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Marques ACF, Rossi FE, Neves LM, Diniz TA, Messias IDA, Barela JA, Horak FB, Júnior IFF. Combined Aerobic and Strength Training Improves Dynamic Stability and can Prevent against Static Stability Decline in Postmenopausal Women: A Randomized Clinical Trial. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2023; 45:e465-e473. [PMID: 37683658 PMCID: PMC10491475 DOI: 10.1055/s-0043-1772178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 03/07/2023] [Indexed: 09/10/2023] Open
Abstract
OBJECTIVE To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women. METHODS A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 ± 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform - Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators. RESULTS The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002). CONCLUSION In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.
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Affiliation(s)
| | - Fabrício Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Universidade Federal do Piauí, Teresina, PI, Brazil
| | - Lucas Melo Neves
- Universidade Santo Amaro, São Paulo, SP, Brazil
- Department of Psychiatry, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Iracimara de Anchieta Messias
- Faculty of Science and Technology, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Presidente Prudente, SP, Brazil
| | - José A. Barela
- Department of Physical Education, Instituto de Biociências, Rio Claro, SP, Brazil
| | - Fay B. Horak
- Department of Neurology, Oregon Health & Science University, Portland, OR, United States
| | - Ismael Forte Freitas Júnior
- Faculty of Science and Technology, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Presidente Prudente, SP, Brazil
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Rezende Barbosa MPC, Vanderlei LCM, Neves LM, Takahashi C, Torquato PRS, Silva AKF, Freitas Júnior IF, Sorpreso ICE, Abreu LC, Pérez‐Riera AR. Functional training in postmenopause: Cardiac autonomic modulation and cardiorespiratory parameters, a randomized trial. Geriatr Gerontol Int 2019; 19:823-828. [DOI: 10.1111/ggi.13690] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Revised: 04/01/2019] [Accepted: 04/19/2019] [Indexed: 11/27/2022]
Affiliation(s)
| | - Luiz CM Vanderlei
- Physiotherapy Department, São Paulo State University (UNESP)School of Technology and Sciences, Presidente Prudente São Paulo Brazil
| | | | - Carolina Takahashi
- Physiotherapy Department, São Paulo State University (UNESP)School of Technology and Sciences, Presidente Prudente São Paulo Brazil
| | - Paula RS Torquato
- Physiotherapy Department, São Paulo State University (UNESP)School of Technology and Sciences, Presidente Prudente São Paulo Brazil
| | - Anne KF Silva
- Physiotherapy Department, São Paulo State University (UNESP)School of Technology and Sciences, Presidente Prudente São Paulo Brazil
| | - Ismael F Freitas Júnior
- Physical Education Department, São Paulo State University (UNESP)School of Technology and Sciences, Presidente Prudente São Paulo Brazil
| | - Isabel CE Sorpreso
- Medicine Faculty, Obstetrics and Gynecology DepartmentUniversity of São Paulo (USP) São Paulo Brazil
| | - Luiz C Abreu
- ABC Medical School (FMABC) Santo André, São Paulo Brazil
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Diniz TA, Rossi FE, Fortaleza ACS, Neves LM, Christofaro DGD, Buonani C, Lira FS, Campos EZ, Prado WLD, Freitas IF. Changes in HDL-c concentrations after 16 weeks of combined training in postmenopausal women: characteristics of positive and negative responders. Appl Physiol Nutr Metab 2017; 43:38-44. [PMID: 28841397 DOI: 10.1139/apnm-2017-0294] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study aimed to investigate the individual characteristics of body composition and metabolic profile that could explain interindividual variation in high-density lipoprotein cholesterol (HDL-c) concentrations in response to 16 weeks of combined strength plus aerobic (combined) training in postmenopausal women. The participants were divided into tertiles based on percentage of changes in HDL-c concentrations after combined training. Only women in the upper tertile (positive responders: Δ > 10.4%; n = 19) and lower tertile (negative responders: Δ < -1.4%; n = 19) were considered for analyses. The total body fat (BF), trunk fat (TF), android fat (AF), gynoid fat, and lean body mass were estimated by dual-energy X-ray absorptiometry. The metabolic profile - glucose, triacylglycerol, total cholesterol, HDL-c, low-density lipoprotein cholesterol, and very-low-density lipoprotein (VLDL) - were assessed. After 16 weeks, both positive and negative responders presented similar improvement in body composition, such as a decrease in percentage and kilograms of BF, TF, and AF, and increase in lean body mass (p value for time < 0.05). As expected, there was an effect of time and also a significant interaction (time vs. group) (p value < 0.001) in the improvement of HDL-c, with higher values for positive responders. Regarding metabolic profile, there were significant interactions (time vs. group) for triacylglycerol (p value = 0.032) and VLDL (p value = 0.027) concentrations, with lower values for positive responders. Our results suggests there is heterogeneity in combined training-induced HDL-c changes in postmenopausal women, and the positive responders were those who presented more pronounced decreases in triacylglycerol and VLDL concentrations.
