Studies comparing the two trainings found no difference between them. The not high average score in the methodological quality assessment of the included studies is a limitation of the present study. In conclusion, both types of training were effective to improve functionality and are good strategies of training for older individuals. However, as the comparison between the two types of training was performed in few studies, it is not possible to infer which is more effective for the functionality, suggesting the realization of new clinical trials.
期刊介绍:
The Brazilian Journal of Kinanthropometry and Human Performance is a journal of Physical Education, Kinesiology, Sport and related areas, whose focus is human movement, being reviewed by an international panel of peers, with emphasis on the measurement of the man in its morphological and functional aspects, as well as conditioning factors of physical performance. Given the multidisciplinary nature of the journal, these areas of study are approached in several contexts, with interactions with social, behavioral, health and environmental aspects. The journal publishes original articles as well as relevant Review/Update articles and Points of View.