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Purpose <p>To compare exergaming with a resistance component and traditional resistance training in terms of feasibility and the preliminary effects on sarcopenia, cognition, functional mobility, and frailty among pre-frail and frail nursing home residents.</p> Methods <p>A two-arm pilot randomized controlled trial was conducted in three nursing homes. Thirty residents who met the criteria for pre-frailty or frailty and had low handgrip strength were randomized to participate in either exergaming with resistance (EGRG) or traditional resistance training (TRTG) for 12&#xa0;weeks (twice-weekly, 40-min sessions). The primary outcomes included sarcopenia-related parameters (e.g., muscle mass, strength, lower extremity function, SARC-CalF). The secondary outcomes were cognition (HK-MoCA), functional mobility (TUG), and frailty (CFS-C). Assessments were performed at baseline and 6, 12, 16, and 24&#xa0;weeks.</p> Results <p>Thirty of 93 approached residents were enrolled and randomized (EGRG; <i>n</i> = 15, TRTG; <i>n</i> = 15), and 24 completed the study (80% retention). No significant group × time interaction was found for any outcome. Both groups showed significant improvements in handgrip strength, knee flexor/extensor strength, and the SPPB, TUG, and HK-MoCA scores from post-intervention to the 3-month follow-up. No significant changes were observed in the muscle mass, SARC-CalF, or CFS-C scores. Adherence was higher in the EGRG group (77.7%) than in the TRTG group (60.1%).</p> Conclusion <p>Exergaming with a resistance component is feasible for pre-frail and frail nursing home residents and yields comparable improvements in muscle strength, physical function, and cognition to those achieved with traditional resistance training.</p>

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Effects of exergaming with a resistance component versus traditional resistance training on sarcopenia in pre-frail and frail nursing home residents: a pilot randomized controlled trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月11日

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  • Tai Wa Liu,
  • Bonny Y. M. Wong,
  • Timothy T. T. Yam,
  • William W. N. Tsang,
  • Gary Tse,
  • Queenie C. M. Kwan,
  • Kevin Hung,
  • John K. T. Chui,
  • H. C. Wu,
  • C. P. Leung,
  • Janet Y. H. Wong

摘要

Purpose

To compare exergaming with a resistance component and traditional resistance training in terms of feasibility and the preliminary effects on sarcopenia, cognition, functional mobility, and frailty among pre-frail and frail nursing home residents.

Methods

A two-arm pilot randomized controlled trial was conducted in three nursing homes. Thirty residents who met the criteria for pre-frailty or frailty and had low handgrip strength were randomized to participate in either exergaming with resistance (EGRG) or traditional resistance training (TRTG) for 12 weeks (twice-weekly, 40-min sessions). The primary outcomes included sarcopenia-related parameters (e.g., muscle mass, strength, lower extremity function, SARC-CalF). The secondary outcomes were cognition (HK-MoCA), functional mobility (TUG), and frailty (CFS-C). Assessments were performed at baseline and 6, 12, 16, and 24 weeks.

Results

Thirty of 93 approached residents were enrolled and randomized (EGRG; n = 15, TRTG; n = 15), and 24 completed the study (80% retention). No significant group × time interaction was found for any outcome. Both groups showed significant improvements in handgrip strength, knee flexor/extensor strength, and the SPPB, TUG, and HK-MoCA scores from post-intervention to the 3-month follow-up. No significant changes were observed in the muscle mass, SARC-CalF, or CFS-C scores. Adherence was higher in the EGRG group (77.7%) than in the TRTG group (60.1%).

Conclusion

Exergaming with a resistance component is feasible for pre-frail and frail nursing home residents and yields comparable improvements in muscle strength, physical function, and cognition to those achieved with traditional resistance training.