世界中医药2025，Vol.20Issue(18)：3213-3221,9.DOI:10.3969/j.issn.1673-7202.2025.18.005
中医传统运动对肌少症患者肌肉质量、肌肉力量及躯体功能的影响
Effects of Traditional Chinese Exercises on Muscle Mass,Muscle Strength,and Physical Function in Sarcopenia
摘要
Abstract
Objective:To systematically evaluate the effects of traditional Chinese exercises(TCE)on muscle mass,muscle strength,and physical function in elderly patients with primary sarcopenia,providing evidence-based guidance for clinical practice.Methods:A systematic search was conducted for randomized controlled trials published between November 1995 and November 2024 in eight Chinese and English databases,including the China National Knowledge Infrastructure(CNKI),China Science Peri-odical Database(CSPD),Chinese Citation Database(CCD),PubMed,Web of Science,Cochrane Library,EMBASE,and SinoMed.Trials using TCE interventions(e.g.,Tai Chi,Baduanjin,Yijinjing)for elderly patients with primary sarcopenia were included.Me-ta-analysis was performed using RevMan5.4 software.Results:A total of 13 studies involving723 patients were included.Meta-a-nalysis showed that TCE training significantly improved grip strength(MD=1.35,95％CI 0.50 to 2.21,P=0.002),lower limb muscle strength(iliopsoas MD=3.80,95％CI 2.21 to 5.38,P<0.000 01;quadricepsMD=3.59,95％CI1.54 to 5.63,P<0.001;hamstrings MD=1.57,95％CI 0.19 to 2.94,P=0.03;tibialis anteriorMD=2.94,95％CI1.65 to 4.23,P<0.000 01),and physical function[Timed Up and Go Test(TUGT)MD=-3.63,95％CI-3.93 to-3.33,P<0.00001;6-mi-nute walk test(6MWT)MD=0.17,95％CI 0.11 to 0.22,P<0.000 01],and significantly reduced the risk of falls[Modified Falls Efficacy Scale(MFES)MD=11.13,95％CI 10.08 to 12.18,P<0.000 01].Conclusion:TCE training can significantly en-hance muscle strength and improve physical function in elderly patients with primary sarcopenia,but its long-term effects on muscle mass require further verification.This study is limited by the low quality and small sample sizes of the included studies,and further high-quality clinical evidence is needed for validation.关键词
中医传统运动/肌少症/肌肉质量/肌肉力量/躯体功能/八段锦/太极拳/易筋经Key words
Traditional Chinese exercise/Sarcopenia/Muscle mass/Muscle strength/Physical function/Baduanjin/Tai Chi/Yijinjing分类
医药卫生引用本文复制引用
刘治泽,彭啸,杨瑜芪,王晓阳,王尚全,李玲慧..中医传统运动对肌少症患者肌肉质量、肌肉力量及躯体功能的影响[J].世界中医药,2025,20(18):3213-3221,9.基金项目
国家中医药传承创新团队项目(ZYYCXTD-C-202003) （ZYYCXTD-C-202003）
2022年度北京中医药"十四五"重点专科项目(BJZKLC0004) （BJZKLC0004）
中华中医药学会研究与评价课题(CACMRE2020-A-01) （CACMRE2020-A-01）
