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Khan S, Claeson M, Khan A, Neale R. The effect of physical activity on vitamin D: A systematic review and meta-analysis of intervention studies in humans. PUBLIC HEALTH IN PRACTICE 2024; 7:100495. [PMID: 38601179 PMCID: PMC11004199 DOI: 10.1016/j.puhip.2024.100495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 03/27/2024] [Indexed: 04/12/2024] Open
Abstract
Objectives Cross-sectional studies demonstrate a positive association between higher physical activity and serum 25-hydroxyvitamin D (25(OH)D) concentration. However, whether this association is causal is unclear. We conducted a systematic review to identify intervention studies that examined the effect of physical activity on serum 25(OH)D concentration in humans. Study design Systematic review and meta-analysis. Methods We searched PubMed, Scopus and Web of Science to identify full-text peer-reviewed articles published in English from inception until January 2023. Eligible studies were randomised controlled trials or quasi-experimental studies. We used random effects meta-analysis to calculate the weighted mean difference (WMD) in the change in 25(OH)D concentration between physical activity and control groups. We used the revised Cochrane risk-of-bias tool for randomized trials (RoB 2) to assess the methodological quality of included studies. Results We included 32 articles in the systematic review and 24 in the meta-analysis. The intervention varied from resistance and weight-bearing exercises (n = 13) to aerobic exercises (n = 10), moderate and moderate-to-vigorous exercises (n = 5), aquatic exercise (n = 2), and multicomponent traditional exercises (n = 2) (Tai Chi and Yijinjing). The WMD in 25(OH)D in the physical activity and control groups was 9.51 and 4.87, respectively (between-group mean difference 4.64, p = 0.002). However, the difference was only evident in studies that implemented the intervention outdoors (n = 3; between-group mean difference 17.33, p < 0.0001); when the intervention was indoors there was no significant effect of physical activity on 25(OH)D (n = 16; between-group mean difference 1.80, p = 0.113). Conclusions This meta-analysis of physical activity interventions in humans showed that physical activity does not lead to increased 25(OH)D independently of time outdoors. However, most studies were under-powered, in many the exercise was low intensity, and vitamin D was not the primary outcome.
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Affiliation(s)
- S.R. Khan
- Kirby Institute, University of New South Wales, Kensington, NSW, 2052, Australia
| | - M. Claeson
- Department of Dermatology and Venereology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 413 45, Gothenburg, Sweden
- Population Health Program, QIMR Berghofer Medical Research Institute, Herston, QLD, 4029, Australia
| | - A. Khan
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, 4072, Australia
| | - R.E. Neale
- Population Health Program, QIMR Berghofer Medical Research Institute, Herston, QLD, 4029, Australia
- School of Public Health, The University of Queensland, Herston, QLD, 4029 Australia
- Sunshine Coast University Hospital, Birtinya, QLD, 4575, Australia
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2
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Tan TW, Tan HL, Hsu MF, Huang HL, Chung YC. Effect of non-pharmacological interventions on the prevention of sarcopenia in menopausal women: a systematic review and meta-analysis of randomized controlled trials. BMC Womens Health 2023; 23:606. [PMID: 37964288 PMCID: PMC10647115 DOI: 10.1186/s12905-023-02749-7] [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: 06/30/2023] [Accepted: 10/30/2023] [Indexed: 11/16/2023] Open
Abstract
BACKGROUND Sarcopenia is a chronic disease marked by gradual muscle system and functional decline. Prior research indicates its prevalence in those under 60 varies from 8 to 36%. There is limited evidence on the effectiveness of non-pharmacological interventions for sarcopenia prevention in menopausal women aged 40-60. This study examines the influence of such interventions for sarcopenia prevention on these women. METHODS PubMed, EMBASE, Medline, Cochrane Library, CINAHL, PEDro, and Airiti Library were searched from inception until May 5, 2023. Randomized controlled trials that examined exercise, vitamin D and protein supplementation effects on muscle mass, strength, and physical function. Quality assessment used the Cochrane risk of bias tool, and analysis employed Comprehensive Meta-Analysis version 2.0. RESULTS A total of 27 randomized controlled trials, involving 1,989 participants were identified. Meta-analysis results showed exercise improved lean body mass (SMD = 0.232, 95% CI: 0.097, 0.366), handgrip strength (SMD = 0.901, 95% CI: 0.362, 1.441), knee extension strength (SMD = 0.698, 95% CI: 0.384, 1.013). Resistance training had a small effect on lean body mass, longer exercise duration (> 12 weeks) and higher frequency (60-90 min, 3 sessions/week) showed small to moderate effects on lean body mass. Vitamin D supplementation improved handgrip strength (SMD = 0.303, 95% CI: 0.130, 0.476), but not knee extension strength. There was insufficient data to assess the impact of protein supplementation on muscle strength. CONCLUSIONS Exercise effectively improves muscle mass, and strength in menopausal women. Resistance training with 3 sessions per week, lasting 20-90 min for at least 6 weeks, is most effective. Vitamin D supplementation enhances small muscle group strength. Further trials are needed to assess the effects of vitamin D and protein supplementation on sarcopenia prevention. REGISTRATION NUMBER This review was registered on PROSPERO CRD42022329273.
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Affiliation(s)
- Ting-Wan Tan
- Department of Nursing, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan
| | - Han-Ling Tan
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Min-Fang Hsu
- Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan
| | - Hsiao-Ling Huang
- Department of Healthcare Management, Yuanpei University of Medical Technology, Hsinchu, Taiwan
| | - Yu-Chu Chung
- Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan.
