Body composition influenced by progressive elastic band resistance exercise of sarcopenic obesity elderly women

A pilot randomized controlled trial

Shih Wei Huang, Jan Wen Ku, Li Fong Lin, Chun De Liao, Lin Chuan Chou, Tsan Hon Liou

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Sarcopenia involves age-related decreases in muscle strength and muscle mass, leading to frailty and disability in elderly people. When combined with obesity, it is defined as sarcopenic obesity (SO), which can result in more functional limitations and metabolic disorders than either disorder alone. Aim: The aim of this study was to investigate body composition changes after elastic band resistance training in elderly women with SO. Design: Randomized single-blinded (assessor blinded) controlled pilot trial. Setting: Academic medical center. Population: Thirty-five elderly (>60 years old) women with SO. Methods: This pilot randomized controlled trial focused on elderly women with SO. The study group underwent progressive elastic band resistance training for 12 weeks (3 times per week). The control group received only a 40-minute lesson about the exercise concept. Dual-energy X-ray absorptiometry was performed before and after intervention to evaluate body composition. Mann-Whitney U and Wilcoxon signed rank tests were used to analyze the differences within and between these groups. Results: In total, 35 elderly women with SO were enrolled and divided into study (N.=18) and control groups (N.=17). No difference was observed in age, biochemical parameters, or Body Mass Index between both groups. After the intervention, the fat proportion of body composition in the right upper extremity (P=0.03), left upper extremity (P=0.04), total fat (P=0.035), and fat percentage (P=0.012) had decreased, and bone mineral density (BMD) (P=0.026), T-score (P=0.028), and Z-score (P=0.021) had increased in the study group. Besides, statistical difference was observed in outcome measurements of right upper extremity (P=0.013), total fat (P=0.023), and fat percentage (P=0.012) between the groups. Conclusions: Our study demonstrated that progressive elastic band resistance exercise can reduce fat mass and increase BMD in elderly women with SO, and that this exercise program is feasible for this demographic. Additional studies with larger sample sizes and longer intervention periods should be conducted. Clinical Rehabilitation Impact: Twelve weeks of progressive elastic band resistance exercise program is safe and effective for SO elder women.

Original languageEnglish
Pages (from-to)556-563
Number of pages8
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume53
Issue number4
DOIs
Publication statusPublished - Aug 1 2017

Fingerprint

Body Composition
Randomized Controlled Trials
Obesity
Exercise
Fats
Upper Extremity
Resistance Training
Bone Density
Sarcopenia
Control Groups
Photon Absorptiometry
Muscle Strength
Nonparametric Statistics
Sample Size
Body Mass Index
Rehabilitation
Demography
Muscles
Population

Keywords

  • Aged
  • Obesity
  • Photon absorptiometry
  • Resistance training
  • Sarcopenia
  • Women

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{07217cbe245a464dbadf9793f8bfb986,
title = "Body composition influenced by progressive elastic band resistance exercise of sarcopenic obesity elderly women: A pilot randomized controlled trial",
abstract = "Background: Sarcopenia involves age-related decreases in muscle strength and muscle mass, leading to frailty and disability in elderly people. When combined with obesity, it is defined as sarcopenic obesity (SO), which can result in more functional limitations and metabolic disorders than either disorder alone. Aim: The aim of this study was to investigate body composition changes after elastic band resistance training in elderly women with SO. Design: Randomized single-blinded (assessor blinded) controlled pilot trial. Setting: Academic medical center. Population: Thirty-five elderly (>60 years old) women with SO. Methods: This pilot randomized controlled trial focused on elderly women with SO. The study group underwent progressive elastic band resistance training for 12 weeks (3 times per week). The control group received only a 40-minute lesson about the exercise concept. Dual-energy X-ray absorptiometry was performed before and after intervention to evaluate body composition. Mann-Whitney U and Wilcoxon signed rank tests were used to analyze the differences within and between these groups. Results: In total, 35 elderly women with SO were enrolled and divided into study (N.=18) and control groups (N.=17). No difference was observed in age, biochemical parameters, or Body Mass Index between both groups. After the intervention, the fat proportion of body composition in the right upper extremity (P=0.03), left upper extremity (P=0.04), total fat (P=0.035), and fat percentage (P=0.012) had decreased, and bone mineral density (BMD) (P=0.026), T-score (P=0.028), and Z-score (P=0.021) had increased in the study group. Besides, statistical difference was observed in outcome measurements of right upper extremity (P=0.013), total fat (P=0.023), and fat percentage (P=0.012) between the groups. Conclusions: Our study demonstrated that progressive elastic band resistance exercise can reduce fat mass and increase BMD in elderly women with SO, and that this exercise program is feasible for this demographic. Additional studies with larger sample sizes and longer intervention periods should be conducted. Clinical Rehabilitation Impact: Twelve weeks of progressive elastic band resistance exercise program is safe and effective for SO elder women.",
keywords = "Aged, Obesity, Photon absorptiometry, Resistance training, Sarcopenia, Women",
author = "Huang, {Shih Wei} and Ku, {Jan Wen} and Lin, {Li Fong} and Liao, {Chun De} and Chou, {Lin Chuan} and Liou, {Tsan Hon}",
year = "2017",
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language = "English",
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pages = "556--563",
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TY - JOUR

