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Erschienen in: The journal of nutrition, health & aging 10/2017

26.08.2017

Effect of a 6-month brisk walking program on walking endurance in sedentary and physically deconditioned women aged 60 or older: A randomized trial

verfasst von: H. Blain, A. Jaussent, M.-C. Picot, L. Maimoun, O. Coste, T. Masud, J. Bousquet, P. L. Bernard

Erschienen in: The journal of nutrition, health & aging | Ausgabe 10/2017

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Abstract

Background

Walking endurance is a predictor of healthy ageing.

Objective

To examine if a 6-month brisk walking program can increase walking endurance in sedentary and physically deconditioned older women.

Trial design

Randomized controlled trial.

Setting

Women recruited from public meetings aimed at promoting physical activity in women aged 60 or older.

Subjects

121 women aged 65.7 ± 4.3 years, with sedentary lifestyle (Physical Activity Questionnaire for the Elderly score < 9.4), and a 6-minute walking distance (6MWD) below normal value based on their gender, age, and body weight, and weight.

Methods

Women were randomly assigned to a 150 min/week brisk walking program (two supervised sessions and one session on their own per week) for six months (exercisers) (n=61) or a control group with physical activity allowed freely (n=60).

Outcome

The primary outcome was relative change in 6MWD.

Results

54/61 exercisers and 55/60 control subjects completed the program and data analysis was possible for 51 exercisers and 47 controls. At baseline, 6MWD was on average 23.1% and 22.5% below age-matched norms in exercisers and controls, respectively. Attendance rate for supervised sessions was 92% in exercisers. The 6MWD increased more significantly in exercisers than in controls (mean increase of 41.5% vs 11.0 %; p<0.0001). Over the 6-month program, 38 exercisers (74.5%) vs 5 controls (10.6%) had a 6MWD over the age-matched norm (p<0.0001). Exercisers with the highest tertile of 6MWD improvement (>46%) were those with baseline lowest values of 6MWD (p=0.001) and highest values of body mass index (BMI) (p<0.01).