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3
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Zhou WS, Mao SJ, Zhang SK, Xu H, Li WL. Effects of aquatic exercises on physical fitness and quality of life in postmenopausal women: an updated systematic review and meta-analysis. Front Public Health 2023; 11:1126126. [PMID: 37361170 PMCID: PMC10285069 DOI: 10.3389/fpubh.2023.1126126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Accepted: 05/19/2023] [Indexed: 06/28/2023] Open
Abstract
Objective In the present systematic review and meta-analysis, we aimed to evaluate and update the effects of aquatic exercise on physical fitness and quality of life (QoL) in postmenopausal women. Methods The databases Cochrane Library, PubMed, Web of Science, and MEDLINE were searched for randomized controlled trials (RCTs) on the topic from inception to July 2022. The GetData software was used to extract data from the published images. RevMan5.4 software was used for statistical analysis. Data are expressed as standardized mean difference (SMD) with 95% confidence intervals (CI). I2 index was employed for heterogeneity. Egger's test was used to assess publication bias. We evaluated the methodological quality of included studies using the Physiotherapy Evidence Database scale. Results We included 594 participants in 16 RCTs (19 comparison groups). The results indicated that aquatic exercise can significantly improve lower limb strength (LLS), upper limb strength (ULS), agility, flexibility, and overall QoL. No significant effects were found on aerobic capacity. Subgroup-analysis results indicated that aquatic exercise only significantly improved LLS, ULS, agility, and flexibility in postmenopausal women < 65 years of age. However, aquatic exercise improves the overall QoL both in postmenopausal women < 65 years and ≥ 65 years. Aquatic resistance exercise significantly improves LLS, ULS, agility and flexibility. In addition, aquatic aerobic exercise can effectively increase LLS, and combined aquatic aerobic and resistance exercise can enhance the overall QoL. Conclusions Aquatic exercise can effectively improve physical fitness and overall QoL in postmenopausal women, but has limited effects on aerobic capacity; thus, it is highly recommended in postmenopausal women.
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Affiliation(s)
- Wen-Sheng Zhou
- College of Physical Education, Jiangsu Second Normal University, Nanjing, China
| | | | - Shi-Kun Zhang
- Department of Police Physical Education, Jiangsu Police Institute, Nanjing, China
| | - Hong Xu
- Department of Sport and Health Science, College of Natural Science, Sangmyung University, Seoul, South Korea
| | - Wei-Lu Li
- Nanjing Zhong-Yang Road Primary School, Nanjing, China
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Zhu H, Jin J, Zhao G. The effects of water-based exercise on body composition: A systematic review and meta-analysis. Complement Ther Clin Pract 2023; 52:101766. [PMID: 37167802 DOI: 10.1016/j.ctcp.2023.101766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 04/18/2023] [Accepted: 05/01/2023] [Indexed: 05/13/2023]
Abstract
AIMS This study aimed to investigate the effects of water-based exercise (WBE) on body composition. METHODS Trials published up to October 28, 2022 were searched using the PubMed, EMBASE, Web of Science, Cochrane, Scopus, and Ovid databases. Randomized controlled trials of healthy adults published in English, comparing WBE and control groups, were included. Other studies with different research designs and participants with medical diagnoses were excluded. The main outcome measures were body weight (BW), body fat mass (BFM), body fat percentage (BFP), lean mass (LM), and skeletal muscle mass (SMM). RESULTS Overall, 17,458 potential studies were identified. After a closer inspection, 79 full-length articles were considered for further screening. Finally, 20 studies, involving 565 participants, were included in the meta-analysis. The WBE was beneficial in reducing BW, BFM, and BFP and increasing LM and SMM. Subgroup analyses were conducted based on different exercise intensities and times per week. Moderate- or moderate-vigorous-intensity exercise helped improve body composition, while lower-intensity WBE or aquatic high-intensity interval training (HIIT) seemed less helpful. Training for <120 min/week was insufficient to improve body composition. Training for >120 min/week was associated with improvements in body composition. CONCLUSIONS Moderate- or moderate-vigorous-intensity WBE helps improve body composition. Adults are encouraged to exercise for >120 min/week.
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Affiliation(s)
- Haifeng Zhu
- Taizhou People's Hospital, Taizhou City, Jiangsu Province, China
| | - Jing Jin
- Taizhou People's Hospital, Taizhou City, Jiangsu Province, China
| | - Gaonian Zhao
- Taizhou People's Hospital, Taizhou City, Jiangsu Province, China.
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Manaye S, Cheran K, Murthy C, Bornemann EA, Kamma HK, Alabbas M, Elashahab M, Abid N, Arcia Franchini AP. The Role of High-intensity and High-impact Exercises in Improving Bone Health in Postmenopausal Women: A Systematic Review. Cureus 2023; 15:e34644. [PMID: 36895528 PMCID: PMC9990535 DOI: 10.7759/cureus.34644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 02/05/2023] [Indexed: 02/07/2023] Open
Abstract
Postmenopausal osteoporosis is a chronic condition with decreased bone mass and altered bone structure, leading to a greater risk of fractures among older women. Exercise has been proposed as a potentially effective non-pharmacological method to prevent this condition. In this systematic review, we investigate the effects and safety of high-impact and high-intensity exercises in improving bone density at popular sites of fragility fractures, namely, the hip and spine. This review also highlights the mechanism of these exercises in improving bone density and other aspects of bone health in postmenopausal women. This study is done adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After applying the eligibility criteria, we selected 10 articles from PubMed and Google Scholar to be included in our study. Based on the findings from the studies, we established that high-intensity and high-impact exercises are effective in improving, or at the very least maintaining, bone density in the lumbar spine and femur in postmenopausal women. An exercise protocol including high-intensity resistance exercises and high-impact training is shown to be most effective in improving bone density and other parameters of bone health. These exercises were found to be safe in older women, however, careful supervision is recommended. All limitations considered, high-intensity and high-impact exercises are an effective strategy to enhance bone density, and potentially reduce the burden of fragility as well as compression fractures in postmenopausal women.
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Affiliation(s)
- Sara Manaye
- Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Kaaviya Cheran
- Department of General Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Chinmayee Murthy
- Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Elisa A Bornemann
- Department of Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Hari Krishna Kamma
- Department of Psychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Mohammad Alabbas
- Department of Internal Medicine, University of Debrecen, Debrecen, HUN
- Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Mohammad Elashahab
- Department of Radiology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Naushad Abid
- Department of Internal Medicine, King Faisal University, Alahsa, SAU
- Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Ana P Arcia Franchini
- Department of Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
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Kwok MM, Ng SS, Man S, So BC. The effect of aquatic High Intensity Interval Training on cardiometabolic and physical health markers in women: A systematic review and meta-analysis. J Exerc Sci Fit 2022; 20:113-127. [PMID: 35228847 PMCID: PMC8851250 DOI: 10.1016/j.jesf.2022.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 01/26/2022] [Accepted: 02/05/2022] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND We performed a meta-analysis of randomized controlled trials (RCTs) assessing the effect of Aquatic High Intensity Interval Training (AHIIT) on cardiometabolic and physical health markers in women. METHODS Systematic search used 7 databases (MEDLINE, PubMed, SPORTDiscus, Cochrane, Embase, CINAL complete, PsycINFO). The Physiotherapy Evidence Database (PEDro) score was used to evaluate the methodological quality of the studies. Clinical trials compared AHIIT with a control group that receive no exercise training. We integrated randomized controlled trials published in English, and participants were women aged ≥18 years. The outcome of interest was the change in cardiometabolic and physical health markers. RESULTS Among 242 articles screened, 18 articles (13 trials) were included in this meta-analysis comparing AHIIT (n = 261) with a control group (n = 215). The median PEDro score was 5.5 out of 10 (range, 4-8). AHIIT significantly improved peak oxygen uptake (Hedges' g 0.610; 95% CI 0.277-0.943; P < 0.001), reduced resting heart rate (Hedges' g -0.495; 95% CI -0.866 to -0.124; P < 0.05), as well as chair to stand test. (Hedges' g 0.548; 95% CI 0.019 to 1.077; P < 0.05). CONCLUSION AHIIT has a moderate effect in improving cardiometabolic and physical health markers in women.
