膳食营养干预联合抗阻力训练治疗老年男性肌少症患者的临床效果分析

目的:分析膳食营养干预联合抗阻力训练治疗老年男性肌少症患者的临床效果。方法:选取200例老年男性肌少症患者作为研究对象,应用随机数字表法将其分为研究组和对照组,每组各100例。对照组患者给予常规营养和运动知识宣教干预,研究组给予膳食营养干预联合抗阻力训练,两组患者均连续干预6个月。检测和比较两组患者干预前后的握力、简短肌肉功能测试(SPPB)评分、日常生活能力(ADL)评分、左心室射血分数(LVEF)、蒙特利尔认知评估量表(MoCA)评分、简易智能状态检查量表(MMSE)评分的变化和认知功能损害的发生率。结果:干预后,研究组患者的握力、SPPB评分、ADL评分、LVEF、MoCA评分、MMSE评分均较干预前明显改善,且均明显优于对照组,差异均有统计学意义(P0.05)。结论:膳食营养干预联合抗阻力训练可以改善老年男性肌少症患者的肌力,提高日常生活能力,增强心肌射血功能,并改善患者的认知功能。

Analysis of the Clincal Effect of Dietary Nutrition Intervention Combined with Resistance Training on the Cognitive Function of Elderly Male Patients with Sarcopenia

ABSTRACT Objective: To analyze the clinical effect of dietary nutrition intervention combined with resistance training on the elderly male patients with sarcopenia. Methods: 200 cases of elderly male patients with sarcopenia were selected and were divided into the study group and the control group by random number table method, with 100 cases in each group. Patients in the control group were treated with the routine propaganda and education interventions of the nutrition and exercise knowledge, while patients in the study group were treated with the dietary nutrition intervention combined with resistance training, patients in both groups were intervened for 6 months. The grip strength, SPPB score, ADL score, left ventricular ejection fraction (LVEF), Montreal Cognitive Assessment Scale (MoCA) score, changes of Mini-mental State Examination Scale (MMSE) score, incidence of cognitive impairment were measured and compared before and after interventions between the two groups. Results: After intervention, the grip strength, SPPB score, ADL score, LVEF, MoCA score and MMSE score of study group were significantly improved compared with those before intervention and those in the control group(P<0.05). Conclusion: Dietary nutrition intervention combined with resistance training can improve the muscle strength, daily living ability and myocardial ejection function of elderly male patients with sarcopenia, and improve the cognitive function.