Exercise Interventions for the Prevention and Treatment of Sarcopenia. A Systematic Umbrella Review

被引:268
作者
Beckwee, D. [1 ,2 ,3 ,4 ]
Delaere, A. [2 ]
Aelbrecht, S. [2 ]
Baert, V. [2 ]
Beaudart, C. [5 ]
Bruyere, O. [5 ]
De Saint-Hubert, M. [6 ,7 ]
Bautmans, Ivan [2 ,4 ]
Beyer, Ingo
De Breucker, Sandra
De Cock, Anne-Marie
De Spiegeleer, Anton
Gielen, Evelien
Perkisas, Stany
Vandewoude, Maurits
机构
[1] Vrije Univ Brussel, Rehabil Res Dept, Brussels, Belgium
[2] Vrije Univ Brussel, Frailty Ageing Res Dept, Brussels, Belgium
[3] Univ Antwerp, Dept Rehabil Sci & Physiotherapy, Antwerp, Belgium
[4] SOMT Univ Physiotherapy, Dept Geriatr Physiotherapy, Amersfoort, Netherlands
[5] Univ Liege, Dept Publ Hlth Epidemiol & Hlth Econ, Liege, Belgium
[6] CHU UCL Namur, Namur, Belgium
[7] UCLouvain, Inst Rech Sante Soc, Louvain La Neuve, Belgium
关键词
Exercise; sarcopenia; muscle strength; muscle mass; physical performance; MUSCLE STRENGTH; OLDER-ADULTS; PREVALENCE; CONSENSUS;
D O I
10.1007/s12603-019-1196-8
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
030301 [社会学]; 100201 [内科学];
摘要
ObjectivesThe aim of this systematic review is to provide an overview of the efficacy of different exercise interventions to counter sarcopenia in older adults. This review will allow the Belgian Society of Gerontology and Geriatrics and other scientific societies to formulate specific exercise recommendations in their Clinical Guidelines for Sarcopenia.DesignWe used the method of a systematic umbrella-review. Based on the level of evidence, we formulated specific recommendations for clinical practice.MethodsTwo databases (Pubmed and Web Of Science) were searched systematically and methodological quality of the reviews was assessed. Extracted data was than mapped to an exercise category and an overall synthesis (bottom line statements) was formulated for each of these exercise categories. Subsequently, we assigned a rating of the quality of the evidence supporting each bottom line statement.ResultsWe identified 14 systematic reviews or meta-analyses, encompassing four exercise categories: resistance training, resistance training + nutritional supplementation, multimodal exercise programmes and bloodflow restriction training. Importantly, very few systematic reviews or meta-analyses clearly mentioned baseline sarcopenia status. There is high quality evidence for a positive and significant effect of resistance training on muscle mass, muscle strength, and physical performance. The added effect of nutritional supplementation for resistance training on muscle function appears limited. Blood flow restriction training is a novel training method that has a significant impact on muscle strength.ConclusionSince sarcopenia is affecting all skeletal muscles in the body, we recommend training the large muscle groups in a total body approach. Although low-intensity resistance training (50% 1RM) is sufficient to induce strength gains, we recommend a high-intensity resistance training program (i.e. 80% 1RM) to obtain maximal strength gains. Multimodal exercises and blood flow restriction resistance training may be considered as well.
引用
收藏
页码:494 / 502
页数:9
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