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Affiliation(s)
- Manny M.Y. Kwok
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - Shamay S.M. Ng
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - S.S. Man
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - Billy C.L. So
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
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Carcelén-Fraile MDC, Aibar-Almazán A, Martínez-Amat A, Brandão-Loureiro V, Jiménez-García JD, Castellote-Caballero Y, Hita-Contreras F. Qigong for Muscle Strength and Static Postural Control in Middle-Aged and Older Postmenopausal Women: A Randomized Controlled Trial. Front Med (Lausanne) 2021; 8:784320. [PMID: 34957157 PMCID: PMC8692287 DOI: 10.3389/fmed.2021.784320] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 11/10/2021] [Indexed: 01/11/2023] Open
Abstract
In the present study, we aimed to determine the effects of a Qigong exercise program on the muscle strength and postural control in middle-aged and older postmenopausal women. This is a randomized clinical trial (https://clinicaltrials.gov/ct2/show/NCT03989453) conducted on 125 women who were initially assigned to either an experimental group (n = 63) that performed a Qigong exercise program for 12 weeks or to a control group (n = 62) that did not receive any intervention. Muscle strength (dynamometer) and postural control (stabilometric platform) were evaluated before and immediately after an intervention period. The main findings of this study suggest that the women in the experimental group had improvements in muscle strength, mean velocity of the displacement of the center of pressure (CoP) with both eyes open and closed, and the surface sway area covered by the CoP, as well as the mediolateral and anteroposterior oscillations of the CoP, only with eyes open. The results of the present study determined that a 12 week Qigong exercise program has beneficial effects on muscle strength and postural control of middle-aged and older postmenopausal Spanish women.
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Affiliation(s)
| | - Agustín Aibar-Almazán
- Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain
| | - Antonio Martínez-Amat
- Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain
| | | | | | | | - Fidel Hita-Contreras
- Department of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain
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8
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Aparisi Gómez MP, Weidekamm C, Aparisi F, Bazzocchi A. Sports and Metabolic Bone Disease. Semin Musculoskelet Radiol 2020; 24:277-289. [PMID: 32987426 DOI: 10.1055/s-0040-1709483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Physical activity (PA) increases bone mass and bone strength through different mechanisms and also reduces the risk of falls in the elderly, through proprioception and balance training. The benefits seen in adolescence continue into adulthood. Exercise delays and attenuates the effects of osteoporosis, and particular sports activities may be recommended to improve bone mineral density (BMD) of the spine or regional BMD, improve balance, and prevent falls. Stress injuries related to exercise are more common in osteopenic and osteoporotic individuals.Sports activity may in some cases be detrimental for bone health, with nutrition restriction a frequent cause for negative effects of the practice of PA on bone. The examples are the so-called female athlete triad of menstrual dysfunction resulting in reduced estrogen levels, low energy due to malnutrition, and decreased BMD. A similar triad is described in male athletes. This review analyzes the effects of sport on bone metabolism and in particular its relationship with metabolic bone disease.
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Affiliation(s)
- Maria Pilar Aparisi Gómez
- Department of Radiology, Auckland City Hospital Auckland, New Zealand.,Department of Radiology, Hospital Vithas Nueve de Octubre, Valencia, Spain
| | | | - Francisco Aparisi
- Department of Radiology, Hospital Vithas Nueve de Octubre, Valencia, Spain
| | - Alberto Bazzocchi
- Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
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Reichert T, Bagatini NC, Simmer NM, Meinerz AP, Barroso BM, Prado AKG, Delevatti RS, Costa RR, Kanitz AC, Kruel LFM. Effects of Different Models of Water-Based Resistance Training on Muscular Function of Older Women. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2019; 90:46-53. [PMID: 30717634 DOI: 10.1080/02701367.2018.1563273] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Accepted: 12/19/2018] [Indexed: 06/09/2023]
Abstract
PURPOSE To compare the effects of three water-based resistance trainings on neuromuscular parameters of older women. METHOD Thirty-six women were randomized to groups: simple set of 30 seconds (1 × 30 s, 66.41 ± 4.71 years, n = 12), multiple sets of 10 seconds (3 × 10 s, 66.50 ± 4.74 years, n = 11), and simple set of 10 seconds (1 × 10 s, 65.23 ± 3.93 years, n = 13). Maximal isometric strength concomitantly with neuromuscular activity during extension and flexion knee was evaluated. In the same exercises, rate of force development at different time intervals was measured. Finally, functional capacity was assessed. RESULTS All trainings promoted similar improvements in the rate of force develpment of extension (effect size RFD 50 ms: 1 × 30 s .49, 3 × 10 s .67, 1 × 10 s .65; ES RFD 100 ms: 1 × 30 s .76, 3 × 10 s .80, 1 × 10 s .63; ES RFD 250 ms: 1 × 30 s .31, 3 × 10 s .49, 1 × 10 s .37) and flexion knee (ES RFD 50 ms: 1 × 30 s .59, 3 × 10 s .31, 1 × 10 s .48; ES RFD 100 ms: 1 × 30 s .41, 3 × 10 s .44, 1 × 10 s .42; ES RFD 250 ms: 1 × 30 s .57, 3 × 10 s .36, 1 × 10 s .43; ES RFD maximal: 1 × 30 s .63, 3 × 10 s .23, 1 × 10 s .26), however only the 3 × 10 s group improved the performance in the 8-foot up-and-go test (ES 3 × 10 s: .93, 1 × 30: .39, 1 × 10 s: .23). There was a maintenance of the isometric force and neuromuscular activity, except for the activity of the rectus femoris that showed an increase after training in all groups (ES 3 × 10 s: .04, 1 × 30: .36, 1 × 10 s: .50). CONCLUSION Water-based resistance training using simple or multiple sets promotes the same gains in rapid strength, however only multiple sets induced improvement on functional capacity.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Ana Carolina Kanitz
- a Federal University of the Rio Grande of Sul
- d Federal University of Uberlândia
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10
