1
|
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.
Collapse
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
| |
Collapse
|
2
|
Bailly M, Fillon A, Bonjean L, Lucas D, Kabani C, Chipon S, Pereira B, Duclos M, Verney J, Thivel D. Aqua Walking as an Appropriate and Healthy Winter and Summer Physical Practice? An Exploratory Study. Healthcare (Basel) 2022; 10:healthcare10071258. [PMID: 35885785 PMCID: PMC9316568 DOI: 10.3390/healthcare10071258] [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: 05/23/2022] [Revised: 06/27/2022] [Accepted: 07/01/2022] [Indexed: 12/03/2022] Open
Abstract
(1) Background: Aqua-walking in a natural environment is a health promoting physical activity that is gaining popularity and appropriate for a variety of populations, however, to date, there is little scientific evidence supporting the efficacy and safety of this activity for older adults. The objective was to propose a preliminary exploration of psychometric and metabolic responses to an acute Aqua walking session either during winter or summer in older adults Aqua walking exercisers. (2) Methods: Heart rate, body temperature, glycemia, and blood pressure were monitored in 37 (30 women, 7 men) participants aged 52 to 83 years old in two Aqua walking sessions (water at 13 °C and 18.5 °C, respectively). Anthropometry (body weight, waist, and hip circumferences), body composition, physical activity level, sedentary time, sleep quality, quality of life, physical self-perception, and perceived health and feelings on various parameters were also assessed. (3) Results: Present results revealed a greater quality of life, physical self-perception, and perceived health in aging Aqua walking exercisers compared to those found in the literature in younger populations. None of the metabolic or psychometric measurements were found to be different between classically calibrated Aqua walking sessions performed in winter compared to summer. By contrast, there was a time effect during the sessions for body temperature (p < 0.001), SBP (p = 0.17), perceived mental and physical well-being (p = 0.006 and p < 0.001, respectively), and anxiety (p < 0.001). Leg discomfort also showed a time effect (p = 0.0009) and interaction effect (p = 0.025). (4) Conclusion: Aqua walking appears here to be an accessible practice that can be performed all year long with a range of physical and mental benefits for older adults. Future studies should investigate the metabolic responses of Aqua walking in different populations.
Collapse
Affiliation(s)
- Mélina Bailly
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological Conditions, Clermont Auvergne University, 63000 Clermont-Ferrand, France; (A.F.); (L.B.); (J.V.); (D.T.)
- Correspondence:
| | - Alicia Fillon
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological Conditions, Clermont Auvergne University, 63000 Clermont-Ferrand, France; (A.F.); (L.B.); (J.V.); (D.T.)
- Observatoire National de l’Activité Physique et de la Sédentarité (ONAPS), Faculté de Médecine, Université Clermont Auvergne, 63000 Clermont-Ferrand, France;
| | - Line Bonjean
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological Conditions, Clermont Auvergne University, 63000 Clermont-Ferrand, France; (A.F.); (L.B.); (J.V.); (D.T.)
| | - Dominique Lucas
- Fédération Française de la Randonnée Pédestre, 75013 Paris, France; (D.L.); (C.K.); (S.C.)
| | - Catherine Kabani
- Fédération Française de la Randonnée Pédestre, 75013 Paris, France; (D.L.); (C.K.); (S.C.)
| | - Sophie Chipon
- Fédération Française de la Randonnée Pédestre, 75013 Paris, France; (D.L.); (C.K.); (S.C.)
- Alison Wave Aqua-Walking Club, 06210 Mandelieu-la-Napoule, France
| | - Bruno Pereira
- Délégation à la Recherche Clinique et à l’Innovation (DRCI), 63000 Clermont-Ferrand, France;
| | - Martine Duclos
- Observatoire National de l’Activité Physique et de la Sédentarité (ONAPS), Faculté de Médecine, Université Clermont Auvergne, 63000 Clermont-Ferrand, France;
- Service de Médecine du Sport et des Explorations Fonctionnelles, CHU de Clermont-Ferrand, Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France
| | - Julien Verney
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological Conditions, Clermont Auvergne University, 63000 Clermont-Ferrand, France; (A.F.); (L.B.); (J.V.); (D.T.)
| | - David Thivel
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological Conditions, Clermont Auvergne University, 63000 Clermont-Ferrand, France; (A.F.); (L.B.); (J.V.); (D.T.)
- Observatoire National de l’Activité Physique et de la Sédentarité (ONAPS), Faculté de Médecine, Université Clermont Auvergne, 63000 Clermont-Ferrand, France;
| |
Collapse
|
3
|
Huta-Osiecka A, Wochna K, Stemplewski R, Marciniak K, Podgórski T, Kasprzak Z, Leszczyński P, Nowak A. Influence of Nordic walking with poles with an integrated resistance shock absorber on carbohydrate and lipid metabolic indices and white blood cell subpopulations in postmenopausal women. PeerJ 2022; 10:e13643. [PMID: 35791365 PMCID: PMC9250761 DOI: 10.7717/peerj.13643] [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: 04/29/2022] [Accepted: 06/07/2022] [Indexed: 01/17/2023] Open
Abstract
Background Regular and individualised physical activities have been shown to prevent adverse changes associated with the aging process. The main purpose of this study was to evaluate changes in carbohydrate and lipid metabolism and white blood cell (WBC) subpopulations in postmenopausal women participating in Nordic walking (NW) training and to compare the use of poles with an integrated resistance shock absorber (RSA) with the use of classic poles. Materials & Methods A total of 23 postmenopausal women participated in a 8-week programme of systematic physical activity between February and April. Before and after the training programme, somatic features and serum concentrations of 25-hydroxyvitamin D, glucose, and insulin, were assessed, as well as lipid profile and WBC count and its specific subpopulations. Results Analysis of differences in somatic features and biochemical indices before and after training in the group of women who used RSA poles showed significant decreases in fat mass content (p < 0.05), insulin (p < 0.05), homeostatic model assessment of insulin resistance (p < 0.05), triglycerides (p < 0.05), total cholesterol (p < 0.05) and monocytes (p ≤ 0.01). In the group of women who used classic poles (NW), there was a significant decrease in WBC (p ≤ 0.01), lymphocytes (p < 0.05), monocytes (p ≤ 0.01) and granulocytes (p < 0.05). Conclusion Increasing the training load through the use of RSA poles resulted in greater changes in carbohydrate and lipid metabolic indices compared to the use of classic NW poles. In turn, the more significant effect on WBC and its specific subpopulations count in the NW, compared to the RSA training programme, may indicate that specificity of training load is an important factor in modifying the immune system response.
Collapse
Affiliation(s)
- Anna Huta-Osiecka
- Department of Hygiene, Poznan University of Physical Education, Poznań, Poland
| | - Krystian Wochna
- Laboratory of Swimming and Water Lifesaving, Poznan University of Physical Education, Poznań, Poland
| | - Rafał Stemplewski
- Department of Physical Activity Sciences and Health Promotion, Poznan University of Physical Education, Poznań, Poland
| | - Katarzyna Marciniak
- Department of Physical Activity Sciences and Health Promotion, Poznan University of Physical Education, Poznań, Poland
| | - Tomasz Podgórski
- Department of Physiology and Biochemistry, Poznan University of Physical Education, Poznań, Poland
| | - Zbigniew Kasprzak
- Department of Hygiene, Poznan University of Physical Education, Poznań, Poland
| | - Piotr Leszczyński
- Department of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, Poznań, Poland
| | - Alicja Nowak
- Department of Hygiene, Poznan University of Physical Education, Poznań, Poland
| |
Collapse
|