Conclusion

Present results support recommendation that brisk walking programs should be encouraged to improve walking endurance in physically deconditioned women aged 60 or older, especially in those with high BMI.
Literatur
1.
2.
Zurück zum Zitat Paterson DH, Govindasamy D, Vidmar M, Cunningham DA, Koval JJ. Longitudinal study of determinants of dependence in an elderly population. J Am Geriatr Soc 2004; 52: 1632–8.CrossRefPubMed Paterson DH, Govindasamy D, Vidmar M, Cunningham DA, Koval JJ. Longitudinal study of determinants of dependence in an elderly population. J Am Geriatr Soc 2004; 52: 1632–8.CrossRefPubMed
3.
Zurück zum Zitat Department of Health, 2011. Physical Activity, Health Improvement and Protection Start Active. Stay Active: A report on physical activity from the four home countries’ Chief Medical Officer. Department of Health, London UK. Department of Health, 2011. Physical Activity, Health Improvement and Protection Start Active. Stay Active: A report on physical activity from the four home countries’ Chief Medical Officer. Department of Health, London UK.
4.
Zurück zum Zitat 2016 Participation Report. The Physical Activity Council’s annual study tracking sports, fitness, and recreation participation in the US. http://www. physicalactivitycouncil.com/pdfs/current.pdf 2016 Participation Report. The Physical Activity Council’s annual study tracking sports, fitness, and recreation participation in the US. http://​www.​ physicalactivitycouncil.com/pdfs/current.pdf
5.
Zurück zum Zitat Murphy MH, Donnelly P, Shibli S, Foster C, Nevill AM. Physical activity, walking and leanness: an analysis of the Northern Ireland Sport and Physical Activity Survey (SAPAS). Prev Med 2012; 54: 140–4.CrossRefPubMed Murphy MH, Donnelly P, Shibli S, Foster C, Nevill AM. Physical activity, walking and leanness: an analysis of the Northern Ireland Sport and Physical Activity Survey (SAPAS). Prev Med 2012; 54: 140–4.CrossRefPubMed
6.
Zurück zum Zitat Thorogood A, Mottillo S, Shimony A et al. Isolated aerobic exercise and weight loss: a systematic review and meta-analysis of randomized controlled trials. Am J Med 2011; 124: 747–55.CrossRefPubMed Thorogood A, Mottillo S, Shimony A et al. Isolated aerobic exercise and weight loss: a systematic review and meta-analysis of randomized controlled trials. Am J Med 2011; 124: 747–55.CrossRefPubMed
7.
Zurück zum Zitat Foulds HJ, Bredin SS, Charlesworth SA, Ivey AC, Warburton DE. Exercise volume and intensity: a dose-response relationship with health benefits. Eur J Appl Physiol 2014; 114: 1563–71.CrossRefPubMed Foulds HJ, Bredin SS, Charlesworth SA, Ivey AC, Warburton DE. Exercise volume and intensity: a dose-response relationship with health benefits. Eur J Appl Physiol 2014; 114: 1563–71.CrossRefPubMed
8.
Zurück zum Zitat Blumenthal JA, Emery CF, Madden DJ et al. Cardiovascular and behavioral effects of aerobic exercise in healthy older men and women. J Gerontol Med Sci 1989; 44: M147–57.CrossRef Blumenthal JA, Emery CF, Madden DJ et al. Cardiovascular and behavioral effects of aerobic exercise in healthy older men and women. J Gerontol Med Sci 1989; 44: M147–57.CrossRef
9.
Zurück zum Zitat Chan L, Chin LM, Kennedy M, et al. Benefits of intensive treadmill exercise training on cardiorespiratory function and quality of life in patients with pulmonary hypertension. Chest 2013; 143: 333–43.CrossRefPubMed Chan L, Chin LM, Kennedy M, et al. Benefits of intensive treadmill exercise training on cardiorespiratory function and quality of life in patients with pulmonary hypertension. Chest 2013; 143: 333–43.CrossRefPubMed
10.
Zurück zum Zitat Garnier S, Joffroy S, Gaubert I et al. Is practice rate rather than exercise intensity more important in health benefits of moderately obese postmenopausal women? Ann Phys Rehabil Med 2015; 58: 119–25.CrossRefPubMed Garnier S, Joffroy S, Gaubert I et al. Is practice rate rather than exercise intensity more important in health benefits of moderately obese postmenopausal women? Ann Phys Rehabil Med 2015; 58: 119–25.CrossRefPubMed
11.
Zurück zum Zitat Murphy MH, Nevill AM, Murtagh EM, Holder RL. The effect of walking on fitness, fatness and resting blood pressure: a meta-analysis of randomised, controlled trials. Prev Med 2007; 44: 377–85.CrossRefPubMed Murphy MH, Nevill AM, Murtagh EM, Holder RL. The effect of walking on fitness, fatness and resting blood pressure: a meta-analysis of randomised, controlled trials. Prev Med 2007; 44: 377–85.CrossRefPubMed
