Effects of elastic band exercise on lean mass and physical capacity in older women with sarcopenic obesity: A randomized controlled trial

Chun-De Liao, Jau-Yih Tsauo, Shih-Wei Huang, Jan-Wen Ku, Dun-Jen Hsiao, Tsan-Hon Liou, Chun-De Liao, Jau-Yih Tsauo, Shih-Wei Huang, Jan-Wen Ku, Dun-Jen Hsiao, Tsan-Hon Liou

Abstract

Sarcopenia is associated with loss of muscle mass as well as an increased risk of physical disability in elderly people. This study was aimed to investigate the effect of elastic band resistance training (ERT) on muscle mass and physical function in older women with sarcopenic obesity. A randomized controlled trial with an intention-to-treat analysis was conducted. A total of 56 women (mean ± SD age 67.3 ± 5.1 years) were randomly assigned to the experimental group receiving 12 weeks of ERT and to the control group receiving no exercise intervention. Lean mass (measured using a dual-energy X-ray absorptiometer), physical capacity (assessed using the global physical capacity score), and a 36-item short form questionnaire were conducted at the baseline examination (T0), as well as the 3-month (T1) and 9-month followups (T2). At T1 and T2, the between-group difference was measured in total skeletal mass relative to T0, with mean differences of 0.70 kg (95% CI 0.12-1.28; P < 0.05) and 0.72 kg (95% CI 0.21-1.23; P < 0.01), respectively. Similar results were found in muscle quality, physical capacity, and physical function outcomes. The ERT exerted a significant beneficial effect on muscle mass, muscle quality, and physical function in older women with sarcopenic obesity.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Flow diagram of patients throughout the present study.
Figure 2
Figure 2
Changes in physical capacity and function outcomes at the 3-month follow-up (T1) and 9-month follow-up (T2) relative to the baseline (T0). The Y-axis represents the percentage change from the baseline. The error bar represents standard error. All data are presented as percentage change from the baseline and were adjusted for age, comorbidity score, body mass index, and body fat percentage at the baseline. *Significant difference as compared with the baseline, P < 0.05; **P < 0.01; ***P < 0.001. #Significant difference compared with the control group, P < 0.05; ##P < 0.01; ###P < 0.001. MQ-UE = muscle quality of the upper extremity; MQ-LE = muscle quality of the lower extremity; GS = gait speed; TUG = timed up and go; TCR = timed chair rise; FFR = functional forward reach; SLS = single leg stance; GPCS = global physical capacity score; SF-36 PF = 36-item Short Form Health Survey, physical function subscore; SF-36 PCS = 36-item Short Form Health Survey, physical component summary.

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