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Lee JS, Park M, Kim YH. Sedentary Behavior and Physical Activity of Community-Dwelling Korean Breast Cancer Survivors: A Nationwide Study. Healthcare (Basel) 2023; 11:1974. [PMID: 37444808 DOI: 10.3390/healthcare11131974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 06/25/2023] [Accepted: 07/05/2023] [Indexed: 07/15/2023] Open
Abstract
This study aimed to investigate the contemporary characteristics of sedentary behavior and physical activity levels in breast cancer survivors. The cross-sectional data of 10,073 community-dwelling Korean women aged ≥50 years in the Korea National Health and Nutrition Examination Survey were analyzed. The differences in sedentary behavior, walking activity, and moderate-to-vigorous physical activity (MVPA) levels between breast cancer survivors, other cancer survivors, and women with no history of cancer were compared by complex-sample general linear models. Breast cancer survivors spent significantly less mean time in sedentary behavior than other cancer survivors and women with no history of cancer; however, among them, 48.34% spent a long sedentary time of ≥420 min/day. Breast cancer survivors had a significantly higher level of walking activity and similar total MVPA levels compared to women with no history of cancer. When comparing domain-specific MVPA levels, breast cancer survivors showed significantly lower work-related MVPA levels than women with no history of cancer. In recent years, community-dwelling Korean breast cancer survivors were less sedentary, walked more, and had equivalent MVPA levels compared with women with no history of cancer. Considering the growing emphasis on healthy lifestyles, our results may reflect more contemporary behavior trends of breast cancer survivors.
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Affiliation(s)
- Jung Soo Lee
- Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
| | - Mina Park
- Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
| | - Yeo Hyung Kim
- Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
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García-Gomariz C, Igual-Camacho C, Sanchís-Sales E, Hernández-Guillén D, Blasco JM. Effects of Three Interventions Combining Impact or Walking at Intense Pace Training, with or without Calcium and Vitamin Supplements, to Manage Postmenopausal Women with Osteopenia and Osteoporosis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11215. [PMID: 36141488 PMCID: PMC9517092 DOI: 10.3390/ijerph191811215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/03/2022] [Accepted: 09/05/2022] [Indexed: 06/16/2023]
Abstract
The purpose was to assess the effects of three interventions on bone mineral density (BMD) to prevent the onset or progression of osteoporosis in postmenopausal women. Specifically, thirty-nine postmenopausal women, diagnosed with osteopenia or osteoporosis, implemented either high-impact training (G1), the same training + calcium and vitamin D intake (G2), or walked at an intense pace + calcium and vitamin D (G3). Baseline change (BC) in BMD was estimated using the femoral neck and lumbar spine T-scores. Participants were classified as having suffered fractures and/or falls before (24-month) and during the 2-year intervention. The participants-aged 61.8 years-were allocated into G1 (n = 9), G2 (n = 16), and G3 (n = 14). The groups evolved similarly over time; however, participants in G2 exhibited the largest T-score improvements with BC over 20%. G1 and G3 maintained BMD levels (BC = -7 to 13.3%; p > 0.05). Falls occurred similarly across the interventions, while the participants in G2 had the lowest percentage of fracture events (p = 0.037). Overall, the findings suggest that regular physical exercise may be effective in maintaining or improving BMD in postmenopausal women presenting with osteopenia or osteoporosis. Due to the limited sample size, the results are preliminary and warrant future randomized trials to validate the findings.
