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Aschauer R, Unterberger S, Zöhrer PA, Draxler A, Franzke B, Strasser EM, Wagner KH, Wessner B. Effects of Vitamin D3 Supplementation and Resistance Training on 25-Hydroxyvitamin D Status and Functional Performance of Older Adults: A Randomized Placebo-Controlled Trial. Nutrients 2021; 14:nu14010086. [PMID: 35010961 PMCID: PMC8746949 DOI: 10.3390/nu14010086] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 12/22/2021] [Accepted: 12/23/2021] [Indexed: 12/26/2022] Open
Abstract
Vitamin D status is associated with muscle strength and performance in older adults. To examine the additive effects of vitamin D3 supplementation during resistance training, 100 seniors (65–85 years) participated in a 16-week intervention. Besides a daily dose of 400 mg of calcium, participants received either 800 IU vitamin D3 per day (VDD), 50,000 IU vitamin D3 per month (VDM) or nothing (CON). After the initial loading phase of four weeks, all groups started a 10-week resistance training program. Assessments of 25-hydroxyvitamin D (25(OH)D) status, muscle strength endurance (30-s chair stand and arm curl tests), aerobic capacity (6-min walk test) and functional mobility (gait speed and timed up and go test) were undertaken at baseline, after four weeks and at the end of the study. 25(OH)D status significantly improved in VDD and VDM, but not in CON (time x group: p = 0.021), as 15.2% of CON, 40.0% of VDD and 61.1% of VDM reached vitamin D sufficiency (>30 ng/mL; p = 0.004). Chair stand test, arm curl test, 6-min walk test, gait speed and timed up and go test improved over the whole intervention period (p < 0.05), however only chair stand and arm curl test were selectively affected by resistance training (p < 0.001). Neither muscle strength endurance, nor functional mobility or aerobic capacity were modulated by vitamin D supplementation. Therefore, the mere amelioration of 25(OH)D status of older adults does not lead to an additive effect on muscular performance during RT.
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Affiliation(s)
- Rudolf Aschauer
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Centre for Sport Science and University Sports, University of Vienna, 1150 Vienna, Austria
| | - Sandra Unterberger
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Centre for Sport Science and University Sports, University of Vienna, 1150 Vienna, Austria
| | - Patrick A. Zöhrer
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Department of Nutritional Sciences, University of Vienna, 1090 Vienna, Austria
| | - Agnes Draxler
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Department of Nutritional Sciences, University of Vienna, 1090 Vienna, Austria
| | - Bernhard Franzke
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Department of Nutritional Sciences, University of Vienna, 1090 Vienna, Austria
| | - Eva-Maria Strasser
- Karl Landsteiner Institute for Remobilization and Functional Health/Institute for Physical Medicine and Rehabilitation, Kaiser Franz Joseph Hospital, Social Medical Center South, 1100 Vienna, Austria;
| | - Karl-Heinz Wagner
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Department of Nutritional Sciences, University of Vienna, 1090 Vienna, Austria
| | - Barbara Wessner
- Research Platform Active Ageing, University of Vienna, 1090 Vienna, Austria; (R.A.); (S.U.); (P.A.Z.); (A.D.); (B.F.); (K.-H.W.)
