Med Bull Sisli Etfal Hosp. 2024; 58(1): 68-74 | DOI: 10.14744/SEMB.2024.56898

The Impact of Combination of Aerobic and Resistive Exercise on Activities of Daily Living and Risk of Fall in Osteosarcopenic Patients

Selda Ciftci Inceoglu¹, Aylin Ayyildiz², Tulay Sahin¹, Figen Yilmaz¹, Kudret Keskin³, Banu Dede¹, Fatma Cici¹, Banu Kuran^1
1Department of Physical Medicine and Rehabilitation, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye
²Department of Physical Medicine and Rehabilitation, Avcilar Murat Koluk State Hospital, Istanbul, Türkiye
³Department of Cardiology, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye

Objectives: It is aimed to explain the impact of the combination of aerobic and resistive exercise on activities of daily living and the risk of falls in osteosarcopenic patients.
Methods: Female and male patients over 70 years of age followed up from the osteoporosis outpatient clinic were screened. Appropriate patients were evaluated for sarcopenia gait speed, grip strength and skeletal muscle mass. Patients with sarcopenia who did not have the exclusion criteria were included in the 3-month aerobic and resistive exercise program. Changes in skeletal muscle mass measurements, physical performance and balance tests were evaluated at 1 month and 3 months.
Results: Sarcopenia was screened in 91 patients with osteoporosis and osteopenia. Sarcopenia was detected in 27 patients and 23 completed the 3-month study. The mean age of the patients was 78.4±5.7 years and the number of female patients was 16 (69.6%). There was no significant change in skeletal muscle mass measurements and Katz Activities of Daily Living Scale performed at 1 and 3 months (p>0.05). Short Physical Performance Battery (SPPB), Timed Up and Go Test (TUGT) and Berg Balance Test (BBT) were found to improve significantly in the first month, and it continued to develop in the third month (p<0.05).
Conclusion: Although the combination of aerobic and resistive exercise in osteosarcopenic patients did not lead to a significant increase in skeletal muscle mass, It has a significant effect on physical performance and balance. It can be foreseen that this will increase the independence of the person while reducing the risk of falling.

Keywords: Aerobic exercise, balance, falling, osteosarcopenia, physical performance, resistive exercise

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Osteosarkopenik Hastalarda Aerobik ve Dirençli Egzersiz Kombinasyonunun Günlük Yaþam Aktiviteleri ve Düþme Riski Üzerine Etkisi

Selda Ciftci Inceoglu¹, Aylin Ayyildiz², Tulay Sahin¹, Figen Yilmaz¹, Kudret Keskin³, Banu Dede¹, Fatma Cici¹, Banu Kuran^1
1Türkiye Saðlýk Bilimleri Üniversitesi, Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Fiziksel Týp ve Rehabilitasyon Kliniði, Ýstanbul
²Avcýlar Murat Koluk Devlet Hastanesi, Fiziksel Týp ve Rehabilitasyon Kliniði, Ýstanbul
³Türkiye Saðlýk Bilimleri Üniversitesi, Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Kardiyoloji Kliniði, Ýstanbul

Giriþ: Osteosarkopenik hastalarda aerobik ve dirençli egzersiz kombinasyonunun günlük yaþam aktivitelerive düþme riski üzerine etkisinin deðerlendirilmesi amaçlanmaktadýr.
Yöntemler: Osteoporoz polikliniðinden takip edilen 70 yaþ üstü kadýn ve erkek hastalarda sarkopeni tarandý. Uygun hastalarda sarkopeni; yürüme hýzý, kavrama kuvveti ve iskelet kas kütlesi ile deðerlendirildi. Dýþlama kriterlerini karþýlamayan sarkopeni hastalarý 3 aylýk aerobik ve dirençli egzersiz programýna dahil edildi. 1. ve 3. aylarda iskelet kas kitlesi ölçümleri, fiziksel performans ve denge testlerindeki deðiþiklikler deðerlendirildi.
Bulgular: Osteoporoz ve osteopenisi olan 91 hastada sarkopeni tarandý. 27 hastada sarkopeni tespit edildi ve 23 hasta 3 aylýk çalýþmayý tamamladý. Hastalarýn ortalama yaþý 78,4± 5,7 yýl olup, kadýn hasta sayýsý 16 (%69,6) idi. Ýskelet kas kütlesi ölçümlerinde ve 1. ve 3. ayda yapýlan Katz Günlük Yaþam Aktiviteleri (GYA) Skalasý'nda anlamlý deðiþiklik saptanmadý (p>0.05). Kýsa Fiziksel Performans Bataryasý, Zamanlý Kalk ve Yürü Testi ve Berg Balans Testi’nin ilk ayda anlamlý düzeyde düzeldiði, üçüncü ayda da geliþiminin devam ettiði görüldü (p<0,05).
Sonuç: Osteosarkopenik hastalarda aerobik ve dirençli egzersiz kombinasyonu, iskelet kas kütlesinde anlamlý bir artýþa yol açmasa da, fiziksel performans ve denge üzerinde anlamlý bir etkiye sahiptir. Bunun kiþinin baðýmsýzlýðýný arttýrýrken düþme riskini de azaltacaðý öngörülebilir. (SETB-2023-09-175)

Anahtar Kelimeler: Aerobik egzersiz, denge, düþme, osteosarkopeni, fiziksel performans, dirençli egzersiz

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