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Effects of the Proprioceptive Neuromuscular Facilitation Patterns Exercise and Protein Intake on Balance, Gait, and Lower Extremity Muscular Strength for Sarcopenia in the Elderly

고유수용성신경근촉진법 패턴 운동과 단백질 섭취가 근감소증 노인의 균형과 보행 및 다리 근력에 미치는 영향

  • Park, Jae-Cheol (Department of Physical Therapy, Chunnam Techno University) ;
  • Lee, Dong-Kyu (Department of Physical Therapy, Chunnam Techno University)
  • 박재철 (전남과학대학교 물리치료과) ;
  • 이동규 (전남과학대학교 물리치료과)
  • Received : 2021.08.04
  • Accepted : 2021.09.16
  • Published : 2021.12.31

Abstract

Purpose: The study examined the effects of the proprioceptive neuromuscular facilitation pattern exercise and protein intake on balance, gait ability, and lower extremity muscular strength for sarcopenia in the elderly. Methods: A total of 30 elderly people (65~74years) with sarcopenia were recruited and randomized to Group I (n=10), Group II (n=10), and Group III (n=10). Their balance ability was measured using the functional reach test. Group I performed the proprioceptive neuromuscular facilitation pattern exercise and protein intake. Group II performed the proprioceptive neuromuscular facilitation pattern exercise. Group III performed protein intake. Their gait ability was measured using the Timed Up and Go test. Lower extremity muscular strength was measured using the Five Times Sit to Stand test. Results: As a result of comparison within groups, Group I and Group II showed a significant difference in balance, gait, and lower extremity muscular strength after the experiment (p<0.05), and Group I showed a more effectively significant difference than either Group II or Group III in balance, gait, and lower extremity muscular strength before and after the experiment (p<0.05). Conclusion: This study showed that the proprioceptive neuromuscular facilitation patterns exercise and protein intake was effective in balance, gait ability, and lower extremity muscular strength for sarcopenia in the elderly.

