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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\u00a0weeks (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\u00a0weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty of 93 approached residents were enrolled and randomized (EGRG;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915, TRTG;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), and 24 completed the study (80% retention). No significant group\u2009\u00d7\u2009time 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%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats: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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s41999-025-01294-w","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T09:39:55Z","timestamp":1757929195000},"page":"697-709","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["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"],"prefix":"10.1007","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7860-8089","authenticated-orcid":false,"given":"Tai Wa","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonny Y. 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