Non-pharmacological treatment strategies for anthropometric, physical capacity and physiological indicators among sarcopenic obesity patients: a systematic review of rigorous randomized controlled trials

To investigate the effects of non-pharmacological treatments on sarcopenic obesity (SO). A search for randomized controlled trials (RCTs) on SO was conducted in PubMed, Web of Science, CINAHL, CENTRAL, SPORTDiscus, CNKI, Wanfang and VIP. A meta-analysis was conducted using random-effects models for...

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Vydáno v:Age and ageing Ročník 53; číslo 12
Hlavní autoři: Tian, Haodong, Li, Hansen, Zhang, Xing, Liu, Haowei, Huang, Li, Yu, Hanglin, Wu, Jinlong, Cao, Yang, Peng, Li, García-Ramos, Amador
Médium: Journal Article
Jazyk:angličtina
Vydáno: England 28.11.2024
Témata:
Exercise Therapy - methods
Hand Strength
Humans
Muscle Strength
Obesity - complications
Obesity - diagnosis
Obesity - physiopathology
Obesity - therapy
Randomized Controlled Trials as Topic
Sarcopenia - complications
Sarcopenia - diagnosis
Sarcopenia - physiopathology
Sarcopenia - therapy
Treatment Outcome
non-pharmacological treatment
physical capacity
physiology indicators
older people
sarcopenic obesity
systematic review
anthropometric indicators
ISSN:1468-2834, 1468-2834
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Shrnutí:To investigate the effects of non-pharmacological treatments on sarcopenic obesity (SO). A search for randomized controlled trials (RCTs) on SO was conducted in PubMed, Web of Science, CINAHL, CENTRAL, SPORTDiscus, CNKI, Wanfang and VIP. A meta-analysis was conducted using random-effects models for MDs. The meta-analysis on 21 RCTs showed that exercise improved PBF (MD: -1.67%, p < .01, I2 = 35%), grip strength (MD: 2.2 kg, p = .03, I2 = 61%), GS (MD: 0.08 m/s, p = .02, I2 = 0%), TCR (MD: 2.22 repetitions, p < .01, I2 = 0%), TUG (MD: -1.48 s, p < .01, I2 = 61%), UE strength (MD: 1.88 kg/kg, p < .01, I2 = 0%) and LE strength (MD: 2.19 kg/kg, p < .01, I2 = 0%). Nutritional interventions improved grip strength (MD: 1.52 kg, p < .01, I2 = 0%). Combine interventions improved PBF (MD: -1.97%, p < .01, I2 = 38%), ASMM (MD: 0.4 kg, p < .01, I2 = 6%), grip strength (MD: 1.83 kg, p < .01, I2 = 38%) and GS (MD: 0.04 m/s, p < .01, I2 = 0%). Combined interventions were more effective than nutrition alone for reducing PBF (MD: -0.8%, p = .05, I2 = 0%). The effects of exercise and nutrition interventions on SO are limited individually, especially regarding muscle mass, but their combination can yield optimal results. Additionally, physical therapy also demonstrated some potential.
Bibliografie:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:1468-2834
1468-2834
DOI:10.1093/ageing/afae278