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2017 | OriginalPaper | Buchkapitel

6. Bewegung mit leichter Intensität und Gesundheit

verfasst von : Dr. Eszter Füzéki

Erschienen in: Körperliche Aktivität und Gesundheit

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die Gesundheitswirksamkeit von Bewegung mit moderater-hoher Intensität ist auf höchstem wissenschaftlichem Niveau gesichert. Die Frage, ob auch niedrigintensive Bewegung vergleichbaren Nutzen mit sich bringt, konnte aus methodologischen Gründen in epidemiologischen Studien bis dato wenig erforscht werden. Der Einsatz von Bewegungssensoren in groß angelegten und zum Teil repräsentativen Studien liefert erste Hinweise dafür, dass auch leichte Intensität gesundheitsrelevant sein kann. Es ist zu erwarten, dass in den nächsten 5-10 Jahren deutlich mehr Studien zu dieser Frage vorliegen werden. Sowohl kraft- als auch ausdauerorientiere Interventionsstudien deuten darauf hin, dass Training mit niedrigeren Intensitäten als in den aktuellen Bewegungsempfehlungen bei inaktiven Gesunden und chronisch Kranken sinnvolle Verbesserungen bei einer Vielzahl an Endpunkten mit sich bringen kann.
Literatur
Zurück zum Zitat Asikainen TM, Miilunpalo S, Oja P, Rinne M, Pasanen M, Uusi-Rasi K, Vuori I (2002) Randomised, controlled walking trials in postmenopausal women: the minimum dose to improve aerobic fitness? British journal of sports medicine 36(3): 189–194 Asikainen TM, Miilunpalo S, Oja P, Rinne M, Pasanen M, Uusi-Rasi K, Vuori I (2002) Randomised, controlled walking trials in postmenopausal women: the minimum dose to improve aerobic fitness? British journal of sports medicine 36(3): 189–194
Zurück zum Zitat Bajpeyi S, Tanner CJ, Slentz CA, Duscha BD, McCartney JS, Hickner RC et al. (2009) Effect of exercise intensity and volume on persistence of insulin sensitivity during training cessation. Journal of applied physiology 106(4): 1079–1085. DOI: 10.1152/japplphysiol.91262.2008 Bajpeyi S, Tanner CJ, Slentz CA, Duscha BD, McCartney JS, Hickner RC et al. (2009) Effect of exercise intensity and volume on persistence of insulin sensitivity during training cessation. Journal of applied physiology 106(4): 1079–1085. DOI: 10.​1152/​japplphysiol.​91262.​2008
Zurück zum Zitat Csapo R, Alegre LM (2015) Effects of resistance training with moderate vs heavy loads on muscle mass and strength in the elderly: A meta-analysis. Scandinavian journal of medicine & science in sports. DOI: 10.1111/sms.12536 Csapo R, Alegre LM (2015) Effects of resistance training with moderate vs heavy loads on muscle mass and strength in the elderly: A meta-analysis. Scandinavian journal of medicine & science in sports. DOI: 10.​1111/​sms.​12536
Zurück zum Zitat Duncan JJ, Gordon NF, Scott CB (1991) Women walking for health and fitness. How much is enough? JAMA 266(23): 3295–3299 Duncan JJ, Gordon NF, Scott CB (1991) Women walking for health and fitness. How much is enough? JAMA 266(23): 3295–3299
Zurück zum Zitat Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM et al. (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and science in sports and exercise 43(7): 1334–1359. DOI: 10.1249/MSS.0b013e318213fefb Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM et al. (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and science in sports and exercise 43(7): 1334–1359. DOI: 10.​1249/​MSS.​0b013e318213fefb​
Zurück zum Zitat Gearhart, RF, Goss FL, Lagally KM, Jakicic JM, Gallagher J, Gallagher KI, Robertson RJ (2002) Ratings of perceived exertion in active muscle during high-intensity and low-intensity resistance exercise. Journal of strength and conditioning research / National Strength & Conditioning Association 16(1): 87–91 Gearhart, RF, Goss FL, Lagally KM, Jakicic JM, Gallagher J, Gallagher KI, Robertson RJ (2002) Ratings of perceived exertion in active muscle during high-intensity and low-intensity resistance exercise. Journal of strength and conditioning research / National Strength & Conditioning Association 16(1): 87–91