Keywords

References

  1. Abiri B, Vafa M. Nutrition and sarcopenia: a review of the evidence of nutritional influences. Critical Reviews in Food Science and Nutrition. 2019;59(9):1456-1466. https://doi.org/10.1080/10408398.2017.1412940
  2. Andersen LL, Magnusson SP, Nielsen M, et al. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Physical Therapy. 2006;86(5):683-697. https://doi.org/10.1093/ptj/86.5.683
  3. Cao L, Morley JE. Sarcopenia is recognized as an independent condition by an international classification of disease, tenth revision, clinical modification (ICD-10-CM) code. Journal of the American Medical Directors Association. 2016;17(8):675-677. https://doi.org/10.1016/j.jamda.2016.06.001
  4. Chen LK, Liu LK, Woo J, et al. Sarcopenia in Asia: consensus report of the Asian working group for Sarcopenia. Journal of the American Medical Directors Association. 2014;15(2):95-101. https://doi.org/10.1016/j.jamda.2013.11.025
  5. Chun SW, Shin SK. Changes in 16 weeks type and frequency of low intensity exercise on senior fitness test in sarcopenic obesity elderly women. The Korean Journal of Growth and Development. 2019;27(1): 35-41. https://doi.org/10.34284/kjgd.2019.02.27.1.35
  6. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis: report of the european working group on sarcopenia in older people. Age and Ageing. 2010;39(4):412-423. https://doi.org/10.1093/ageing/afq034
  7. Doherty TJ. Invited review: aging and sarcopenia. Journal of Applied Physiology. 2003;95(4):1717-1727. https://doi.org/10.1152/japplphysiol.00347.2003
  8. Faure A, Fischer K, Dawson-Hughes B, et al. Gender-specific association between dietary acid load and total lean body mass and its dependency on protein intake in seniors. Osteoporosis International. 2017;28(12): 3451-3462. https://doi.org/10.1007/s00198-017-4220-z
  9. Gregorio L, Brindisi J, Kleppinger A, et al. Adequate dietary protein is associated with better physical performance among post-menopausal women 60-90 years. The Journal of Nutrition, Health & Aging. 2014;18(2): 155-160. https://doi.org/10.1007/s12603-013-0391-2
  10. Gu MO, Jeon MY, Eun Y. The development & effect of an tailored falls prevention exercise for older adults. Journal of Korean Academy of Nursing. 2006;36(2): 341-352. https://doi.org/10.4040/jkan.2006.36.2.341
  11. Herron KL, Fernandez ML. Are the current dietary guidelines regarding egg consumption appropriate? The Journal of Nutrition. 2004;134(1):187-190. https://doi.org/10.1093/jn/134.1.187
  12. Huang SW, Ku JW, Lin LF, et al. Body composition influenced by progressive elastic band resistance exercise of sarcopenic obesity elderly women: a pilot randomized controlled trial. European Journal of Physical and Rehabilitation Medicine. 2017;53(4):556-563.
  13. Janssen I, Heymsfield SB, Baumgartner RN, et al. Estimation of skeletal muscle mass by bioelectrical impedance analysis. Journal of Applied Physiology. 2000;89(2): 465-471. https://doi.org/10.1152/jappl.2000.89.2.465
  14. Jette DU, Latham NK, Smout RJ, et al. Physical therapy interventions for patients with stroke in inpatient rehabilitation facilities. Physical Therapy. 2005;85(3): 238-248. https://doi.org/10.1093/ptj/85.3.238
  15. Jung DH, Kim JH. Relationships among muscle mass and obesity, metabolic syndrome, physical activity, and nutrient intake in elderly women:-based on the 4th-5th (2008-2011) korean national health and nutrition examination survey (KNHANES). The Korean Journal of Community Living Science. 2018;29(4): 468-483.
  16. Kataya Y, Murakami K, Kobayashi S, et al. Higher dietary acid load is associated with a higher prevalence of frailty, particularly slowness/weakness and low physical activity, in elderly Japanese women. European Journal of Nutrition. 2018;57(4):1639-1650. https://doi.org/10.1007/s00394-017-1449-4
  17. Kim HG. The effect of proprioceptive exercise program on balance performance in hemiplegic patients. PNF and Movement. 2013;11(1):7-16.
  18. Kim JH. Kinetic analysis of t he foot and ankle. PNF and Movement. 2008;6(3):29-35.
  19. Kofotolis N, Verbas I, Kalogeropoulou E, et al. Proprioceptive neuromuscular facilitation versus isokinetic training for strength endurance and jumping performance. Journal of Human Studies. 2002;42:155-65.
  20. Kofotolis ND, Kellis E. Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature. Physical Therapy in Sport. 2007;8(3):109-116. https://doi.org/10.1016/j.ptsp.2007.02.004
  21. Lee HJ, Kim AJ. A meta-analysis on the effect size of physical ctivity nutrition and health education-related intervention for sarcopenia in the elderly. Korean Journal of Gerontological Social Welfare. 2020;75(1):65-97. https://doi.org/10.21194/kjgsw.75.1.202003.65
  22. lee YH, Cho YH. The effects of trunk stability exercise using stabilizing reversal and rhythmic stabilization techniques of PNF on trunk strength and respiratory ability in the elderly after stroke. PNF and Movement. 2021;19(1):105-113. https://doi.org/10.21598/JKPNFA.2021.19.1.105
  23. Lemieux F, Filion M, Barbat-Artigas S, et al. Relationship between different protein intake recommendations with muscle mass and muscle strength. Climacteric. 2014;17(3):294-300. https://doi.org/10.3109/13697137.2013.829440