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Binkley HM, Rudd LE. Head-Out Aquatic Exercise for Generally Healthy Postmenopausal Women: A Systematic Review. J Phys Act Health 2018; 16:1-22. [PMID: 30501546 DOI: 10.1123/jpah.2017-0598] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Aquatic exercise (AE) is a method for exercise and rehabilitation to enhance function for various clients. OBJECTIVES Investigate the effects of head-out AE interventions on the physiological and psychological outcomes of healthy postmenopausal women of age 50-70 years. SEARCH STRATEGIES Databases searched included Scopus, ScienceDirect, ResearchGate, PubMed/MEDLINE, PEDro, CINAHL, The Cochrane Library, Nursing & Allied Health Collection: Comprehensive, JSTOR, and OTSeeker.com, through January 2015. Search Criteria: Randomized controlled trial and quasi-randomized controlled trial studies. DATA COLLECTION AND ANALYSIS Two researchers scanned studies based on inclusion and exclusion criteria. Studies included were critically appraised using the Physiotherapy Evidence Database scale (PEDro scale). RESULTS A total of 15 studies including postmenopausal women and head-out AE intervention were reviewed. Considerable variation existed in the interventions and assessments. Outcome measures showed anthropometric measures (body mass index, circumference, skinfolds, and body fat) were inconclusive; upper and lower body strength improved; flexibility improved; all functional movements (short-distance walk, long-distance walk/run, power, agility, balance and falls) improved; bone density improved; biochemical and hormonal variables were inconclusive; and quality of life outcomes improved. CONCLUSIONS Head-out AE appears to be an effective training and conditioning method for postmenopausal women to improve strength, flexibility, functional movements, bone density, and quality of life.
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Depiazzi JE, Forbes RA, Gibson N, Smith NL, Wilson AC, Boyd RN, Hill K. The effect of aquatic high-intensity interval training on aerobic performance, strength and body composition in a non-athletic population: systematic review and meta-analysis. Clin Rehabil 2018; 33:157-170. [DOI: 10.1177/0269215518792039] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Objective: In a non-athletic population, to (1) investigate the effectiveness of high-intensity interval training in an aquatic environment (A-HIIT) on aerobic performance, strength, and body composition and (2) report on safety of this approach. Method: A systematic search was undertaken of six databases until May 2018. Trials were eligible for inclusion if they compared the effect of A-HIIT in a non-athletic population with a control group that received no exercise training. Data were extracted independently by two reviewers and meta-analyses were undertaken using a random effects model to produce standardized mean difference (SMD) and 95% confidence intervals (CIs). Risk of bias was assessed using Cochrane’s risk of bias tool. All studies were graded using Physiotherapy Evidence Database (PEDro) and Consensus for Exercise Reporting Template (CERT) scales to determine quality of reporting. Results: Eight studies reported over 13 papers met study criteria ( n = 377). Compared with a control group, those who completed a program of A-HIIT demonstrated greater aerobic performance (SMD 0.69 (95% CI 0.39–0.98); I2 = 0%; n = 191) and lower limb muscle strength (SMD 0.30 (95% CI 0.04–0.56); I2 = 0%; n = 237). No differences were seen in measures of body composition or the number of adverse events. All studies were at risk of performance bias. The (mean ± SD) PEDro and CERT scores were 4.9 ± 1.5 and 15.1 ± 2.1, respectively. Conclusion: In a non-athletic population, A-HIIT was safe and may have improved aerobic performance and lower limb strength. The exercise interventions were well described and monitoring and reporting of exercise intensity in water was feasible.
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Affiliation(s)
- Julie E Depiazzi
- School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
- Department of Physiotherapy, Princess Margaret Hospital, Perth, WA, Australia
| | - Rachel A Forbes
- Department of Physiotherapy, Princess Margaret Hospital, Perth, WA, Australia
| | - Noula Gibson
- School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
- Department of Physiotherapy, Princess Margaret Hospital, Perth, WA, Australia
| | - Nadine L Smith
- Department of Physiotherapy, Princess Margaret Hospital, Perth, WA, Australia
| | - Andrew C Wilson
- School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
- Department of Respiratory Medicine, Princess Margaret Hospital, Perth, WA, Australia
- Children’s Lung Health, Telethon Kids Institute, Perth, WA, Australia
- School of Paediatrics and Child Health, The University of Western Australia, Perth, WA, Australia
| | - Roslyn N Boyd
- Queensland Cerebral Palsy and Rehabilitation Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
- Lady Cilento Children’s Hospital, Brisbane, QLD, Australia
| | - Kylie Hill
- School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
- Institute for Respiratory Health, Sir Charles Gairdner Hospital, Perth, WA, Australia
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12
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Costa RR, Kanitz AC, Reichert T, Prado AKG, Coconcelli L, Buttelli ACK, Pereira LF, Masiero MPB, Meinerz AP, Conceição MO, Sbeghen IL, Kruel LFM. Water-based aerobic training improves strength parameters and cardiorespiratory outcomes in elderly women. Exp Gerontol 2018; 108:231-239. [PMID: 29730330 DOI: 10.1016/j.exger.2018.04.022] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2018] [Revised: 04/21/2018] [Accepted: 04/26/2018] [Indexed: 11/26/2022]
Abstract
The aim of the present study was to compare the effects of water-based aerobic training and water-based resistance training on muscular strength and cardiorespiratory fitness in older women. Sixty-nine individuals were randomized into the following three groups: the water-based aerobic training (WA, n = 23) group, the water-based resistance training (WR, n = 23) group, and the control group (CG, n = 23). Participants were trained two times per week for 10 weeks. The trainings presented a linear periodization with an increase in the volume-intensity relation. Maximal dynamic muscular strength and the cardiorespiratory fitness were evaluated before the start of training and after 10 weeks of training. Only the WA group showed an increase in maximal oxygen consumption (13.8%) and oxygen consumption at the second ventilatory threshold (16.4%). Maximal dynamic strength of knee extensors improved in 10.6% of WA, 8.0% of WR, and 4.7% of CG participants, without any difference between the groups. Maximal dynamic strength of knee flexors was increased in 14.1% of WA and in 17.7% of WR participants; however, it remains unchanged in CG participants. No differences were observed in resting heart rate, peak heart rate, heart rate at the second ventilatory threshold and maximal dynamic strength of shoulder horizontal flexors. It was concluded that WA seems to be more efficient for improvement in cardiorespiratory responses, and both WA and WR were efficient for development of maximal dynamic strength of knee flexion and extension.
