Effects of protein supplementation combined with exercise intervention on frailty indices, body composition, and physical function in frail older adults

Chun De Liao, Pi Hsia Lee, Dun Jen Hsiao, Shih Wei Huang, Jau Yih Tsauo, Hung Chou Chen, Tsan Hon Liou

研究成果: 雜誌貢獻回顧型文獻

3 引文 (Scopus)

摘要

Aging poses a high risk of lean mass loss, which can be effectively improved through resistance exercise training (RET), or multicomponent exercise training (MET) as well as nutrition supplementation, such as protein supplementation (PS). This study investigated the effects of PS plus exercise training on frail older individuals. A comprehensive search of online databases was performed to identify randomized controlled trials (RCTs) that reported the efficacy of PS combined with RET or MET in frail older individuals. The included RCTs were analyzed through a meta-analysis and risk-of-bias assessment. We finally included 22 RCTs in the meta-analysis, with a mean (range/total) Physiotherapy Evidence Database score of 6.7 (4–9/10). PS plus exercise training significantly improved the frailty status (odds ratio = 2.77; p = 0.006), lean mass (standard mean difference (SMD) = 0.52; p < 0.00001), leg strength (SMD = 0.37; p < 0.00001), and walking speed (SMD = 0.32; p = 0.002). Subgroup analyses revealed that PS plus MET exert significant effects on frailty indices, whereas PS plus RET further improves lean mass. Our findings suggest that PS plus RET as well as MET is effective in improving frailty status, lean mass, muscle strength, and physical mobility in frail older individuals.
原文英語
文章編號1916
期刊Nutrients
10
發行號12
DOIs
出版狀態已發佈 - 十二月 1 2018

指紋

Frail Elderly
protein supplements
Body Composition
body composition
exercise
strength training
Exercise
Resistance Training
Proteins
meta-analysis
Randomized Controlled Trials
physical therapy
muscle strength
Meta-Analysis
Databases
walking
odds ratio
legs
Muscle Strength
nutrition

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

引用此文

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abstract = "Aging poses a high risk of lean mass loss, which can be effectively improved through resistance exercise training (RET), or multicomponent exercise training (MET) as well as nutrition supplementation, such as protein supplementation (PS). This study investigated the effects of PS plus exercise training on frail older individuals. A comprehensive search of online databases was performed to identify randomized controlled trials (RCTs) that reported the efficacy of PS combined with RET or MET in frail older individuals. The included RCTs were analyzed through a meta-analysis and risk-of-bias assessment. We finally included 22 RCTs in the meta-analysis, with a mean (range/total) Physiotherapy Evidence Database score of 6.7 (4–9/10). PS plus exercise training significantly improved the frailty status (odds ratio = 2.77; p = 0.006), lean mass (standard mean difference (SMD) = 0.52; p < 0.00001), leg strength (SMD = 0.37; p < 0.00001), and walking speed (SMD = 0.32; p = 0.002). Subgroup analyses revealed that PS plus MET exert significant effects on frailty indices, whereas PS plus RET further improves lean mass. Our findings suggest that PS plus RET as well as MET is effective in improving frailty status, lean mass, muscle strength, and physical mobility in frail older individuals.",
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AU - Liao, Chun De

AU - Lee, Pi Hsia

AU - Hsiao, Dun Jen

AU - Huang, Shih Wei

AU - Tsauo, Jau Yih

AU - Chen, Hung Chou

AU - Liou, Tsan Hon

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