Zurück zum Zitat Herzig KH, Ahola R, Leppäluoto J, Jokelainen J, Jämsä T, Keinänen-Kiukaanniemi S (2014) Light physical activity determined by a motion sensor decreases insulin resistance, improves lipid homeostasis and reduces visceral fat in high-risk subjects: PreDiabEx study RCT. International journal of obesity 38(8): 1089–1096. DOI: 10.1038/ijo.2013.224 Herzig KH, Ahola R, Leppäluoto J, Jokelainen J, Jämsä T, Keinänen-Kiukaanniemi S (2014) Light physical activity determined by a motion sensor decreases insulin resistance, improves lipid homeostasis and reduces visceral fat in high-risk subjects: PreDiabEx study RCT. International journal of obesity 38(8): 1089–1096. DOI: 10.​1038/​ijo.​2013.​224
Zurück zum Zitat Holm L, Reitelseder S, Pedersen TG, Doessing S, Petersen SG, Flyvbjerg A et al. (2008) Changes in muscle size and MHC composition in response to resistance exercise with heavy and light loading intensity. Journal of applied physiology 105(5): 1454–1461. DOI: 10.1152/japplphysiol.90538.2008 Holm L, Reitelseder S, Pedersen TG, Doessing S, Petersen SG, Flyvbjerg A et al. (2008) Changes in muscle size and MHC composition in response to resistance exercise with heavy and light loading intensity. Journal of applied physiology 105(5): 1454–1461. DOI: 10.​1152/​japplphysiol.​90538.​2008
Zurück zum Zitat Houmard JA, Tanner CJ, Slentz CA, Duscha BD, McCartney JS, Kraus WE (2004) Effect of the volume and intensity of exercise training on insulin sensitivity. Journal of applied physiology 96(1): 101–106. DOI: 10.1152/japplphysiol.00707.2003 Houmard JA, Tanner CJ, Slentz CA, Duscha BD, McCartney JS, Kraus WE (2004) Effect of the volume and intensity of exercise training on insulin sensitivity. Journal of applied physiology 96(1): 101–106. DOI: 10.​1152/​japplphysiol.​00707.​2003
Zurück zum Zitat Howard B, Winkler EAH, Sethi P, Carson V, Ridgers ND, Salmon JO et al. (2015) Associations of Low- and High-Intensity Light Activity with Cardiometabolic Biomarkers. Medicine and science in sports and exercise 47(10): 2093–2101. DOI: 10.1249/MSS.0000000000000631 Howard B, Winkler EAH, Sethi P, Carson V, Ridgers ND, Salmon JO et al. (2015) Associations of Low- and High-Intensity Light Activity with Cardiometabolic Biomarkers. Medicine and science in sports and exercise 47(10): 2093–2101. DOI: 10.​1249/​MSS.​0000000000000631​
Zurück zum Zitat Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS et al. (2002) Effects of the amount and intensity of exercise on plasma lipoproteins. The New England journal of medicine 347(19): 1483–1492. DOI: 10.1056/NEJMoa020194 Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS et al. (2002) Effects of the amount and intensity of exercise on plasma lipoproteins. The New England journal of medicine 347(19): 1483–1492. DOI: 10.​1056/​NEJMoa020194
Zurück zum Zitat Lee IM, Shiroma EJ (2014) Using accelerometers to measure physical activity in large-scale epidemiological studies: issues and challenges. British journal of sports medicine 48(3): 197–201. DOI: 10.1136/bjsports-2013-093154 Lee IM, Shiroma EJ (2014) Using accelerometers to measure physical activity in large-scale epidemiological studies: issues and challenges. British journal of sports medicine 48(3): 197–201. DOI: 10.​1136/​bjsports-2013-093154
Zurück zum Zitat Li J, Zhang W, Guo Q, Liu X, Zhang Q, Dong R et al. (2012) Duration of exercise as a key determinant of improvement in insulin sensitivity in type 2 diabetes patients. The Tohoku journal of experimental medicine 227(4): 289–296 Li J, Zhang W, Guo Q, Liu X, Zhang Q, Dong R et al. (2012) Duration of exercise as a key determinant of improvement in insulin sensitivity in type 2 diabetes patients. The Tohoku journal of experimental medicine 227(4): 289–296
Zurück zum Zitat Manders RJF, Van Dijk JWM, van Loon LJC (2010) Low-intensity exercise reduces the prevalence of hyperglycemia in type 2 diabetes. Medicine and science in sports and exercise 42(2): 219–225. DOI: 10.1249/MSS.0b013e3181b3b16d Manders RJF, Van Dijk JWM, van Loon LJC (2010) Low-intensity exercise reduces the prevalence of hyperglycemia in type 2 diabetes. Medicine and science in sports and exercise 42(2): 219–225. DOI: 10.​1249/​MSS.​0b013e3181b3b16d​
