机构:[1]a Department of Geriatrics, Peking Union Medical College Hospital, Beijing, China b Department of Geriatrics, Aerospace Central Hospital, Beijing, China c Department of Geriatrics, Tong Ren Hospital, Beijing, China
Background: Frailty, featured by the presence of fatigue, weight loss, decrease in grip strength, decline gait speed
and reduced activities substantially increase the risk of falls, disability, hospitalizations, and mortality of older
people. Nutritional supplementation and resistance exercise may improve muscle function and reverse frailty
status.
Objective: To evaluate whether whey protein supplements can improve muscle function of frail older people in
addition to resistance exercise.
Methods: 115 community-dwelling older adults who met the Fried's criteria for frailty from four hospitals’ outpatients clinic in Beijing, China completed the study. It's a case–control study which whey protein was used as
daily supplementation for 12 weeks for active group and regular resistance exercise for active group and control
group. Handgrip strength, gait speed, chair-stand test, balance score, and SPPB score were compared in both
groups during the 12-week follow-up.
Results: Overall, 115 subjects were enrolled for study with 66 in active group and 49 in control group. Handgrip
strength, gait speed, and chair-stand time were all significantly improved in both groups with significant between-group differences. The active group improved significantly in handgrip strength compared with the
control group, which between-group effect (95% confidence interval) for female was 0.107 kg (0.066–0.149),
p = 0.008 and for male was 0.89 kg (0.579–1.201), p = 0.007. For chair-stand time, between-group effect (95%
confidence interval) was −2.875 s (−3.62 to −2.124), p = 0.004 and for gait speed, between-group effect (95%
confidence interval) was 0.109 m/s (0.090 to 0.130), p = 0.003.
Conclusions: The 12-week intervention of whey protein oral nutritional supplement revealed significant improvements in muscle function among the frailty elderly besides aiding with resistance exercise. These results
warrant further investigations into the role of a multi-modal supplementation approach which could prevent
adverse outcomes among frailty elderly at risk for various disabilities.
第一作者机构:[1]a Department of Geriatrics, Peking Union Medical College Hospital, Beijing, China b Department of Geriatrics, Aerospace Central Hospital, Beijing, China c Department of Geriatrics, Tong Ren Hospital, Beijing, China
推荐引用方式(GB/T 7714):
Yinghui Liang.Effects of whey protein nutritional supplement on muscle function among community-dwelling frail older people: A multicenter study in China[J].Archives of Gerontology and Geriatrics.2019,(83):7-12.
APA:
Yinghui Liang.(2019).Effects of whey protein nutritional supplement on muscle function among community-dwelling frail older people: A multicenter study in China.Archives of Gerontology and Geriatrics,,(83)
MLA:
Yinghui Liang."Effects of whey protein nutritional supplement on muscle function among community-dwelling frail older people: A multicenter study in China".Archives of Gerontology and Geriatrics ..83(2019):7-12