摘要
目的:运用Meta分析方法系统评价加压训练(又称血流限制训练)对中老年人下肢肌肉力量及肌肉肥大效应的影响,并与传统抗阻训练及步行训练比较。方法:系统检索万方数字资源数据库、中国知网数据库、EBSCOhost、PubMed、Web of Science以及Cochrane图书馆等数据库,检索日期为默认起始时间至2020年5月,由2名评价员依据纳入和排除标准独立筛选加压训练提高中老年人下肢肌肉力量及肥大的研究文献,采用Revmen 5.3对所有纳入文献进行评价,并对其数据进行分析。结果:1)经过4轮排除,最终纳入10篇文献,研究总样本量为242人;2)低强度加压抗阻训练与高强度抗阻训练对提高中老年人的肌肉力量和促进肌肉肥大均有显著效果,二者无显著性差异,合并效应量分别为SMD=-0.18,95%CI:-0.41,0.05,P≥0.01和MD=0.15,95%CI:-0.37,0.67,P≥0.01;3)在低强度抗阻训练中,加压方案的添加显著提高了中老年人的下肢肌肉力量,效应量为:SMD=0.74,95%CI:0.29,1.19,P<0.01;4)在步行训练中,加压步行训练显著提高了中老年人的下肢肌肉力量和促进肌肉肥大,合并效应量分别为:SMD=1.84,95%CI:1.08,2.61,P<0.01和SMD=1.06,95%CI:0.61,1.50,P<0.01。结论:低强度加压抗阻训练及加压步行训练能显著提高中老年人的下肢肌肉力量及促进肌肉肥大;低强度加压抗阻训练与高强度抗阻训练促进肌肉力量和肌肉肥大的效果相似。
Objective:To systematically evaluate the effect of KAATSU training or blood flow restriction training(BFRT)on the muscle strength and muscle hypertrophy of middle-aged and elderly people using Meta analysis method,and to compare it with resistance training and walking training programs.Methods:Wanfang,CNKI,EBSCOhost,PubMed,Web of Science and Cochrane Library were searched systematically.The retrieval date starts from the default starting time and ends in May 2020.Two reviewers independently screened the literature on the effects of BFRT on the lower limb muscles of middle-aged and elderly people according to the inclusion and exclusion criteria.The included literature is evaluated for methodological quality by Revmen 5.3,and statistical analysis is performed on its data.Results:1)After 4 rounds of exclusion,10 articles are finally included.The total sample size of the study is 242.2)A significant effect of both the low-intensity BFR resistance training group and the high-intensity resistance training group to increase muscle strength and promote muscle hypertrophy,and there is no significant difference between the two.The pooled effect sizes are:SMD=-0.18,95%CI:-0.41,0.05,P≥0.01 and MD=0.15,95%CI:-0.37,0.67,P≥0.01.3)In the low-intensity resistance training program,the BFR resistance training significantly improves the lower limb muscle strength in middle-aged and elderly people,the pooled effect sizes are:SMD=0.74,95%CI:0.29,1.19,P<0.01.4)In walking training,the BFR walking training significantly improves the lower limb muscle strength and promote muscle hypertrophy in middle-aged and elderly people,the pooled effect sizes are:SMD=1.84,95%CI:1.08,2.61,P<0.01 and SMD=1.06,95%CI:0.61,1.50,P<0.01.Conclusions:Low-intensity BFR resistance training and BFR walking training can significantly improve lower limb muscle strength and promote lower limb muscle hypertrophy in middle-aged and elderly people.Moreover,the effects of low-intensity BFR re‐sistance training and high-intensity resistance training on muscle strength and muscle hypertro‐phy are similar.
作者
柳皓严
吴雪萍
邢玉
吴瑛
LIU Haoyan;WU Xueping;XING Yu;WU Ying(Hainan University,Haikou 570228,China;Shanghai University of Sport,Shanghai 200438,China)
出处
《中国体育科技》
CSSCI
北大核心
2023年第7期71-80,F0003,共11页
China Sport Science and Technology
基金
海南大学青年学者扶持项目。
关键词
加压训练
中老年人
肌肉力量
肌肉肥大
荟萃分析
blood flow of restriction training
middle-aged and elderly people
muscle strength
muscle hypertrophy
Meta analysis