- Centre for Sport Science and University Sports, University of Vienna, 1150 Vienna, Austria
- Correspondence: ; Tel.: +43-1-4277-48875
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Gallardo-Alfaro L, Bibiloni MDM, Argelich E, Angullo-Martinez E, Bouzas C, Tur JA. Metabolic Syndrome and Functional Fitness Abilities. J Clin Med 2021; 10:jcm10245840. [PMID: 34945135 PMCID: PMC8709084 DOI: 10.3390/jcm10245840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/06/2021] [Accepted: 12/10/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND It has been pointed out that moderate to vigorous exercise improves metabolic syndrome (MetS) criteria; however, studies on functional fitness in subjects with MetS are scarce. AIM This study aimed to assess functional fitness abilities in MetS and non-MetS subjects. METHODS Cross-sectional study. Participants living in the Balearic Islands (n = 477, 52% men, 55-80 years old) with MetS (n = 333) and without MetS (n = 144). Anthropometric, socioeconomic and lifestyle characteristics were measured, and blood samples were collected. Functional fitness tests included: one leg balance, standing and sitting handgrip, 30-s chair stand, arm curl, chair sit-and-reach, back scratch, 8-foot time up-and-go, 30-m walk, and 6-min walk tests. A Functional Fitness Score was created from tests that measured agility and dynamic balance, static balance, lower-and-upper body strength, lower-and-upper body flexibility, aerobic endurance, and speed. RESULTS All functional fitness tests were lower in MetS subjects, except for back scratch and standing handgrip test. After adjusting for possible confounders (sex, age, civil status, education level, leisure-time physical activity) MetS subjects were more likely to be below average for a sex and age specific cut-off value of one leg balance (Odds Ratio, OR: 2.37; 95% Confidence Interval, CI: 1.25-4.48), chair stand (OR: 2.30; 95% CI: 1.26-3.20), arm curl (OR: 3.43; 95% CI:1.90-6.26), back scratch (OR: 3.49; 95% CI: 2.31-5.91), 8-foot up-&-go (OR: 13.03; 95% CI: 6.66-25.55), 30-m walk (OR: 8.10; 95% CI: 4.33-15.57) and 6-min walk test (OR: 3.28; 95% CI: 1.76-6.52), whereas they were more likely to be above average for sitting handgrip test (OR:1.69; 95% CI:1.21-2.95). Functional Fitness Score was lower in MetS subjects (5.44 ± 2.40 vs. 7.04 ± 1.72, p < 0.001), independently of sex and age. CONCLUSION MetS participants showed lower functional fitness abilities and lower Functional Fitness Score than non-MetS peers, independently of sex, age, body mass index and waist circumference, showing lower ability to perform everyday activities safely and independently.
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Affiliation(s)
- Laura Gallardo-Alfaro
- Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain; (L.G.-A.); (M.d.M.B.); (E.A.); (E.A.-M.); (C.B.)
| | - Maria del Mar Bibiloni
- Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain; (L.G.-A.); (M.d.M.B.); (E.A.); (E.A.-M.); (C.B.)
| | - Emma Argelich
- Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain; (L.G.-A.); (M.d.M.B.); (E.A.); (E.A.-M.); (C.B.)
- Hospital de Manacor, IBSalut, 07500 Manacor, Spain
| | - Escarlata Angullo-Martinez
- Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain; (L.G.-A.); (M.d.M.B.); (E.A.); (E.A.-M.); (C.B.)
- Escola Graduada Primary Health Care Center, IBSalut, 07002 Palma de Mallorca, Spain
| | - Cristina Bouzas
- Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain; (L.G.-A.); (M.d.M.B.); (E.A.); (E.A.-M.); (C.B.)
| | - Josep A. Tur
- Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain; (L.G.-A.); (M.d.M.B.); (E.A.); (E.A.-M.); (C.B.)
- Correspondence: ; Tel.: +34-(97)-11731; Fax: +34-(97)-1173184
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Effects of aerobic training combined with strength training with elastic resistance on functional capacity of older adults: a controlled randomized clinical trial. SPORT SCIENCES FOR HEALTH 2021. [DOI: 10.1007/s11332-021-00739-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Fradley MG, Alomar M, Kilpatrick MW, Shields B, Tran N, Best A, Bianco E, Armanious M, Vautier RA, Kip K, Beckie TM, Ismail-Khan R. Patient reported physical and mental health changes associated with a comprehensive cardiovascular risk reduction program for women with breast cancer receiving potentially cardiotoxic chemotherapy. CARDIO-ONCOLOGY (LONDON, ENGLAND) 2021; 7:22. [PMID: 34059163 PMCID: PMC8166098 DOI: 10.1186/s40959-021-00107-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 05/13/2021] [Indexed: 12/15/2022]
Abstract