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Affiliation(s)
- Rochelle Rocha Costa
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil.
| | - Ana Carolina Kanitz
- Federal University of Uberlândia, Faculty of Physical Education and Physiotherapy, 1286 Benjamin Constant Street, Uberlândia, MG, Brazil
| | - Thais Reichert
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | - Alexandre Konig Garcia Prado
- Federal University of Mato Grosso, Faculty of Physical Education, 2367 Fernando Corrêa Avenue, Cuiabá, MT, Brazil
| | - Leandro Coconcelli
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | | | - Laura Frances Pereira
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | - Marcos Paulo Bienert Masiero
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | - Andressa Pellegrini Meinerz
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | - Matheus Oliveira Conceição
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | - Isadora Loch Sbeghen
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil
| | - Luiz Fernando Martins Kruel
- Federal University of Rio Grande do Sul, School of Physical Education, 750 Felizardo Street, Porto Alegre, RS, Brazil.
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Aveiro MC, Avila MA, Pereira-Baldon VS, Ceccatto Oliveira ASB, Gramani-Say K, Oishi J, Driusso P. Water- versus land-based treatment for postural control in postmenopausal osteoporotic women: a randomized, controlled trial. Climacteric 2017; 20:427-435. [DOI: 10.1080/13697137.2017.1325460] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- M. Chaves Aveiro
- Department of Human Movement Sciences, Federal University of Sao Paulo, Santos, SP, Brazil
| | - M. Arias Avila
- Physical Therapy Department, Federal University of São Carlos, São Carlos, SP, Brazil
- Physical Therapy Department, Centro Universitário Central Paulista, São Carlos, SP, Brazil
| | | | | | - K. Gramani-Say
- Gerontology Department, Federal University of São Carlos, São Carlos, SP, Brazil
| | - J. Oishi
- Physical Therapy Department, Federal University of São Carlos, São Carlos, SP, Brazil
- Statistics Department, Federal University of São Carlos, SP, Brazil
| | - P. Driusso
- Physical Therapy Department, Federal University of São Carlos, São Carlos, SP, Brazil
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Nolasco R, Moreira LDF, Bocalini DS, Fronza FCAO, Marin RV, Lazaretti-Castro M. Effects of vitamin D supplementation on pulmonary function in postmenopausal women following an aquatic exercise program. ARCHIVES OF ENDOCRINOLOGY AND METABOLISM 2017; 61:28-35. [PMID: 27737326 PMCID: PMC10522122 DOI: 10.1590/2359-3997000000211] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Accepted: 06/07/2016] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study sought to investigate the effects of vitamin D supplementation and aquatic exercise on pulmonary function in postmenopausal women. MATERIALS AND METHODS This prospective and controlled study included 104 women (62 ± 6.5 years) divided into three groups: a control group lacking vitamin D and calcium supplementation which remained sedentary (CG; n = 17); a control group receiving vitamin D and calcium supplementation which remained sedentary (CDG, n = 33); and a group that completed aquatic exercises three times a week and received vitamin D and calcium supplementation (DTG, n = 54). Data before and after 6 months of the study were analyzed, including serum 25-hydroxyvitamin D (25(OH)D) and calcium concentrations, peak expiratory flow (PEF), forced vital capacity (FVC), and cirtometry. RESULTS We observed significant increases in 25(OH)D concentrations in CDG (52.9 ± 2.4 to 69.1 ± 2.2; nmol/L; p < 0.0001) and DTG groups (55.5 ± 3 to 71.5 ± 3 nmol/L; p < 0.0001). PEF increased by 7 ± 2% (p = 0.0080) in CDG group and 11 ± 2% (p < 0.0001) in DTG group, whereas FVC increased by 7 ± 2% (p = 0.0016) in the CDG group and 10 ± 2% (p < 0.0001) in the DTG group, whereas CG had no changes in any of these parameters. The increment value of cirtometry in DTG group (+43 ± 3%) were significantly (p < 0.0001) higher than those in CG (-4 ± 8%) and CDG (+4 ± 9%) groups. CONCLUSION Our data suggest that vitamin D supplementation improves pulmonary function parameters in postmenopausal women.
