Objective To explore the effects of home exercise on sarcopenia obesity elderly.Methods From January to April, 2018, 80 patients with sarcopenia obesity were randomly divided into control group (CONG, n = 20), progressive resistance training group (PRTG, n = 20), aerobic exercise training group (ATG, n =20) and muscle strength combined with aerobic exercise training group (CTG, n = 20). The training groups accepted their exercise in home for eight weeks. Their body composition, muscle strength, and insulin-like growth factor 1 (IGF-1) and interleukin 6 (IL-6) in blood were measured before training, eight weeks and twelve weeks after training.Results Skeletal muscle mass increased in all the training groups compared with that of CONG after training, while fat mass, body mass index and visceral fat area reduced. Muscle strength increased in all the training groups compared with that of CONG after training, while the grip strength, knee extensor strength increased in PRTG and ATG. IGF-1 increased in PRTG and ATG, while IL-6 decreased in PRTG.Conclusion Home exercise can improve the body composition of patients with sarcopenia obesity elderly, as well as muscle strength, which may be related to increase of IGF-1 and decrease of IL-6.