Cited by 42Nutrition and Health in AgingBalance, Gait, and Falls PreventionFrailty in Older Adults

A randomized controlled trial of resistance and balance exercise for sarcopenic patients aged 80–99 years

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Liang, Yuxiang, Wang, Renjie, Jiang, Jiaojiao, Tan, Lingling, Yang, Ming·2020·Scientific Reports

Abstract

We compared a mixed exercise program (i.e., balance exercise plus resistance exercise) with resistance exercise in a single-blind, randomized controlled trial in a post-acute care unit. In total, 60 sarcopenic patients were randomly assigned to an intervention group (12-week mixed exercise) and a control group (12-week resistance exercise). The primary outcomes were the change of the Barthel Index and the number of fallers. The intervention group showed a mean increase of 9.5 points on the Barthel Index (95% confidence interval (CI) 3.9–15.1), while the control group showed a mean increase of 6.3 points (95% CI 2.3–10.4). The mixed exercise program provided a significant benefit over resistance exercise (adjusted mean difference of the change of Barthel Index: 6.8 points; 95% CI 1.4–12.1). The number of fallers was 13.3% and 23.3% in the intervention and control groups, respectively, but the difference was not significant (risk ratio (RR) 0.89, 95% CI 0.69–1.13, p = 0.506). In conclusion, compared with resistance exercise, the mixed exercise program appears to further improve the activities of daily living and physical performance in our study population. Under the monitoring of experienced physiotherapists, both exercise programs are feasible and safe for this population.

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  • One study reported no fall associated with intervention.

    “One study 45 reported no fall associated with intervention.”
  • Liang et al. conducted an RCT of patients with sarcopenia aged 80-99 years and confirmed that balance exercise plus resistance exercise significantly improved usual gait speed, handgrip strength and SPPB scores compared to resistance exercise alone.

    “For example, Liang et al. 45 conducted an RCT of patients with sarcopenia aged 80–99 years and confirmed that balance exercise plus resistance exercise significantly improved usual gait speed, handgrip strength and short physical performance battery (SPPB) scores compared to resistance exercise alone.”

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  1. [25]General Administration of Sport of China Chinese National Physical Fitness Evaluation Standard (CNPFES) 2003 Beijing People's Sports Press

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Authors
Liang, Y., Wang, R., Jiang, J., Tan, L., & Yang, M.
Affiliations
Sichuan University (CN)
Corresponding author
Yang, Ming
Venue
Scientific Reports
Published
2020-10-30
Volume
10
Issue
1
Pages
18756-18756
ISSN
2045-2322 (ISSN-L)
OpenAlex
W3097780230
Cited by
42
References
40
Citations by year
2026: 11 · 2025: 15 · 2024: 5 · 2023: 7 · 2022: 3 · 2021: 1
FWCI
1.65
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Key R
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
sarcopenia, resistance training, balance training, older adults, activities of daily living, Barthel Index, falls, post-acute care, exercise intervention, physical performance
MeSH terms
Activities of Daily Living, Aged, 80 and over, Exercise Therapy, Female, Humans, Male, Quality of Life, Exercise, Single-Blind Method, Sarcopenia

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