  24. Li Y, Schoufour J, Wang DD, et al. Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ. 2020;1(8):368:16669.
  25. Lord SR, Castell S, Corcoran J , et al. The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: a randomized, controlled trial. Journal of the American Geriatrics Society. 2003;51(12):1685-1692. https://doi.org/10.1046/j.1532-5415.2003.51551.x
  26. McNamara DJ. Effects of fat-modified diets on cholesterol and lipoprotein metabolism. Annual Review of Nutrition. 1987;7(1):273-290. https://doi.org/10.1146/annurev.nu.07.070187.001421
  27. McNamara DJ. The fifty year rehabilitation of the egg. Nutrients. 2015;7(10):8716-8722. https://doi.org/10.3390/nu7105429
  28. Mitchell D, Haan MN, Steinberg FM, et al. Body composition in the elderly: the influence of nutritional factors and physical activity. The journal of nutrition, health & aging. 2003;7(3):130-139.
  29. Moller L, Dalman L, Norrelund H, et al. Impact of fasting on growth hormone signaling and action in muscle and fat. The Journal of Clinical Endocrinology & Metabolism. 2009;94(3):965-972. https://doi.org/10.1210/jc.2008-1385
  30. Mora JC, Valencia WM. Exercise and older adults. Clinics in Geriatric Medicine. 2018;34(1):145-162. https://doi.org/10.1016/j.cger.2017.08.007
  31. Morley J. Sarcopenia: diagnosis and treatment. The Journal of Nutrition Health and Aging. 2008;12(7):452-456. https://doi.org/10.1007/BF02982705
  32. Morley JE, Baumgartner RN, Roubenoff R, et al. Sarcopenia. Journal of Laboratory and Clinical Medicine. 2001;137(4):231-243. https://doi.org/10.1067/mlc.2001.113504
  33. Nabuco HC, Tomeleri CM, Sugihara Junior P, et al. Effects of whey protein supplementation pre-or post-resistance training on muscle mass, muscular strength, and functional capacity in pre-conditioned older women: a randomized clinical trial. Nutrients. 2018;10(5):563. https://doi.org/10.3390/nu10050563
  34. Naito T, Mitsunaga S, Miura S, et al. Feasibility of early multimodal interventions for elderly patients with advanced pancreatic and non-small-cell lung cancer. Journal of Cachexia, Sarcopenia and Muscle. 2019;10(1):73-83. https://doi.org/10.1002/jcsm.12351
  35. Nitz JC, Choy NL. The efficacy of a specific balance-strategy training programme for preventing falls among older people: a pilot randomised controlled trial. Age and Ageing. 2004;33(1):52-58. https://doi.org/10.1093/ageing/afh029
  36. Park EY, Lee JH. The effect of complex exercise program for prevention of falls on fitness in elderly. Exercise Science. 2005;14(2):181-192.
  37. Park JY, Song YJ. Effects of 15-week complex exercise program of sarcopenia elderly women on body composition, IGF-1 and hip muscle strength. The Korean Journal of Sport. 2020a;18(2):621-633. https://doi.org/10.46669/kss.2020.18.2.056
  38. Park J, Song MS. The effects of pressure biofeedback units in lower-limb PNF pattern training on the strength and walking ability of stroke patients. PNF and Movement. 2020b;18(1):55-64.
  39. Reidy PT, Walker DK, Dickinson JM, et al. Protein blend ingestion following resistance exercise promotes human muscle protein synthesis. The Journal of Nutrition. 2013;143(4):410-416. https://doi.org/10.3945/jn.112.168021
  40. Robinson SM, Reginster JY, Rizzoli R, et al. Does nutrition play a role in the prevention and management of sarcopenia? Clinical Nutrition. 2018;37(4): 1121-1132. https://doi.org/10.1016/j.clnu.2017.08.016
  41. Sawicka AK, Hartmane D, Lipinska P, et al. l-Carnitine supplementation in older women. A pilot study on aging skeletal muscle mass and function. Nutrients. 2018;10(2):255. https://doi.org/10.3390/nu10020255
  42. Seo Sk, Lee TK, Yoon YM. Prediction of drug side effects based on drug-related information. Journal of Korean Institute of Information Technology. 2019;17(12): 21-28. https://doi.org/10.14801/jkiit.2019.17.12.21
  43. So YS. The effect of combined exercise on body composition, functional fitness and muscle protein synthesis related hormone in sarcopenic obesity elderly women. Journal of the Korea Convergence Society. 2016;7(3):185-193. https://doi.org/10.15207/JKCS.2016.7.3.185
  44. Song WO, Kerver JM. Nutritional contribution of eggs to American diets. Journal of the American College of Nutrition. 2000;19(sup5):556S-562S. https://doi.org/10.1080/07315724.2000.10718980
  45. Volkert D. The role of nutrition in the prevention of sarcopenia. Wiener Medizinische Wochenschrift. 2011;161(17): 409-415. https://doi.org/10.1007/s10354-011-0910-x
  46. Woo SK. Association of bone mineral density and sarcopenia component with balance confidence in elderly. The Korean Journal of Sport. 2019;17(1):377-385.
  47. Yang JI, Lee WH, Kang KS, et al. The Effect of the fall prevention exercise program focussed on strengthening of the lower extremity muscles on the change of physical function and muscle architecture of the elderly. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(3):1904-1919. https://doi.org/10.5762/KAIS.2015.16.3.1904
  48. Zhu LY, Chan R, Kwok T, et al. Effects of exercise and nutrition supplementation in community-dwelling older chinese people with sarcopenia: a randomized controlled trial. Age and Ageing. 2019;48(2):220-228. https://doi.org/10.1093/ageing/afy179