OBJECTIVE Women with breast cancer (BCA) and cardiovascular disease (CVD) risk factors are at increased risk of developing cardiovascular complications when exposed to potentially cardiotoxic cancer therapy. The benefit of aggressive CVD risk factor modification to reduce adverse treatment-related psychologic and biologic effects is not well established. METHODS Using a single group pre-test, post-test design, 33 women with BCA receiving anthracycline and/or trastuzumab therapy participated in a 6-month comprehensive CVD risk reduction program involving formal cardio-oncology evaluation along with regular motivational counseling for improved nutrition and physical activity. Study parameters were assessed at baseline and 6 months with paired t-tests used to evaluate changes after the intervention. RESULTS The mental component summary score assessed by SF-36V2 improved significantly after program completion (45.0 to 48.8, effect size 0.37, p = 0.017), however the physical component summary score declined (46.2 to 40.9, effect size - 0.53, p = 0.004). Despite this decline in perceived physical health, markers of health-related fitness and nutritional status were maintained or improved. Systolic and diastolic blood pressure also improved after the intervention (136.7 to 124.1 mmHg, p = 0.001 and 84.0 to 78.7 mmHg, p = 0.031, respectively). No significant change in resting heart rate, body mass index, lipids, hemoglobin A1C, or left ventricular ejection fraction was observed. CONCLUSIONS Patient-reported mental health improved significantly in women with BCA enrolled in a comprehensive CVD risk reduction program despite exposure to potentially cardiotoxic therapies. This study provides preliminary data for future randomized controlled trials evaluating the effects CVD risk reduction program in high-risk breast cancer cohorts.
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Affiliation(s)
- Michael G Fradley
- Cardio-Oncology Center of Excellence, Division of Cardiology, Department of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
| | - Mohammed Alomar
- Cardio-Oncology Program, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, USA
| | - Marcus W Kilpatrick
- Exercise Science Program, College of Arts and Sciences, University of South Florida, Tampa, USA
| | - Bernadette Shields
- Cardio-Oncology Program, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, USA
| | - Nhi Tran
- Cardio-Oncology Program, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, USA
| | - Amey Best
- Exercise Science Program, College of Arts and Sciences, University of South Florida, Tampa, USA
| | - Erika Bianco
- Exercise Science Program, College of Arts and Sciences, University of South Florida, Tampa, USA
| | - Merna Armanious
- Cardio-Oncology Program, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, USA
| | - R Ashton Vautier
- Cardio-Oncology Program, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, USA
| | - Kevin Kip
- Department of Clinical Analytics, Health Sciences Division, University of Pittsburgh, Pittsburgh, USA
| | | | - Roohi Ismail-Khan
- Cardio-Oncology Program, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, USA
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Ihász F, Schulteisz N, Finn KJ, Szabó K, Gangl J, Nagy D, Ács P, Oláh A. Associations between fitness levels and self-perceived health-related quality of life in community - dwelling for a group of older females. BMC Public Health 2020; 20:1057. [PMID: 32799823 PMCID: PMC7429675 DOI: 10.1186/s12889-020-08473-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 03/05/2020] [Indexed: 11/29/2022] Open
Abstract
Background For older adults perceived quality of life has been linked to the ability to accomplish everyday tasks, a functional capacity which is thought to be based upon physical fitness. Although there is a relationship between physical activity and quality of life in older adults, the fitness of older adults and its relationship to quality of life needs more investigation. Therefore, the purpose of this study was to examine the associations between self-reported health-related quality of life and physical fitness in community-dwelling older females. Methods A cross-sectional study between four different age groups in retirement villages from two different places of the southern and western region of Hungary, among 173 women between the ages of 58 and 94 years old. We measured physical fitness using the Fullerton Test protocol and self-perceived health quality of life using the Short-Form Health Survey. Results Group means were different in six-minute walk distance, handgrip strength, and arm curls. The youngest group of females had higher scores of fitness in these categories as compared to the oldest grouping of women. Quality of Life were also difference across age groupings although not linear across the four age categories. Moderate level positive relationship was evident between perceived physical function and certain categories of physical fitness. Conclusions Sociability and self-motivation has a leading role in quality of life in elder population. It is worth putting a lot more emphasis into continuous cultural, social and most importantly into physical activity programs for elderly.
