Volume 23 Issue 7
Jul.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(7): 1167-1170
YU Su, REN Longbing, SUN Yange, DING Qian, LI Jing, XIN Xiaoyi. Effectiveness of exercise prescription combined with personalized nutrition intervention for community-dwelling older adults with sarcopenia[J]. Chinese Journal of General Practice, 2025, 23(7): 1167-1170. doi: 10.16766/j.cnki.issn.1674-4152.004089
Citation: YU Su, REN Longbing, SUN Yange, DING Qian, LI Jing, XIN Xiaoyi. Effectiveness of exercise prescription combined with personalized nutrition intervention for community-dwelling older adults with sarcopenia[J]. Chinese Journal of General Practice, 2025, 23(7): 1167-1170. doi: 10.16766/j.cnki.issn.1674-4152.004089
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Effectiveness of exercise prescription combined with personalized nutrition intervention for community-dwelling older adults with sarcopenia

doi: 10.16766/j.cnki.issn.1674-4152.004089
  • 1.

    Yuetan Community Health Center, Fuxing Hospital of Capital Medical University, Beijing 100045, China

Funds:

 72404010

 首发2022-3-70211

  • Received Date: 2024-12-18
    Available Online: 2025-10-25
    Abstract
  •   Objective  Sarcopenia severely affects the health of the elderly. To explore intervention approaches and evaluate the effectiveness of interventions for sarcopenia in community-dwelling older adults, as well as to enhance the capacity of primary care in specialized disease management, this study implemented a 26-week exercise prescription combined with personalized nutrition intervention for elderly patients with sarcopenia through a community-based specialized outpatient clinic, aiming to assess its intervention effects.  Methods  Participants were consecutively recruited from the Osteoporosis Specialty Clinic of Yuetan Community Health Service Center (affiliated with Capital Medical University Fuxing Hospital) between October 2022 and November 2023. A total of 60 sarcopenia patients who met the inclusion and exclusion criteria were enrolled and randomly assigned in a 1∶1 ratio to either the intervention group (n=30) or the control group (n=30) using a coin toss method. The intervention group included nutrition assessment and personalized nutrition intervention combined with no less than 90 minutes of resistance and aerobic exercise per week. The control group was routine outpatient health education. Questionnaires and physical examinations were used to collect sarcopenia-related indicators and nutritional evaluation data before and after intervention.  Results  There was no statistically significant difference in various indicators between the two groups before intervention. After 26 weeks of intervention, the intervention group showed significantly better sarcopenia-related indicators compared to the control group (all P < 0.05). Specifically, the intervention group had a higher mean handgrip strength [(21.62±6.04) kg vs. (18.45±5.17) kg], faster performance in the five-time sit-to-stand test [(11.27±3.19) s vs. (16.39±5.67) s], and higher scores on the short physical performance battery [(10.43±2.60) points vs. (7.13±2.76) points]. There was no statistically significant difference in muscle mass and 6-meter walking speed between the two groups. Additionally, the intervention group demonstrated significantly lower rates of SARC-Calf screening positivity, frailty, and malnutrition, along with higher health literacy levels related to sarcopenia compared to the control group post-intervention (P < 0.05).  Conclusion  Exercise prescription combined with individualized nutrition intervention based on community clinics can effectively improve grip strength, body function, daily living ability, and quality of life of elderly patients with sarcopenia.

     

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