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Affiliation(s)
- Tiego A Diniz
- a Department of Cell and Developmental Biology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Fabricio E Rossi
- b Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil.,c Exercise and Immunometabolism Research Group, Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Ana Claudia Souza Fortaleza
- b Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Lucas Melo Neves
- b Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- b Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Camila Buonani
- b Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Fabio S Lira
- c Exercise and Immunometabolism Research Group, Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Eduardo Zapaterra Campos
- c Exercise and Immunometabolism Research Group, Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
| | - Wagner Luiz do Prado
- d Department of Human Movement Science, Federal University of São Paulo, Santos, SP, Brazil
| | - Ismael Forte Freitas
- b Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, SP, 19060-900, Brazil
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Diniz TA, Rossi FE, Buonani C, Mota J, Forte Freitas-Junior I. EXERCÍCIO FÍSICO COMO TRATAMENTO NÃO FARMACOLÓGICO PARA A MELHORA DA SAÚDE PÓS-MENOPAUSA. REV BRAS MED ESPORTE 2017. [DOI: 10.1590/1517-869220172304156418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O período da pós-menopausa é caracterizado por 12 meses consecutivos de amenorreia. Além de afetar o sistema reprodutivo e a produção de hormônios sexuais, principalmente o estrógeno, essas mulheres apresentam aumento da gordura corporal total, principalmente na região central, o que está relacionado com o desenvolvimento de diversas doenças crônicas, como dislipidemia, aterosclerose e resistência à insulina. Dessa forma, diferentes programas de exercício físico, aeróbico, resistido ou combinado (aeróbico e resistido em uma mesma sessão) podem ser uma forma interessante de tratamento não farmacológico para a prevenção e melhora dos desfechos. Entretanto, as adaptações promovidas pelos diferentes programas de exercício sobre a composição corporal, perfil lipídico e glicêmico não estão claras na literatura e precisam ser elucidadas. Assim sendo, esta revisão tem como objetivo discutir as diferentes adaptações do treinamento aeróbico, resistido e combinado na composição corporal, perfil lipídico e glicêmico de mulheres na pós-menopausa.
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The beneficial effects of aerobic and concurrent training on metabolic profile and body composition after detraining: a 1-year follow-up in postmenopausal women. Eur J Clin Nutr 2017; 71:638-645. [PMID: 28120855 DOI: 10.1038/ejcn.2016.263] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Revised: 09/21/2016] [Accepted: 10/14/2016] [Indexed: 01/20/2023]
Abstract
BACKGROUND/OBJECTIVES Aerobic and concurrent training (CT, aerobic and strength training) improves body composition and metabolic profile; however, it is not known whether these positive outcomes acquired after aerobic or CT are maintained long term (⩾6 months) after program interruption in postmenopausal women. This study investigated the changes in total and appendicular body composition, bone mineral density and metabolic profile following 16 weeks of aerobic or CT, and through 6 months and 1 year of detraining in postmenopausal women. SUBJECTS/METHODS In total, 60 postmenopausal women were divided into the following groups: aerobic (AT), aerobic plus strength training (CT) and control group (CG), and 31 participants were assessed for the 1 year follow-up. Body composition and bone mineral density were evaluated by dual-energy X-ray absorptiometry (DXA), and total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triacylglycerol, glucose, insulin, leptin, adiponectin and plasminogen activator inhibitor-1 (PAI-1) were assessed. RESULTS There were main effects of time for arm fat mass, arm lean mass and trunk lean mass (P<0.05). There was a statistical difference between AT and CG for leg fat mass and percentage of fat (P<0.05). After 6 months of detraining, leg lean mass decreased in relation to post-intervention, and there was a statistically significant interaction for total and appendicular lean mass (P<0.05). There were differences between CT and CG in glucose and between AT and CG in glucose and triacylglycerol (P<0.05). CONCLUSIONS A duration of 16 weeks of aerobic or CT improved total and appendicular body composition and metabolic profile but after 6 months of detraining, leg lean mass returned to the values obtained pre-training in CT.
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