Elastic Band Training Improves Adiposity and Physical Performance in Adults with Prader-Willi Syndrome: A Pilot Study

普瑞德威利氏症候群成人患者彈力帶訓練對於肥胖症及身體功能表現之改善研究：前導性研究

邱佳儀(Valeria Chiu) ； 周聖勛(Sheng-Hsun Chou) ； 吳欣治(Hsin-Chi Wu) ； 曾奕翔(I-Shiang Tzeng) ； 趙哲毅(Che-Yi Chao) ； 黃珮榕(Pei-Jung Huang) ； 蔡立平(Li-Ping Tsai)

《台灣復健醫學雜誌》 47卷2期 (2019/12) Pp. 133-143

https://doi.org/10.6315/TJPMR.201912_47(2).0007

摘要

OBJECTIVE: The aim of this study was to investigate the changes in the regional fat distribution of body composition and the physical performance of adults with Prader-Willi syndrome (PWS) after progressive elastic band (EB) training. METHODS: Participants were trained three times per week, performing three sets of 15-20 repetitions for each of the exercises with EB for 24 weeks. Changes in body composition were measured using dual-energy X-ray absorptiometry. Physical performance was assessed by determination of hand grip strength, the timed up-and-go test, the 30-second chair stand test, the 2-minute step test, and the Berg Balance Scale. RESULTS: Six participants were enrolled in this pilot study. Following 24 weeks of progressive EB resistance exercise training, significant reductions were observed in body weight (p = 0.028), body mass index (BMI) (p = 0.043) and regional extremity fat mass and percentage (p ＜ 0.05). Regarding physical performance, significant improvements were observed after 8 weeks of training in the timed up-and-go test (p = 0.027), the 30-second chair stand test (p = 0.028), and the 2-minute step test (p = 0.028). Balance function improved after 16 weeks of training (p = 0.027). CONCLUSION: Progressive EB training for 24 weeks could provide an additional simple and safe training, with improvements in body weight, BMI, regional fat mass and physical performance observed in individuals with PWS.

關鍵字

body composition ； exercise ； Prader-Willi syndrome

並列摘要

本研究目的為調查與分析普瑞德威利氏症候群成人患者彈力帶運動訓練後之身體組成、肌力、肌耐力與平衡等動作表現的變化。受試者執行一週三次，每組15-20下，一次做三組的彈力帶訓練，總共訓練24週。利用雙能量X光吸收儀分析身體組成的變化。身體功能表現的測試包括：握力、坐站起走測試、30秒坐站測試、二分鐘登階測驗、以及柏格氏平衡量表。研究共收取了6位普瑞德威利氏症候群成人患者。經過24週的彈力帶漸進式訓練後，結果顯示體重（p = 0.028）、身高體重指數（BMI，p = 0.043）、及局部肢體脂肪量及比率（p ＜ 0.05）皆有顯著改善。至於身體功能的表現，經過8週的訓練，坐站起走測試（p = 0.027）、30秒坐站測試（p = 0.028）、以及二分鐘登階測驗（p = 0.028）皆有顯著進步。平衡功能則於訓練16週後才達顯著改善（p = 0.027）。經過24週的漸進式彈力帶訓練可提供普瑞德威利氏症候群成人患者另一種簡單又安全的訓練方法，初步顯示可改善身體脂肪量以及身體功能的表現。

並列關鍵字

身體組成（body composition） ； 運動（exercise） ； 普瑞德威利氏症候群（Prader-Willi syndrome）

參考文獻

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