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Affiliation(s)
- Ferenc Ihász
- Department of Physical Education and Sport Sciences, Faculty of Pedagogy and Psychology, University of Eötvös Lóránd, Szombathely, Hungary.,Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Nikolett Schulteisz
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Kevin J Finn
- School of Nutrition, Kinesiology, & Psychological Sciences, College of Health, Science and Technology, University of Central Missouri, Warrensburg, MO, USA
| | - Krisztina Szabó
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Judit Gangl
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary
| | - Dóra Nagy
- Faculty of Health Sciences, Doctoral School of Health Sciences, University of Pécs, Vörösmarty u. 4, Pécs, H-7621, Hungary.
| | - Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
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Bentes CM, Costa PB, Resende M, Miranda HL, Silva CMV, Netto CC, Marinheiro LPF. Association between muscle function and body composition, vitamin D status, and blood glucose in postmenopausal women with type 2 diabetes. Diabetes Metab Syndr 2017; 11 Suppl 2:S679-S684. [PMID: 28483427 DOI: 10.1016/j.dsx.2017.04.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 04/27/2017] [Indexed: 12/25/2022]
Abstract
AIMS The aim of this study was to examine the association between muscle function, and body composition, vitamin D status, and blood glucose in post-menopausal women with type 2 diabetes (T2D). METHODS Forty post-menopausal women (62.48±7.67years; 154.6±5.11cm; 73.93±15.43kg; 31.13±5.82 BMI kg/m2) with a diagnosis of T2D participated in this cross-sectional study. The patients performed fasting blood sample exams, anthropometrics assessments, body composition, and clinical exams. Subjects performed physical tests including handgrip, timed up and go, 30-s chair stand, arm curl, and sit-to-stand. The correlation between the parameters of physical tests, age, body composition, vitamin D, and blood glucose was assessed by Pearson correlation. RESULTS The results showed there were significant correlations between blood glucose and relative strength (R=-0.398, p=0.011), arm curl test (R=-0.367 and p=0.020), and hip flexion (R=0.427, p=0.006). CONCLUSIONS These findings are important because they highlight the importance of resistance training in individuals with T2D and the relationship with a fat increase during a dicrease process. Furthermore, the concentration of serum glucose might be associated with decreases in muscle strength and muscle function in older adults. Thus, T2D patients should be involved with strength training to improve the strength and the muscle hypertrophy.
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Affiliation(s)
- Claudio M Bentes
- Oswaldo Cruz Fundation, Fernandes Figueira Institute, Gynecologic and Obstetrics Department, Rio de Janeiro, RJ, Brazil; School of Physical Education and Sports, Federal University of Rio de Janeiro, RJ, Brazil
| | - Pablo B Costa
- Department of Kinesiology, California State University, Fullerton, USA.
| | - Monique Resende
- Oswaldo Cruz Fundation, Fernandes Figueira Institute, Gynecologic and Obstetrics Department, Rio de Janeiro, RJ, Brazil
| | - Humberto L Miranda
- School of Physical Education and Sports, Federal University of Rio de Janeiro, RJ, Brazil
| | - Carolina M V Silva
- Oswaldo Cruz Fundation, Fernandes Figueira Institute, Gynecologic and Obstetrics Department, Rio de Janeiro, RJ, Brazil
| | - Claudia C Netto
- Department of Biochemistry, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, RJ, Brazil
| | - Lizanka P F Marinheiro
- Oswaldo Cruz Fundation, Fernandes Figueira Institute, Gynecologic and Obstetrics Department, Rio de Janeiro, RJ, Brazil
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Exercise assessment and prescription in patients with type 2 diabetes in the private and home care setting: clinical recommendations from AXXON (Belgian Physical Therapy Association). Phys Ther 2013; 93:597-610. [PMID: 23392184 DOI: 10.2522/ptj.20120400] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Baillot A, Asselin M, Comeau E, Méziat-Burdin A, Langlois MF. Impact of Excess Skin from Massive Weight Loss on the Practice of Physical Activity in Women. Obes Surg 2013; 23:1826-34. [DOI: 10.1007/s11695-013-0932-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Feasibility and Impacts of Supervised Exercise Training in Subjects with Obesity Awaiting Bariatric Surgery: a Pilot Study. Obes Surg 2013; 23:882-91. [DOI: 10.1007/s11695-013-0875-5] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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