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Independent and combined effect of home-based progressive resistance training and nutritional supplementation on muscle strength, muscle mass and physical function in dynapenic older adults with low protein intake: A randomized controlled trial.

Archives of gerontology and geriatrics
January 1, 2020
Alessandra de Carvalho Bastone et al. (10 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effectiveness of resistance training, alone or combined with nutritional supplementation, in improving muscle strength and physical function in dynapenic older adults with low protein intake.

Results Summary

Resistance training significantly improved handgrip strength, gait speed, and sit-to-stand performance, with large effect sizes. Combining resistance training with supplementation showed no additional benefits over resistance training alone.

Population

Dynapenic older adults with low protein intake (n=69).

Effective Dosage

Not specified

Duration

3 months

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
resistance training
increase
handgrip strength
dynapenic older adults with low protein intake
large effect size
showed a large effect size
#1
resistance training
increase
gait speed
dynapenic older adults with low protein intake
large effect size
showed a large effect size
#2
resistance training
increase
sit-to-stand test
dynapenic older adults with low protein intake
large effect size
showed a large effect size
#3
resistance training plus supplementation
increase
handgrip strength
dynapenic older adults with low protein intake
large effect size
showed a large effect size
#4
resistance training plus supplementation
increase
gait speed
dynapenic older adults with low protein intake
large effect size
showed a large effect size
#5
resistance training plus supplementation
increase
sit-to-stand test
dynapenic older adults with low protein intake
large effect size
showed a large effect size
#6
supplementation
increase
gait speed
dynapenic older adults with low protein intake
moderate effect size
showed a moderate effect size
#7
resistance training
increase
muscle strength
dynapenic older adults with low protein intake
-
reinforces the value in improving muscle strength
#8
nutritional supplementation
no change
-
dynapenic older adults with low protein intake
no further benefits
added no further benefits
#9
Abstract

BACKGROUND: With the aging phenomenon, there is growing interest in developing effective strategies to counteract dynapenia, the age-related loss of muscle strength. The positive effect of progressive resistance training on muscle strength is well known, however, the effect of nutritional supplementation or its synergistic effect along with exercise on muscle strength is not a consensus in the literature, especially in populations with low protein intake. METHODS: We analyzed the muscle strength (handgrip strength and sit-to-stand test), muscle mass, body mass index, insulin resistance, and physical function (gait speed, timed up & go test, and single-leg-stance test) of 69 dynapenic older adults with low protein intake, before and after the intervention period of three months. The participants were randomly allocated into four groups: resistance training, supplementation, resistance training plus supplementation, and control. RESULTS: There was a significant group x time interaction on the following outcome measures: handgrip strength (p <  0.001), gait speed (p =  0.023), and sit-to-stand test (p <  0.001). Considering the outcomes that showed a significant difference between and within groups, only the resistance training group and the resistance training plus supplementation group showed a large effect size in handgrip strength, gait speed, and sit-to-stand test, whereas the supplementation group showed a moderate effect size in gait speed. After the intervention period, there was no difference between the resistance training and the resistance training plus supplementation groups. CONCLUSION: This study reinforces the value of resistance training in improving muscle strength. The nutritional supplementation added no further benefits in this specific population. Registration number at the Brazilian registry of clinical trials: RBR-4HRQJF.

Medical Subject Headings (MeSH)
AgedBrazilDietary SupplementsHand StrengthHumansMuscle StrengthMuscle, SkeletalResistance Training
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations23
Citations/Year4.6
Relative Citation Ratio2.39
NIH Percentile79.6%
Research Impact Scores
APT Score0.75
Weight Score2.46
Normalized Score0.70
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