Aufstehen, Gehen, Tragen: Krafttraining, das den Alltag trainiert

<h4>Background and objective</h4>Resistance training is widely recommended for sarcopenia, yet evidence in older women remains limited. This study systematically evaluated its effects on muscle mass, strength, and physical function in this population.<h4>Methods</h4>PubMed, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials were searched up to February 2025; the protocol was registered in PROSPERO (CRD420251066233). Meta-analyses were performed using the "meta" package in R under a random-effects model with restricted maximum likelihood estimation. Study quality was assessed using RoB 2, and evidence certainty via GRADE.<h4>Results</h4>Twelve randomized controlled trials involving 518 older women with sarcopenia were included. Resistance training significantly improved handgrip strength (SMD = 0.43, 95% CI: 0.11-0.74), gait speed (SMD = 0.37, 95% CI: 0.09 to 0.64), knee extension strength (SMD = 0.85, 95% CI: 0.37 to 1.33), Timed Up and Go (SMD = -0.68, 95% CI: -0.95 to -0.41), and 30-Second Chair Stand (SMD = 0.52, 95% CI: 0.19 to 0.86), but had no significant effect on skeletal muscle mass index. Subgroup analyses showed that women with sarcopenic obesity achieved greater gains in knee extension strength, while those with sarcopenia alone improved more in gait speed. Mixed resistance training demonstrated a significant advantage in enhancing gait speed.<h4>Conclusion</h4>Resistance training effectively enhances muscle strength and physical functi

Sarcopenia in older adults has become a prominent public health challenge that jeopardizes their health and capacity for independent living. Characterized by the decline or loss of muscle mass, strength, and physical function, this condition leads to impaired activities of daily living and diminished quality of life in affected individuals. Conventional exercise interventions yield suboptimal improvements and suffer from low patient adherence. In contrast, functional training, which is designed to align with the daily living scenarios of older adults, can enhance their muscle strength, flexibility, coordination, and other physical capacities, thereby effectively ameliorating multiple physical functions in older adults with sarcopenia. This mini review synthesizes the mechanisms, benefits, and clinical implications of functional training across various physiological and functional systems in older adults with sarcopenia, and explores future research and development directions. It aims to provide a reference for the design and implementation of personalized and long-term intervention studies in this field.