摘要
目的 探讨营养与运动联合干预对社区老年肌肉减少症防治效果的影响.方法2014年4月—2015年10月在杭州市西溪街道社区卫生服务中心的门诊老年患者中招募肌肉减少症患者114例,采用男女分别数字抽签的方法将114例肌肉减少症患者随机分为3组（健康教育组、健康教育＋全营养配方粉组、健康教育＋乳清蛋白粉组）.干预前对3组患者的基本资料、自我健康评价、生活习惯、功能状况等进行调查,干预100 d后对3组患者分别进行BMI、握力、步速、五次起坐试验、人体肌肉率、人体脂肪率的比较.结果干预前3组患者基本资料、自我健康评价、生活习惯、功能状况比较差异均无统计学意义（P＞0.05）.干预100 d后,健康教育组在BMI较干预前差异有统计学意义（t=-4.46,P＜0.01）,步速、人体脂肪率2项指标比较差异具有统计学意义（t值分别为-2.55,-2.48;P＜0.05）,健康教育＋全营养配方粉组在BMI、握力、步速、人体脂肪率4项指标较干预前差异有统计学意义（t值分别为-6.58,-7.34,-4.15,-3.13;P＜0.01）,五次起坐试验一项差异有统计学意义（t=2.62,P＜0.05）.健康教育＋乳清蛋白粉组在BMI、握力、步速、五次起坐试验4项指标较干预前差异有统计学意义（t值分别为-3.39,-8.49,-8.20,5.40;P＜0.01）,小腿围、人体肌肉率2项差异具有统计学意义（t值分别为-2.45,-2.63;P＜0.05）.结论在平衡膳食与运动联合干预的基础上适当增加全营养配方粉或乳清蛋白均可改善社区老年肌肉减少症BMI、握力、步速,平衡膳食与运动联合干预有利于肌肉减少症的防治.
Objective To discuss the effects of nutritional intervention combined with exercise therapy on the prevention and treatment of sarcopenia for aged in the community.Methods We selected 114 patients with sarcopenia from outpatient elderly patients in the health service center of street community in Xihu district of Hangzhou from April 2014 to October 2015. 114 patients with sarcopenia were randomly divided into three groups （health education group,health education and full nutrition formula powder group,health education and whey protein group） by using method of digital drawing in male and female separately. Before the intervention, patients in three groups were investigated in following aspects：basic data,self health evaluation,living habits, functional status. After 100 days of intervention,body mass index （BMI）,grip strength,walking speed,five times sit experiment,rate of human muscle,body fat rate were compared among three groups.Results Before the intervention,there was no difference in the basic data,self health evaluation,living habits,functional status of patients in three groups （P〉0.05）. After 100 days of group intervention,health education group had significant difference in BMI （t=-4.46;P〈0.01）,walking speed and body fat rate （t=-2.55,-2.48;P〈0.05） compared with the data before intervention;health education and full nutrition formula powder group had significant difference in BMI,grip strength,walking speed and body fat rate （t=-6.58,-7.34,-4.15,-3.13;P〈0.01）, which had statistical significance in five times＇ sit experiment （t=-3.06,P〈0.05）;Health education and whey protein group had significant difference in BMI,grip strength,walking speed and five times＇ sit experiment （t=-3.39,-8.49,-8.20,5.40;P〈0.01）,which had statistical significance in calf circumference and rate of human muscle （t=-2.45,-2.63;P〈0.05;）.Conclusions On the basis of nutritional intervention methods combined with exercise therapy,adding full nutrition formula powder or whey prote
出处
《中华现代护理杂志》
2017年第5期663-666,共4页
Chinese Journal of Modern Nursing
基金
2014年杭州市医疗卫生及重点专科专病科研攻关专项（20140633845）
2014杭州市卫生科技计划项目（2014819）
2014西湖区社会发展科技项目
关键词
老年人
肌肉减少症
营养干预
运动
Aged
Sarcopenia
Nutritional intervention
Exercise