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Affiliation(s)
- Rodrigo Nolasco
- Departamento de MedicinaFaculdade de MedicinaUniversidade Federal de São PauloSão PauloSPBrasilDepartamento de Medicina, Disciplina de Endocrinologia, Faculdade de Medicina, Universidade Federal de São Paulo (Unifesp/EPM), São Paulo, SP, Brasil
| | - Linda D. F. Moreira
- Departamento de MedicinaFaculdade de MedicinaUniversidade Federal de São PauloSão PauloSPBrasilDepartamento de Medicina, Disciplina de Endocrinologia, Faculdade de Medicina, Universidade Federal de São Paulo (Unifesp/EPM), São Paulo, SP, Brasil
| | - Danilo S. Bocalini
- Universidade São Judas TadeuSão PauloSPBrasilFisiologia Translacional, Programa de Pós-Graduação em Educação Física e Ciências do Envelhecimento, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brasil
| | - Fernanda C. A. O. Fronza
- Escola de Educação Física e EsporteUniversidade de São PauloSão PauloSPBrasilEscola de Educação Física e Esporte da Universidade de São Paulo (EEFE/USP), São Paulo, SP, Brasil
| | - Rosangela Villa Marin
- Departamento de MedicinaFaculdade de MedicinaUniversidade Federal de São PauloSão PauloSPBrasilDepartamento de Medicina, Disciplina de Endocrinologia, Faculdade de Medicina, Universidade Federal de São Paulo (Unifesp/EPM), São Paulo, SP, Brasil
| | - Marise Lazaretti-Castro
- Departamento de MedicinaFaculdade de MedicinaUniversidade Federal de São PauloSão PauloSPBrasilDepartamento de Medicina, Disciplina de Endocrinologia, Faculdade de Medicina, Universidade Federal de São Paulo (Unifesp/EPM), São Paulo, SP, Brasil
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15
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Waller B, Ogonowska-Słodownik A, Vitor M, Rodionova K, Lambeck J, Heinonen A, Daly D. The effect of aquatic exercise on physical functioning in the older adult: a systematic review with meta-analysis. Age Ageing 2016; 45:593-601. [PMID: 27496935 DOI: 10.1093/ageing/afw102] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Accepted: 05/04/2016] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND ageing and sedentary behaviour cause negative changes in the neuromuscular systems of healthy older adults resulting in a decrease in physical functioning. Exercising in water (aquatic exercise, AE) has been shown to be effective at improving physical functioning in this population; however, no systematic review with meta-analysis has been published. PURPOSE to investigate the effect of AE on physical functioning in healthy older adults compared to control or land-based exercise (LE) through a systematic review with meta-analysis of randomised controlled trials. DATA SOURCES Medline, Embase, Cinahl, PEDro, SPORTDiscus, Web of Science, Cochrane Library, published before 31st December 2015. STUDY SELECTION in total, 28 studies met the inclusion criteria and were included in the systematic review; 24 studies with 1,456 subjects (89% female) and with mean age 66.4 years were included in the meta-analysis. DATA EXTRACTION data were extracted and checked for accuracy by three independent reviewers. DATA SYNTHESIS size of treatment effect was measured using the standardised mean difference with 95% confidence intervals (CIs). RESULTS compared to control interventions, AE had a moderate positive effect on physical functioning 0.70 [95% CI 0.48 to 0.92]. Compared to LE, AE had a small positive effect on physical functioning 0.39 [0.12 to 0.66]. LIMITATIONS there is a high risk of bias and low methodological quality in the studies particularly when comparing AE to LE with possible over estimation of the benefit of AE. CONCLUSIONS AE may improve physical functioning in healthy older people and is at least as effective as LE.
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Affiliation(s)
- Benjamin Waller
- Department of Health Sciences, University of Jyväskylä, Jyväskylän yliopisto 40014, Finland
| | | | - Manuel Vitor
- Faculty of Sport, University of Porto, Porto, Portugal
| | - Karina Rodionova
- Department of Physiotherapy, Latvian Academy of Sport Education (LASE), Sport Medicine and Adapted Physical Activity, Riga, Latvia
| | - Johan Lambeck
- Faculty of Kinesiology and Rehabilitation Sciences, KULeuven, Leuven, Belgium
| | - Ari Heinonen
- Department of Health Sciences, University of Jyväskylä, Jyväskylän yliopisto 40014, Finland
| | - Daniel Daly
- Faculty of Kinesiology and Rehabilitation Sciences, KULeuven, Leuven, Belgium
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Prado AKG, Reichert T, Conceição MO, Delevatti RS, Kanitz AC, Kruel LFM. Effects of aquatic exercise on muscle strength in young and elderly adults. J Strength Cond Res 2016; 36:1468-1483. [PMID: 27575248 DOI: 10.1519/jsc.0000000000001595] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Alexandre K G Prado
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
- Faculty of National Campaign for Community Schools, Osório, RS, Brazil
| | - Thais Reichert
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Matheus O Conceição
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Rodrigo S Delevatti
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
- Sogipa Faculty of Physical Education, Porto Alegre, RS, Brazil; and
| | - Ana C Kanitz
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
- Faculty of Physical Education and Physiotherapy, Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil
| | - Luiz F M Kruel
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
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17
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Morris JN, Howard EP, Steel K, Berg K, Tchalla A, Munankarmi A, David D. Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults. BMC Geriatr 2016; 16:92. [PMID: 27129303 PMCID: PMC4851816 DOI: 10.1186/s12877-016-0267-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Accepted: 04/25/2016] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND According to the CDC, falls rank among the leading causes of accidental death in the United States, resulting in significant health care costs annually. In this paper we present information about everyday lifestyle decisions of the older adult that may help reduce the risk of falling. We pursued two lines of inquiry: first, we identify and then test known mutable fall risk factors and ask how the resolution of such problems correlates with changes in fall rates. Second, we identify a series of everyday lifestyle options that persons may follow and then ask, does such engagement (e.g., engagement in exercise programs) lessen the older adult's risk of falling and if it does, will the relationship hold as the count of risk factors increases? METHODS Using a secondary analysis of lifestyle choices and risk changes that may explain fall rates over one year, we drew on a data set of 13,623 community residing elders in independent housing sites from 24 US states. All older adults were assessed at baseline, and a subset assessed one year later (n = 4,563) using two interRAI tools: the interRAI Community Health Assessment and interRAI Wellness Assessment. RESULTS For the vast majority of risk measures, problem resolution is followed by lower rate of falls. This is true for physical measures such as doing housework, meal preparation, unsteady gait, transferring, and dressing the lower body. Similarly, this pattern is observed for clinical measures such as depression, memory, vision, dizziness, and fatigue. Among the older adults who had a falls risk at the baseline assessment, about 20 % improve, that is, they had a decreased falls rate when the problem risk improved. This outcome suggests that improvement of physical or clinical states potentially may result in a decreased falls rate. Additionally, physical exercise and cognitive activities are associated with a lower rate of falls. CONCLUSIONS The resolution of risk problems and physical and cognitive lifestyle choices are related to lower fall rates in elders in the community. The results presented here point to specific areas, that when targeted, may reduce the risk of falls. In addition, when there is problem resolution for specific clinical conditions, a decreased risk for falls also may occur.
