Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial
Sunghwan Ji,1,2,* Ji Yeon Baek,1,* Jin Go,3 Chang Ki Lee,4 Sang Soo Yu,5 Eunju Lee,1 Hee-Won Jung,1 Il-Young Jang1,6 1Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; 2Department of Digita...
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2025-02-01
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| author | Ji S Baek JY Go J Lee CK Yu SS Lee E Jung HW Jang IY |
| author_facet | Ji S Baek JY Go J Lee CK Yu SS Lee E Jung HW Jang IY |
| author_sort | Ji S |
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| description | Sunghwan Ji,1,2,* Ji Yeon Baek,1,* Jin Go,3 Chang Ki Lee,4 Sang Soo Yu,5 Eunju Lee,1 Hee-Won Jung,1 Il-Young Jang1,6 1Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; 2Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea; 3Department of Vascular Surgery, Gohigh Vascular Center, Seoul, Republic of Korea; 4Department of Urology, Goldman Urology Clinic, Seoul, Republic of Korea; 5Department of Plastic Surgery, Hit Plastic Surgery Clinic, Seoul, Republic of Korea; 6PyeongChang Health Center and County Hospital, Pyeongchang-gun, Gangwon, Republic of Korea*These authors contributed equally to this workCorrespondence: Hee-Won Jung; Il-Young Jang, Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea, Tel +82-2-3010-1852 ; +82-2-3010-1658, Email dr.ecsta@gmail.com; onezero2@gmail.comBackground: Functional sarcopenia is characterized by decreased physical performance and grip strength despite preserved muscle mass. The effectiveness of a program combining exercise and nutritional support—known interventions for individuals with low muscle mass—was evaluated for its impact on older adults with functional sarcopenia.Methods: An unblinded, parallel-group randomized controlled trial was conducted in a public medical center in a rural Korean community. Eligible older adults with functional sarcopenia were randomized into either the intervention group, receiving a 12-week program of group exercises and nutritional support, or the control group, receiving education on lifestyle management. Outcomes measured included changes in gait speed, grip strength, physical performance, and quality of life indices.Results: The study enrolled 42 participants, with 21 allocated to each group. Compared with the control group, the intervention group showed significant improvements in the primary outcome of gait speed (mean change (m/s) 0.24 vs 0.00, p< 0.001) and secondary outcomes, such as Short Physical Performance Battery scores, grip strength, and quality of life. No significant adverse events were reported.Conclusion: The 12-week exercise and nutritional intervention significantly enhanced physical performance, grip strength, and quality of life among community-dwelling older adults with functional sarcopenia. This suggests that strategies commonly recommended for sarcopenia, including exercise and nutritional support, are also beneficial for individuals with functional sarcopenia, indicating the potential for broader application of such interventions.Keywords: sarcopenia, frailty, exercise |
| format | Article |
| id | doaj-art-72d855b3e54b433ab2159fdd1052109c |
| institution | OA Journals |
| issn | 1178-1998 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Dove Medical Press |
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| series | Clinical Interventions in Aging |
| spelling | doaj-art-72d855b3e54b433ab2159fdd1052109c2025-08-20T02:13:23ZengDove Medical PressClinical Interventions in Aging1178-19982025-02-01Volume 20161170100319Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled TrialJi SBaek JYGo JLee CKYu SSLee EJung HWJang IYSunghwan Ji,1,2,* Ji Yeon Baek,1,* Jin Go,3 Chang Ki Lee,4 Sang Soo Yu,5 Eunju Lee,1 Hee-Won Jung,1 Il-Young Jang1,6 1Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; 2Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea; 3Department of Vascular Surgery, Gohigh Vascular Center, Seoul, Republic of Korea; 4Department of Urology, Goldman Urology Clinic, Seoul, Republic of Korea; 5Department of Plastic Surgery, Hit Plastic Surgery Clinic, Seoul, Republic of Korea; 6PyeongChang Health Center and County Hospital, Pyeongchang-gun, Gangwon, Republic of Korea*These authors contributed equally to this workCorrespondence: Hee-Won Jung; Il-Young Jang, Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea, Tel +82-2-3010-1852 ; +82-2-3010-1658, Email dr.ecsta@gmail.com; onezero2@gmail.comBackground: Functional sarcopenia is characterized by decreased physical performance and grip strength despite preserved muscle mass. The effectiveness of a program combining exercise and nutritional support—known interventions for individuals with low muscle mass—was evaluated for its impact on older adults with functional sarcopenia.Methods: An unblinded, parallel-group randomized controlled trial was conducted in a public medical center in a rural Korean community. Eligible older adults with functional sarcopenia were randomized into either the intervention group, receiving a 12-week program of group exercises and nutritional support, or the control group, receiving education on lifestyle management. Outcomes measured included changes in gait speed, grip strength, physical performance, and quality of life indices.Results: The study enrolled 42 participants, with 21 allocated to each group. Compared with the control group, the intervention group showed significant improvements in the primary outcome of gait speed (mean change (m/s) 0.24 vs 0.00, p< 0.001) and secondary outcomes, such as Short Physical Performance Battery scores, grip strength, and quality of life. No significant adverse events were reported.Conclusion: The 12-week exercise and nutritional intervention significantly enhanced physical performance, grip strength, and quality of life among community-dwelling older adults with functional sarcopenia. This suggests that strategies commonly recommended for sarcopenia, including exercise and nutritional support, are also beneficial for individuals with functional sarcopenia, indicating the potential for broader application of such interventions.Keywords: sarcopenia, frailty, exercisehttps://www.dovepress.com/effect-of-exercise-and-nutrition-intervention-for-older-adults-with-im-peer-reviewed-fulltext-article-CIAsarcopeniafrailtyexercise |
| spellingShingle | Ji S Baek JY Go J Lee CK Yu SS Lee E Jung HW Jang IY Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial Clinical Interventions in Aging sarcopenia frailty exercise |
| title | Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial |
| title_full | Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial |
| title_fullStr | Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial |
| title_full_unstemmed | Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial |
| title_short | Effect of Exercise and Nutrition Intervention for Older Adults with Impaired Physical Function with Preserved Muscle Mass (Functional Sarcopenia): A Randomized Controlled Trial |
| title_sort | effect of exercise and nutrition intervention for older adults with impaired physical function with preserved muscle mass functional sarcopenia a randomized controlled trial |
| topic | sarcopenia frailty exercise |
| url | https://www.dovepress.com/effect-of-exercise-and-nutrition-intervention-for-older-adults-with-im-peer-reviewed-fulltext-article-CIA |
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