Efficacy of HMB supplementation as an adjunct to resistance training in older adults: a comprehensive meta-analysis.

Background Resistance training has robust evidence for improving muscle health in older adults; however, the additional benefit of adjunctive supplementation with β-hydroxy β-methylbutyrate (HMB) remains unclear. This systematic review and meta-analysis evaluated the effect of HMB supplementation co...

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Publicado en:Age & Ageing Vol. 55; no. 3; pp. 1 - 13
Autores principales: Wang, Ganyu, Jawed, Inshal, Tufail, Mohammad, Sharaf, Mohammad Sarim, Gulzar, Abu Huraira Bin, Ain, Hafiza Qurat Ul, Umair, Muhammad, Kumar, Danaish, Jabeen, Shafaq
Formato: Artículo
Publicado: Oxford University Press / USA Mar2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
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        10.1093/ageing/afag073
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        atl: Efficacy of HMB supplementation as an adjunct to resistance training in older adults: a comprehensive meta-analysis.
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        au:
          Wang, Ganyu
          Jawed, Inshal
          Tufail, Mohammad
          Sharaf, Mohammad Sarim
          Gulzar, Abu Huraira Bin
          Ain, Hafiza Qurat Ul
          Umair, Muhammad
          Kumar, Danaish
          Jabeen, Shafaq
        affil:
          Longdong University - Department of Psychology, Qingyang 745000, Gansu Province, China
          Dow University of Health Sciences - Department of Medicine, Karachi 74200, Sindh, Pakistan
          Sindh Government Hospital Karachi, Karachi 74000, Sindh, Pakistan
          Services Institute of Medical Sciences - Department of Medicine, Services hospital, Shadman 1 Shadman, Lahore, 40050, Lahore 54000, Pakistan
          CMH Multan Institute of Medical Sciences, Multan 60000, Punjab, Pakistan
          Dow University of Health Sciences - Department of Plastic Surgery, Karachi 74200, Sindh, Pakistan
          Karachi Medical and Dental College - Department of Medicine, Karachi 74700, Sindh, Pakistan
      su:
        Old age
        Exercise physiology
        Photon absorptiometry
        Body composition
        3-Hydroxybutyric acid
        Treatment effectiveness
        Meta-analysis
        Descriptive statistics
        Resistance training
        Muscle strength
        Systematic reviews
        MEDLINE
        Medical databases
        Online information services
        Dietary supplements
        Evaluation
      sug:
        subj:
          Old age
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Food (Health) Supplement Stores
          Exercise physiology
          Photon absorptiometry
          Body composition
          3-Hydroxybutyric acid
          Treatment effectiveness
          Meta-analysis
          Descriptive statistics
          Resistance training
          Muscle strength
          Systematic reviews
          MEDLINE
          Medical databases
          Online information services
          Dietary supplements
          Evaluation
      keyword:
        β-Hydroxy β-methylbutyrate
        body composition
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        exercise
        heterogeneity
        HMB supplementation
        https://dx.doi.org/10.1093/ageing/afag073
        inLanguage:en
        muscle mass
        muscle strength
        older adult
        older adults
        older people
        publication bias
        publisher:Oxford University Press
        resistance training
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41934514/
        sarcopenia
        strength training
        systematic review
        β-Hydroxy β-methylbutyrate
        body composition
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        exercise
        heterogeneity
        HMB supplementation
        https://dx.doi.org/10.1093/ageing/afag073
        inLanguage:en
        muscle mass
        muscle strength
        older adult
        older adults
        older people
        publication bias
        publisher:Oxford University Press
        resistance training
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41934514/
        sarcopenia
        strength training
        systematic review
      ab: Background Resistance training has robust evidence for improving muscle health in older adults; however, the additional benefit of adjunctive supplementation with β-hydroxy β-methylbutyrate (HMB) remains unclear. This systematic review and meta-analysis evaluated the effect of HMB supplementation combined with resistance training on body composition and muscle strength in adults aged 50 years and older. Methods Four databases (PubMed, Scopus, Clinicaltrials.gov , and Cochrane) were systematically searched for randomized controlled trials investigating HMB supplementation with resistance training in older adults. The main results examined fat mass, muscle mass, and muscle strength. Meta-analyses were conducted using robust variance estimation with small-sample corrections. The Cochrane RoB 2.0 tool was used to assess the risk of bias. Results A total of 561 participants were involved in 13 RCTs. According to meta-analysis data, supplementing with HMB is not advantageous concerning fat mass (SMD = 0.24, 95% CI: −0.01 to 0.49), muscle mass (SMD = 0.05, 95% CI: −0.10 to 0.20), and muscle strength (SMD = 0.04, 95% CI: −0.72 to 0.63). There was low heterogeneity for body composition outcomes but high heterogeneity for strength measures. No evidence of publication bias was detected. Conclusions The combination of HMB supplementation and resistance training does not improve body composition or muscle strength in adults aged 50 years and older. Based on the available evidence, HMB supplementation cannot be recommended as a routine adjunct to resistance training in individuals who are able to undertake structured exercise.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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