Effects of nutrition guidance combined with exercise intervention among elderly patients with sarcopenic obesity in community
10.3760/cma.j.cn115682-20191228-04819
- VernacularTitle:营养指导联合运动干预在社区老年肥胖性肌肉衰减综合征患者中的应用效果
- Author:
Qin MIAO
1
;
Ying MIAO
;
Pianhong ZHANG
;
Leilei WANG
Author Information
1. 杭州市西湖区文新街道社区卫生服务中心 310012
- Keywords:
Aged;
Sarcopenic obesity;
Nutritional intervention;
Exercise;
Community
- From:
Chinese Journal of Modern Nursing
2020;26(15):2046-2049
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of nutrition guidance combined with exercise intervention among elderly patients with sarcopenic obesity in community.Methods:From January 2014 to November 2015, we selected 120 elderly patients with sarcopenic obesity of Xixi Street Community Health Service Center in Hangzhou as subjects by convenience sampling. All of patients were divided into control group and intervention group according to the odd and even of visit number, 60 cases in each group. Control group carried out the routine health education, while intervention group implemented the balanced diet combined with exercise intervention as well as increase whey protein appropriately. Six months after intervention, we compared the body mass index (BMI) , grip, calf girth, leg speed, 5 times sitting up test, human muscle percentage and body fat percentage of patients between two groups.Results:Before intervention, there were no statistical differences in the indexes of patients between two groups ( P>0.05) . Six months after intervention, the BMI of intervention group and control group was (25.39±0.95) kg/m 2 and (25.46±0.93) kg/m 2 respectively with no statistical difference ( t=0.36, P>0.05) . The six indexes, grip, calf girth, leg speed, 5 times sitting up test, human muscle percentage and body fat percentage, of intervention group were (23.43±2.04) kg, (32.60±1.34) cm, (0.83±0.10) m/s, (11.05±1.50) s, (47.69±2.87) % and (33.68±2.20) % respectively, all better than those of control group with statistical differences ( t=-4.62, -2.06, -2.62, 2.46, -3.68, 2.46; P<0.05) . Conclusions:Nutrition guidance combined with exercise intervention can improve the functional indexes of elderly patients with sarcopenic obesity in community, such as muscle strength, and delay the functional decline caused by sarcopenia.