Study On The Effect Of Progressive Resistance Training On The Ability Of Daily Living And Nutritional Status Of Elderly Inpatients With Sarcopenia

Objectives:Through the assessment of sarcopenia,ability of daily living and nutritional status for long-term hospitalized patients ≥80 years old,a progressive resistance training combined nutritional support plan was developed to explore the physical function and nutritional status of the program in elderly patients with sarcopenia The application effects in other aspects provide a certain basis for treating senile sarcopenia,reducing the risk of sarcopenia,and improving the ability of daily living.Methods:Selected patients admitted to the Department of Geriatrics of a tertiary hospital in Jiangxi Province for the diagnosis of sarcopenia(diagnosis is based on the 2019 version of Asian sarcopenia diagnostic strategy),and 117 patients diagnosed with sarcopenia and aged ≥80 years were selected as the research object.According to the odd and even numbers of the patients’ admission date,117 elderly patients with sarcopenia were divided into 60 cases in the intervention group(first floor of the Department of Geriatrics)and 57 cases in the control group(second floor of the Department of Geriatrics).The control group mainly used department nursing routine,and the intervention group chose the nursing method of gradual resistance training combined with nutritional support.The risk of sarcopenia(SARC-F)was assessed before the intervention of the two groups of patients,the intervention for 3 months and the intervention for 6months.The physical function status includes the BI index,the stand-up-walking timing test(TUGT),and the five-time sit-up test.(FTSST),time balance test,maximum grip strength and nutritional status(MNA-SF).Statistical analysis was performed using SPSS 26.0 to evaluate the effect of progressive resistance training combined with nutritional support on the ability of daily living and nutritional status of elderly patients with sarcopenia.Results:1.General data comparison: By the end of the study,a total of 117 patients were enrolled,including 60 cases in the intervention group and 57 cases in the control group.There was no statistically significant difference in general information between the two groups(P>0.05).2.SARC-F score comparison: There is no statistically significant difference between the pre-intervention and 3 months of intervention;the score of the intervention group for 6 months is lower than that of the control group,and the difference is statistically significant(P<0.05).The scores of the intervention for 3months and the intervention for 6 months were both higher than that before the intervention.3.Comparison of physical function indicators:(1)BI index: The difference in the intervention group was statistically significant(P<0.05),and the scores of the intervention group increased during the 3months and 6 months of the intervention;(2)TUGT time: The P values of the intervention group were 0.009 and 0.001 at the intervention of 3 months and 6 months,respectively,the difference was statistically significant(P<0.05),and the time spent by TUGT was shortened;(3)FTSST time: The comparison of different time periods in the intervention group was statistically significant(P<0.05);the score of the intervention group decreased first and then remained flat,but the overall score was still lower than before the intervention;(4)Timing balance test time:(1)The time before and after the half-foot closed eyes and the before and after the foot open time: the difference was statistically significant(P<0.05),with the extension of the intervention time,the standing time of the intervention group increased;(2)The front and back feet were closed Eye time:There was no statistical significance in the comparison between the two groups at each time period(P>0.05).4.Comparison of maximum grip strength: The maximum grip strength of both men and women in the control group decreased with time;before the intervention,the maximum grip strength of men and women were significantly lower than that of the intervention for 3 months and 6 months,and the difference was statistically significant(P<0.05).5.Comparison of nutritional status: The nutritional status of the two groups of patients improved during different intervention periods,but the difference was not statistically significant(P>0.05).Conclusions:1.Progressive resistance training combined with nutritional support can improve the ability of daily living in elderly patients with sarcopenia and reduce the risk of sarcopenia.2.Progressive resistance training combined with nutritional support can increase the pace and balance of elderly patients with sarcopenia.3.Progressive resistance training combined with nutritional support can improve the muscle strength of elderly patients with sarcopenia,and reduce the dependence of patients on daily life to a certain extent.4.Progressive resistance training combined with nutritional support failed to significantly improve the nutritional status of elderly patients with sarcopenia.