Zurück zum Zitat Perri MG, Anton SD, Durning PE, Ketterson TU, Sydeman SJ, Berlant NE et al. (2002) Adherence to exercise prescriptions: effects of prescribing moderate versus higher levels of intensity and frequency. Health psychology : official journal of the Division of Health Psychology, American Psychological Association 21(5): 452–458 Perri MG, Anton SD, Durning PE, Ketterson TU, Sydeman SJ, Berlant NE et al. (2002) Adherence to exercise prescriptions: effects of prescribing moderate versus higher levels of intensity and frequency. Health psychology : official journal of the Division of Health Psychology, American Psychological Association 21(5): 452–458
Zurück zum Zitat Phillips SM, Winett RA (2010) Uncomplicated resistance training and health-related outcomes: evidence for a public health mandate. Current sports medicine reports 9(4): 208–213. DOI: 10.1249/JSR.0b013e3181e7da73 Phillips SM, Winett RA (2010) Uncomplicated resistance training and health-related outcomes: evidence for a public health mandate. Current sports medicine reports 9(4): 208–213. DOI: 10.​1249/​JSR.​0b013e3181e7da73​
Zurück zum Zitat Slentz CA, Aiken LB, Houmard JA, Bales CW, Johnson JL, Tanner CJ et al. (2005) Inactivity, exercise, and visceral fat. STRRIDE: a randomized, controlled study of exercise intensity and amount. Journal of applied physiology 99(4): 1613–1618. DOI: 10.1152/japplphysiol.00124.2005 Slentz CA, Aiken LB, Houmard JA, Bales CW, Johnson JL, Tanner CJ et al. (2005) Inactivity, exercise, and visceral fat. STRRIDE: a randomized, controlled study of exercise intensity and amount. Journal of applied physiology 99(4): 1613–1618. DOI: 10.​1152/​japplphysiol.​00124.​2005
Zurück zum Zitat Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB, Samsa GP et al. (2004) Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE – a randomized controlled study. Archives of internal medicine 164(1): 31–39. DOI: 10.1001/archinte.164.1.31 Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB, Samsa GP et al. (2004) Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE – a randomized controlled study. Archives of internal medicine 164(1): 31–39. DOI: 10.​1001/​archinte.​164.​1.​31
Zurück zum Zitat Slentz CA, Houmard JA, Johnson JL, Bateman LA, Tanner CJ, McCartney JS et al. (2007a) Inactivity, exercise training and detraining, and plasma lipoproteins. STRRIDE: a randomized, controlled study of exercise intensity and amount. Journal of applied physiology 103 (2): 432–442. DOI: 10.1152/japplphysiol.01314.2006 Slentz CA, Houmard JA, Johnson JL, Bateman LA, Tanner CJ, McCartney JS et al. (2007a) Inactivity, exercise training and detraining, and plasma lipoproteins. STRRIDE: a randomized, controlled study of exercise intensity and amount. Journal of applied physiology 103 (2): 432–442. DOI: 10.​1152/​japplphysiol.​01314.​2006
Zurück zum Zitat Tanimoto M, Ishii N (2006) Effects of low-intensity resistance exercise with slow movement and tonic force generation on muscular function in young men. Journal of applied physiology 100(4): 1150–1157. DOI: 10.1152/japplphysiol.00741.2005 Tanimoto M, Ishii N (2006) Effects of low-intensity resistance exercise with slow movement and tonic force generation on muscular function in young men. Journal of applied physiology 100(4): 1150–1157. DOI: 10.​1152/​japplphysiol.​00741.​2005
Zurück zum Zitat Watanabe Y, Madarame H, Ogasawara, R, Nakazato K, Ishii N (2014) Effect of very low-intensity resistance training with slow movement on muscle size and strength in healthy older adults. Clinical physiology and functional imaging 34(6): 463–470. DOI: 10.1111/cpf.12117 Watanabe Y, Madarame H, Ogasawara, R, Nakazato K, Ishii N (2014) Effect of very low-intensity resistance training with slow movement on muscle size and strength in healthy older adults. Clinical physiology and functional imaging 34(6): 463–470. DOI: 10.​1111/​cpf.​12117
Zurück zum Zitat Watanabe Y, Tanimoto M, Ohgane A, Sanada K, Miyachi M, Ishii N (2013) Increased muscle size and strength from slow-movement, low-intensity resistance exercise and tonic force generation. Journal of aging and physical activity 21(1): 71–84 Watanabe Y, Tanimoto M, Ohgane A, Sanada K, Miyachi M, Ishii N (2013) Increased muscle size and strength from slow-movement, low-intensity resistance exercise and tonic force generation. Journal of aging and physical activity 21(1): 71–84
Metadaten
Titel
Bewegung mit leichter Intensität und Gesundheit
verfasst von
Dr. Eszter Füzéki
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-50335-5_6

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