T1 - Body composition influenced by progressive elastic band resistance exercise of sarcopenic obesity elderly women

T2 - A pilot randomized controlled trial

AU - Huang, Shih Wei

AU - Ku, Jan Wen

AU - Lin, Li Fong

AU - Liao, Chun De

AU - Chou, Lin Chuan

AU - Liou, Tsan Hon

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Background: Sarcopenia involves age-related decreases in muscle strength and muscle mass, leading to frailty and disability in elderly people. When combined with obesity, it is defined as sarcopenic obesity (SO), which can result in more functional limitations and metabolic disorders than either disorder alone. Aim: The aim of this study was to investigate body composition changes after elastic band resistance training in elderly women with SO. Design: Randomized single-blinded (assessor blinded) controlled pilot trial. Setting: Academic medical center. Population: Thirty-five elderly (>60 years old) women with SO. Methods: This pilot randomized controlled trial focused on elderly women with SO. The study group underwent progressive elastic band resistance training for 12 weeks (3 times per week). The control group received only a 40-minute lesson about the exercise concept. Dual-energy X-ray absorptiometry was performed before and after intervention to evaluate body composition. Mann-Whitney U and Wilcoxon signed rank tests were used to analyze the differences within and between these groups. Results: In total, 35 elderly women with SO were enrolled and divided into study (N.=18) and control groups (N.=17). No difference was observed in age, biochemical parameters, or Body Mass Index between both groups. After the intervention, the fat proportion of body composition in the right upper extremity (P=0.03), left upper extremity (P=0.04), total fat (P=0.035), and fat percentage (P=0.012) had decreased, and bone mineral density (BMD) (P=0.026), T-score (P=0.028), and Z-score (P=0.021) had increased in the study group. Besides, statistical difference was observed in outcome measurements of right upper extremity (P=0.013), total fat (P=0.023), and fat percentage (P=0.012) between the groups. Conclusions: Our study demonstrated that progressive elastic band resistance exercise can reduce fat mass and increase BMD in elderly women with SO, and that this exercise program is feasible for this demographic. Additional studies with larger sample sizes and longer intervention periods should be conducted. Clinical Rehabilitation Impact: Twelve weeks of progressive elastic band resistance exercise program is safe and effective for SO elder women.

AB - Background: Sarcopenia involves age-related decreases in muscle strength and muscle mass, leading to frailty and disability in elderly people. When combined with obesity, it is defined as sarcopenic obesity (SO), which can result in more functional limitations and metabolic disorders than either disorder alone. Aim: The aim of this study was to investigate body composition changes after elastic band resistance training in elderly women with SO. Design: Randomized single-blinded (assessor blinded) controlled pilot trial. Setting: Academic medical center. Population: Thirty-five elderly (>60 years old) women with SO. Methods: This pilot randomized controlled trial focused on elderly women with SO. The study group underwent progressive elastic band resistance training for 12 weeks (3 times per week). The control group received only a 40-minute lesson about the exercise concept. Dual-energy X-ray absorptiometry was performed before and after intervention to evaluate body composition. Mann-Whitney U and Wilcoxon signed rank tests were used to analyze the differences within and between these groups. Results: In total, 35 elderly women with SO were enrolled and divided into study (N.=18) and control groups (N.=17). No difference was observed in age, biochemical parameters, or Body Mass Index between both groups. After the intervention, the fat proportion of body composition in the right upper extremity (P=0.03), left upper extremity (P=0.04), total fat (P=0.035), and fat percentage (P=0.012) had decreased, and bone mineral density (BMD) (P=0.026), T-score (P=0.028), and Z-score (P=0.021) had increased in the study group. Besides, statistical difference was observed in outcome measurements of right upper extremity (P=0.013), total fat (P=0.023), and fat percentage (P=0.012) between the groups. Conclusions: Our study demonstrated that progressive elastic band resistance exercise can reduce fat mass and increase BMD in elderly women with SO, and that this exercise program is feasible for this demographic. Additional studies with larger sample sizes and longer intervention periods should be conducted. Clinical Rehabilitation Impact: Twelve weeks of progressive elastic band resistance exercise program is safe and effective for SO elder women.

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KW - Obesity

KW - Photon absorptiometry

KW - Resistance training

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