Progress in Exercise Intervention for Osteosarcopenia in Older Adults
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,I2=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,I2=0％).Exercise had a positive effect on muscle function(MD=0.02,P=0.94,95％CI,I2＞50％).Furthermore,resistance exercise significantly influenced bone density(MD=0.01,P=0.0004,95％CI,I2=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.
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