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Affiliation(s)
- Carmen García-Gomariz
- Departament de Infermeria, Universitat de València, 46010 Valencia, Spain
- Group of Physiotherapy in the Ageing Process, Social and Healthcare Strategies, Departament de Fisioteràpia, Universitat de València, 46010 Valencia, Spain
| | - Celedonia Igual-Camacho
- Group of Physiotherapy in the Ageing Process, Social and Healthcare Strategies, Departament de Fisioteràpia, Universitat de València, 46010 Valencia, Spain
- Hospital Clínic i Universitari de València, 46010 Valencia, Spain
| | | | - David Hernández-Guillén
- Group of Physiotherapy in the Ageing Process, Social and Healthcare Strategies, Departament de Fisioteràpia, Universitat de València, 46010 Valencia, Spain
| | - José-M. Blasco
- Group of Physiotherapy in the Ageing Process, Social and Healthcare Strategies, Departament de Fisioteràpia, Universitat de València, 46010 Valencia, Spain
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The Effects of Nordic Walking Compared to Conventional Walking on Aerobic Capacity and Lipid Profile in Women Over 55 Years of Age. J Phys Act Health 2021; 18:669-676. [PMID: 33883288 DOI: 10.1123/jpah.2020-0182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND The purpose of this study was to investigate the effects of Nordic Walking compared to conventional walking on aerobic capacity, the lipid profile, left ventricular ejection fraction, body mass, and body mass index in women over 55 years old. METHODS The study was comprised of 74 women over 55 years of age. Participants were randomized to the Nordic Walking (n = 38) or conventional walking (n = 36) training groups. The echocardiogram, treadmill exercise stress test, lipid profile, and body mass were assessed at baseline (pretest) and after 12 weeks (posttest). RESULTS The authors found a significant main effect over time in duration (effect size [ES] = 0.59, P < .0001), distance covered (ES = 0.56, P < .0001), peak oxygen consumption (ES = 0.43, P < .0001), metabolic equivalent (ES = 0.29, P < .0001), peak heart rate (ES = 0.2, P < .0001), peak diastolic blood pressure (ES = 0.11, P = .0045), total cholesterol (ES = 0.26, P < .0001), and low-density lipoprotein cholesterol (ES = 0.16, P = .0005). The authors did not observe a time versus group interaction or the effect between groups. Post hoc tests revealed significant pretraining to posttraining differences in low-density lipoprotein cholesterol after the Nordic Walking training program and in peak diastolic blood pressure after the conventional walking training program. The heart rate, systolic blood pressure, and diastolic blood pressure at rest, peak diastolic blood pressure, somatic parameters (body mass and body mass index), and left ventricular ejection fraction did not change in either group. CONCLUSIONS Both training programs resulted in increases in aerobic capacity and decreases in total cholesterol.
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Pellegrini B, Boccia G, Zoppirolli C, Rosa R, Stella F, Bortolan L, Rainoldi A, Schena F. Muscular and metabolic responses to different Nordic walking techniques, when style matters. PLoS One 2018; 13:e0195438. [PMID: 29621317 PMCID: PMC5886538 DOI: 10.1371/journal.pone.0195438] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 03/22/2018] [Indexed: 11/18/2022] Open
Abstract
Due to poling action and upper body engagement, Nordic walking (NW) has additional health benefits with respect to conventional walking. The aim of this study was to evaluate the differences in muscle activation and metabolic responses between NW, performed with the technique suggested by NW instructors, and with some modifications in the way to move upper limb and poles. Ten NW instructors volunteered to walk on a treadmill at 5.5 km•h-1 in five conditions: walking (W), Nordic walking (NW), NW with a weak poling action (NWweak), with straight-upper limbs moving the shoulders (NWshoulder) and with elbow flexion-extension pattern and shoulder freezed (NWelbow). Poling forces, body segments and poles movement, upper and lower body muscle activation, as well as metabolic parameters were measured.All modified NW techniques elicited lower muscular activation and metabolic responses with respect to the suggested NW technique (P < 0.05). All NW techniques elicited higher muscular activation and metabolic responses than W. All parameters observed with the NWweak were lower than NW. A decreased activation of shoulder extensor muscles and increased activation of anterior deltoid muscle were the main features of NWshoulder. Lower triceps brachii muscle activation and reduced propulsive poling action with respect to NW were seen for NWelbow, resulting also in shorter steps.Nordic walking instructors, sport technicians and practitioners should be aware that any deviation from the technique usually suggested might lead to lower benefits. However it is worth to note that any walking technique with poles elicits higher metabolic responses and muscular activation than walking.