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Affiliation(s)
- John N Morris
- Hebrew SeniorLife, Institute for Aging Research, 1200 Centre Street, Boston, MA, 02131, USA
| | - Elizabeth P Howard
- School of Nursing, Northeastern University, 360 Huntington Avenue, Boston, MA, 02115, USA.
| | - Knight Steel
- Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ, 07601, USA
| | - Katherine Berg
- Department of Physical Therapy and Rehabilitation Sciences Institute, University of Toronto, 160-500 University Avenue, Toronto, Ontario, M5G 1V7, Canada
| | - Achille Tchalla
- Geriatric Medicine Department, Limoges University, IFR 145 Geist; EA 6310 HAVAE, CHU Limoges, Limoges, F-87025, France
| | - Amy Munankarmi
- Northeastern University, 360 Huntington Ave, Boston, MA, 02115, USA
| | - Daniel David
- VA Quality Scholar, Geriatrics, Palliative and Extended Care Service, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA
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18
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Nascimento NAP, Moreira PFP, Marin RV, Moreira LDF, Castro ML, Santos CAF, Filho CMA, Cendoroglo MS. Relation among 25(OH)D, Aquatic Exercises, and Multifunctional Fitness on Functional Performance of Elderly Women from the Community. J Nutr Health Aging 2016; 20:376-82. [PMID: 26999236 DOI: 10.1007/s12603-015-0569-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVES The aim of this study was to investigate if there is a relation among 25(OH)D, aquatic training, and multifunctional fitness on functional performance of elderly woman from the community. DESIGN Cross-sectional study. SETTING Community. PARTICIPANTS We evaluated elderly women aged ≥ 60 years (67±5 years old). One-hundred eighty were engaged in aquatic training (AT), 119 in multifunctional fitness (MF) for at least one year, and sedentary group (SED) with 162 independent elderly women from the community centers who had not practicing any regular physical exercise at least one year before. MEASUREMENTS Timed up-and-go (TUG), 2-minute step test (2MST), 30-second chair stand (CS), arm curl (AC), functional reach test (FRT), unipedal balance test (UB) with visual control, handgrip right (HR) and handgrip left (HL) portable dynamometer for strength hip flexors (Hip strength) and knee extensors (Knee strength), serum 25(OH)D, intact parathyroid hormone (PTH), and creatinine clearance. RESULTS Physical and functional tests showed differences among the three groups (ST; TUG, CS, AC, FR and USB = p <0.001). The PTH and the TUG test correlated inversely with 25(OH)D (r = -0.29 - p <0.001/ r = - 0.16 - p <0.001), also between 25(OH)D and BMI for AT and MF groups respectively (r= -0,15; p=0,04/ r= - 0,19; p=0,036). The AC test showed positive correlation (r = 0, 1 - p <0.001). The age and 25(OH)D were controlled and assumed to be a covariates in the statistical analysis that employed ANCOVA. There was difference on the performance of TUG test (p= 0.049). CONCLUSION TUG performance was associated with age, exercise type and serum levels of 25(OH)D. The 25(OH)D insufficiency was common in elderly women from subtropical areas.
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Affiliation(s)
- N A Perigo Nascimento
- Neide Alessandra Perigo Nascimento, Federal University of São Paulo, São Paulo, SP-São Paulo Brazil,
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Thulkar J, Singh S, Sharma S, Thulkar T. Preventable risk factors for osteoporosis in postmenopausal women: Systematic review and meta-analysis. J Midlife Health 2016; 7:108-113. [PMID: 27721637 PMCID: PMC5051229 DOI: 10.4103/0976-7800.191013] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background and Objective: The osteoporosis is becoming public health problem in India and neighboring Asian countries. As the environmental risk factors for osteoporosis in women are similar in these countries, the study was planned to compare risk factors for osteoporosis in postmenopausal women in Asian countries. Materials and Methods: A systematic literature search was done in August 2015. The period included for this search was from January 2005 to December 2014. The search was done for India and neighboring countries. The final analysis was done on the studies from India, China, Korea, and Japan. The literature search was done in PubMed and Google Scholar using key words, “Osteoporosis” and “Menopause” and “Risk factor.” Results: The pooled prevalence for the osteoporosis in postmenopausal women is 41%, but in India alone, it is 53%. Various risk factors are studied in China as compared to other countries. Adequate calcium intake and various exercises were found to be useful modifiable factors. Other factors like age, height, and postmenopausal status cannot be modified. Conclusion: Adequate calcium and Vitamin D intake and combinations of various exercises can be considered as preventive measures for osteoporosis in postmenopausal women.
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Affiliation(s)
- Jyoti Thulkar
- Division of Publication and Information, Indian Council of Medical Research, New Delhi, India
| | - Shalini Singh
- Division of Reproductive and Child Health, Indian Council of Medical Research, New Delhi, India
| | - Shashi Sharma
- Department of Biostatistics, Institute of Cytology and Preventive Oncology, Indian Council of Medical Research, New Delhi, India
| | - Tanmay Thulkar
- University College of Medical Sciences, New Delhi, India
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20
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Ochoa-Martínez PY, Hall-Lopez JA, Ávila FAP, Rocha CAQC, Moreira MHR, Dantas EHM. Effect of three months of periodized hydrogymnastics exercise program on urinary concentration of deoxypyridinoline in older women. ARCHIVES OF ENDOCRINOLOGY AND METABOLISM 2015; 59:523-7. [PMID: 26677086 DOI: 10.1590/2359-3997000000102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Accepted: 07/31/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To determine the effect of three months of periodized hydrogymnastics exercise program on urinary concentration of deoxypyridinoline in older women. SUBJECTS AND METHODS Twenty-six subjects were randomly assigned in two, intervention group (n = 16) and control group (n = 10). The intervention group followed 12-week of periodized hydrogymnastics training program five times a week, 50 minutes of water exercise with work heart rate reserve of 40-50% (1-6th week) increasing the load to 50-60% (7-12th week); the control group was not involved in exercise and remained sedentary. The urinary concentration of deoxypyridinoline was evaluated by high resolution liquid chromatography using the reactive immulite pyrilinks-D siemens medical solutions, pretest at the baseline and at the end post-test of the 12-week of water-exercise. As statistical analyses mixed 2 x 2 ANOVA was used, also percentage changes (Δ %) was calculated. RESULTS The results did not show significant improvement (p < 0.05) comparing the interaction intergroup and the measurements of urinary concentration of deoxypyridinoline (p = 0.504), percentage change (Δ %) showed positive improvements in the experimental group of -13.7 (nM/mMcreatine) in comparison with -7.1 (nM/mMcreatine) from the control group. CONCLUSION The present study involves periodization increasing the load heart rate reserve of hydrogymnastics exercise in order to produce grater adaptations, but the results showed than is not possible to infer that hydrogymnastics is effective in increase urinary concentration of deoxypyridinoline in older women, will be appropriated in the future more studies to better clarify the possibilities of improvements between hydrogymnastics and urinary concentration of deoxypyridinoline.