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Affiliation(s)
- Barbara Pellegrini
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
- * E-mail:
| | - Gennaro Boccia
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- NeuroMuscularFunction | Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Torino, Torino, (TO), Italy
| | - Chiara Zoppirolli
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
| | - Raffaela Rosa
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
| | - Federico Stella
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
| | - Lorenzo Bortolan
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
| | - Alberto Rainoldi
- NeuroMuscularFunction | Research Group, School of Exercise and Sport Sciences, Department of Medical Sciences, University of Torino, Torino, (TO), Italy
| | - Federico Schena
- CeRiSM Research Centre “Sport, Mountain, and Health”, Rovereto, (TN), Italy
- Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, (VR), Italy
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Effects of Nordic Walking and Pilates exercise programs on blood glucose and lipid profile in overweight and obese postmenopausal women in an experimental, nonrandomized, open-label, prospective controlled trial. Menopause 2015; 22:1215-23. [DOI: 10.1097/gme.0000000000000446] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Hagner-Derengowska M, Kałużny K, Hagner W, Kochański B, Plaskiewicz A, Borkowska A, Bronisz A, Budzyński J. The influence of a ten-week Nordic walking training-rehabilitation program on the level of lipids in blood in overweight and obese postmenopausal women. J Phys Ther Sci 2015; 27:3039-44. [PMID: 26644639 PMCID: PMC4668130 DOI: 10.1589/jpts.27.3039] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 07/02/2015] [Indexed: 12/01/2022] Open
Abstract
[Purpose] The aim of this study was to evaluate the effect of a ten-week Nordic Walking
(NW) rehabilitation program on chosen anthropometric parameters and the level of basic
lipids in overweight and obese postmenopausal women’s blood. [Subjects and Methods] The
subjects were 32 women aged 50–68 (average: 59.7 ± 5.9 years). The study was carried out
following a non-randomized model and entailed NW rehabilitation 5 times a week, which
lasted for 10 weeks, as well as a low-calorie 1,500 kcal diet. The therapeutic results of
the study were measured through changes in anthropometric and biochemical parameters. The
results were subjected to a statistical analysis. [Results] After 10 weeks of NW
rehabilitation it was observed that participants lost weight and their body mass index
dropped. Additionally, whereas levels of total cholesterol, LDL and triglycerides dropped,
and the level of HDL increased. [Conclusion] Rehabilitation carried out according to the
NW model resulted in statistically significant changes in basic lipids in blood which,
considerably increased the percentage of persons who achieved the recommended level of
blood lipids. Obese persons were characterised by a smaller rehabilitation weight loss.
More intense workouts and cooperation with a dietician are required.
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Affiliation(s)
- Magdalena Hagner-Derengowska
- Chair of Clinical Neuropsychology, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland ; University of Bydgoszcz, Poland
| | - Krystian Kałużny
- Chair and Clinic of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland
| | - Wojciech Hagner
- Chair and Clinic of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland
| | - Bartosz Kochański
- Chair and Clinic of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland
| | - Anna Plaskiewicz
- Chair and Clinic of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland
| | - Alina Borkowska
- Chair of Clinical Neuropsychology, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland
| | - Agata Bronisz
- Chair of Endocrinology and Dialectology, Clinic of Metabolic Rehabilitation, Faculty of Medicine, Nicolaus Copernicus University in Toruń, Poland
| | - Jacek Budzyński
- Chair of Vascular and Internal Diseases, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Poland
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Wasenius N, Venojärvi M, Manderoos S, Surakka J, Lindholm H, Heinonen OJ, Eriksson JG, Mälkiä E, Aunola S. Unfavorable influence of structured exercise program on total leisure-time physical activity. Scand J Med Sci Sports 2012; 24:404-13. [PMID: 23157542 DOI: 10.1111/sms.12015] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/14/2012] [Indexed: 11/29/2022]
Abstract
In randomized controlled trials (RCTs), with customized structured physical exercise activity (SPEA) interventions, the dose of leisure-time physical activity (LTPA) should exceed the LTPA dose of the nonexercising control (C) group. This increase is required to substantiate health improvements achievable by exercise. We aimed to compare the dose of SPEA, LTPA, and total LTPA (SPEA + LTPA) between a randomized Nordic walking (NW) group, a power-type resistance training (RT) group, and a C group during a 12-week exercise intervention in obese middle-aged men (n = 144) with impaired glucose regulation. The dose of physical activity was measured with diaries using metabolic equivalents. No significant difference (P > 0.107) between the groups was found in volume of total LTPA. The volume of LTPA was, however, significantly higher (P < 0.050) in the C group than in the NW group, but not compared with the RT group. These results indicate that structured exercise does not automatically increase the total LTPA level, possibly, as a result of compensation of LTPA with structured exercise or spontaneous activation of the C group. Thus, the dose of total LTPA and the possible changes in spontaneous LTPA should be taken into account when implementing a RCT design with exercise intervention.
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Affiliation(s)
- N Wasenius
- Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland
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