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Affiliation(s)
| | | | | | | | | | - Estélio Henrique Martin Dantas
- Laboratory of Human Motricity Biosciences, Federal University of State of Rio de Janeiro and Tiradentes, Rio de Janeiro, RJ, Brazil
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21
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Ramírez-Villada JF, León-Ariza HH, Argüello-Gutiérrez YP, Porras-Ramírez KA. [Effect of high impact movements on body composition, strength and bone mineral density on women over 60 years]. Rev Esp Geriatr Gerontol 2015; 51:68-74. [PMID: 26522490 DOI: 10.1016/j.regg.2015.09.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Revised: 08/27/2015] [Accepted: 09/09/2015] [Indexed: 11/25/2022]
Abstract
BACKGROUND Osteoporosis is characterised by loss of bone mass and deterioration of bone tissue microarchitecture that leads to fragility related to the risk of fractures. The aim of the study is to analyse the effects of a training program based on explosive movements and impact, assessed in a swimming pool, on body composition, explosive strength and bone mineral density in women over 60 years old. MATERIAL AND METHODS A total of 35 healthy physically active women (60±4.19 years) were divided into a training pool group using multi jumps (JG) and a control group (CG). JG trained for 24 weeks, 3 times a week, an hour and a half per session. Body composition testing, explosive strength, and bone mineral density were assessed before and after the program. RESULTS There were differences in the explosive force (JG vs CG=P<.05 to .001) and the estimated power (JG vs CG=P<.05 to .002) between JG vs CG, with significant increases in JG. There were no significant differences in the percentage of fat and lean mass, bone mineral density lumbar and femoral between groups, although slightly significant increases in bone mineral density lumbar and femoral could be seen in JG after program implementation (JG pre-test vs JG post- test=P<.05). CONCLUSIONS The training program with impact and explosive movements assessed in a pool induces gains in muscle strength and power with slight adaptations in body mass index in women over 60 years.
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Affiliation(s)
- Jhon F Ramírez-Villada
- División de Ciencias de la Salud, Universidad Santo Tomás-Colombia. Grupo de Investigación en Ciencias Aplicadas a la Actividad Física, el Deporte y la Salud (GICAEDS), Bogotá, Colombia.
| | - Henry H León-Ariza
- Facultad de Medicina, Universidad de la Sabana, Chía, Cundinamarca, Colombia
| | - Yenny P Argüello-Gutiérrez
- División de Ciencias de la Salud, Universidad Santo Tomás-Colombia. Grupo de Investigación en Ciencias Aplicadas a la Actividad Física, el Deporte y la Salud (GICAEDS), Bogotá, Colombia
| | - Keyla A Porras-Ramírez
- División de Ciencias de la Salud, Universidad Santo Tomás-Colombia. Grupo de Investigación en Ciencias Aplicadas a la Actividad Física, el Deporte y la Salud (GICAEDS), Bogotá, Colombia
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22
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Evaluation of pain associated with chronic venous insufficiency in Spanish postmenopausal women. Menopause 2015; 22:88-95. [PMID: 24977461 DOI: 10.1097/gme.0000000000000277] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Menopause status has been associated with an increase in venous diseases and lower limb-related symptoms. The purpose of our study was to evaluate pain associated with chronic venous insufficiency and its risk factors in postmenopausal women. METHODS A controlled cross-sectional study was performed in 139 postmenopausal women with chronic venous insufficiency and 40 control women. Pain was assessed with a visual analogue scale, the McGill Pain Questionnaire, and the Pain Matcher (Cefar Medical AB, Lund, Sweden). The influence of several demographic and clinical risk factors was analyzed using bivariate and multivariate regression analyses. RESULTS Women in the chronic venous insufficiency group had significantly higher pain intensity and significantly lower pain threshold (P = 0.001) than the control group. The level of pain was independently and significantly associated with venous refill time and osteoarthritis index scores. It was not associated with other risk factors or with disease severity according to the clinical, etiological, anatomical, and pathophysiological classification. CONCLUSIONS Venous pain is a consistent symptom in postmenopausal women with chronic venous insufficiency, in whom nociceptive thresholds are generally decreased. Reduced physical activity, venous reflux, and osteoarthritis seem to influence pain level in chronic venous insufficiency.
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23
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Moreira LDF, Oliveira MLD, Lirani-Galvão AP, Marin-Mio RV, Santos RND, Lazaretti-Castro M. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. ACTA ACUST UNITED AC 2015; 58:514-22. [PMID: 25166042 DOI: 10.1590/0004-2730000003374] [Citation(s) in RCA: 115] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2014] [Accepted: 05/28/2014] [Indexed: 11/21/2022]
Abstract
Physical exercise is an important stimulus for osteoporosis prevention and treatment. However, it is not clear yet which modality would be better to stimulate bone metabolism and enhance physical function of postmenopausal women. This review paper aims to summarize and update present knowledge on the effects of different kinds of aquatic and ground physical exercises on bone metabolism and physical function of postmenopausal women. Moderate to intense exercises, performed in a high speed during short intervals of time, in water or on the ground, can be part of a program to prevent and treat postmenopausal osteoporosis. Mechanical vibration has proven to be beneficial for bone microarchitecture, improving bone density and bone strength, as well as increasing physical function. Although impact exercises are recognized as beneficial for the stimulation of bone tissue, other variables such as muscle strength, type of muscle contraction, duration and intensity of exercises are also determinants to induce changes in bone metabolism of postmenopausal women. Not only osteoanabolic exercises should be recommended; activities aimed to develop muscle strength and body balance and improve the proprioception should be encouraged to prevent falls and fractures.
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Affiliation(s)
| | - Mônica Longo de Oliveira
- Division of Endocrinology, School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Ana Paula Lirani-Galvão
- Division of Endocrinology, School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil
| | - Rosângela Villa Marin-Mio
- Division of Endocrinology, School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil
| | | | - Marise Lazaretti-Castro
- Division of Endocrinology, School of Medicine, Federal University of São Paulo, São Paulo, SP, Brazil
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Prevention of falls, prevention of osteoporosis, or both: what is the best strategy for preventing fractures in older women? Menopause 2013; 20:995-6. [PMID: 24045677 DOI: 10.1097/gme.0b013e3182a49d90] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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