12.
Zurück zum Zitat Bernard PL, Tallon G, Ninot G, et al. Influence of a brisk walking program on isokinetic muscular capacities of knee in sedentary older women. Aging Clin Exp Res. 2016; 28: 1219–26.CrossRefPubMed Bernard PL, Tallon G, Ninot G, et al. Influence of a brisk walking program on isokinetic muscular capacities of knee in sedentary older women. Aging Clin Exp Res. 2016; 28: 1219–26.CrossRefPubMed
13.
Zurück zum Zitat Bernard PL, Blain H, Tallon G, et al. Influence of repeated effort induced by a 6-min walk test on postural response in older sedentary women. Aging Clin Exp Res. 2015; 27: 695–701.CrossRefPubMed Bernard PL, Blain H, Tallon G, et al. Influence of repeated effort induced by a 6-min walk test on postural response in older sedentary women. Aging Clin Exp Res. 2015; 27: 695–701.CrossRefPubMed
14.
Zurück zum Zitat Decker LM, Ramdani S, Tallon G, et al. Physical function decline and degradation of postural sway dynamics in asymptomatic sedentary postmenopausal women. J Nutr Health Aging. 2015; 19: 348–55.CrossRefPubMed Decker LM, Ramdani S, Tallon G, et al. Physical function decline and degradation of postural sway dynamics in asymptomatic sedentary postmenopausal women. J Nutr Health Aging. 2015; 19: 348–55.CrossRefPubMed
15.
Zurück zum Zitat Bernard P, Ninot G, Bernard PL, et al. Effects of a six-month walking intervention on depression in inactive post-menopausal women: a randomized controlled trial. Aging Ment Health. 2015; 19: 485–92.CrossRefPubMed Bernard P, Ninot G, Bernard PL, et al. Effects of a six-month walking intervention on depression in inactive post-menopausal women: a randomized controlled trial. Aging Ment Health. 2015; 19: 485–92.CrossRefPubMed
16.
Zurück zum Zitat Wanner M, Probst-Hensch N, Kriemler S, et al. Validation of the long international physical activity questionnaire: Influence of age and language region. Prev Med Rep. 2016; 3: 250-6.CrossRefPubMedPubMedCentral Wanner M, Probst-Hensch N, Kriemler S, et al. Validation of the long international physical activity questionnaire: Influence of age and language region. Prev Med Rep. 2016; 3: 250-6.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Troosters T, Gosselink R, Decramer M. Six-minute walking distance in healthy elderly subjects. Eur Respir J 1999; 14: 270–4.CrossRefPubMed Troosters T, Gosselink R, Decramer M. Six-minute walking distance in healthy elderly subjects. Eur Respir J 1999; 14: 270–4.CrossRefPubMed
18.
Zurück zum Zitat Enright PL, McBurnie MA, Bittner V, Tracy RP, McNamara R, Arnold A, Newman AB; Cardiovascular Health Study The 6-min walk test: a quick measure of functional status in elderly adults. Chest. 2003; 123: 387–98.CrossRefPubMed Enright PL, McBurnie MA, Bittner V, Tracy RP, McNamara R, Arnold A, Newman AB; Cardiovascular Health Study The 6-min walk test: a quick measure of functional status in elderly adults. Chest. 2003; 123: 387–98.CrossRefPubMed
19.
Zurück zum Zitat American Thoracic Society Statement. Guidelines for the six-minute walk test. J Crit Care Med 2002; 166: 111–7.CrossRef American Thoracic Society Statement. Guidelines for the six-minute walk test. J Crit Care Med 2002; 166: 111–7.CrossRef
20.
Zurück zum Zitat Probart CK, Notelovitz M, Martin D, Khan FY, Fields C. The effect of moderate aerobic exercise on physical-fitness among women 70 years and older. Maturitas 1991; 14: 49–56.CrossRefPubMed Probart CK, Notelovitz M, Martin D, Khan FY, Fields C. The effect of moderate aerobic exercise on physical-fitness among women 70 years and older. Maturitas 1991; 14: 49–56.CrossRefPubMed
21.
Zurück zum Zitat Braith RW, Pollock ML, Lowenthal DT, Graves JE, Limacher MC. Moderate-and high-intensity exercise lowers blood pressure in normotensive subjects 60 to 79 years of age. Am J Cardiol 1994; 731124–8. Braith RW, Pollock ML, Lowenthal DT, Graves JE, Limacher MC. Moderate-and high-intensity exercise lowers blood pressure in normotensive subjects 60 to 79 years of age. Am J Cardiol 1994; 731124–8.
22.
Zurück zum Zitat Ready AE, Drinkwater DT, Ducas J, et al. Walking program reduces elevated cholesterol in women postmenopause. Can J Cardiol 1995; 11: 905–12.PubMed Ready AE, Drinkwater DT, Ducas J, et al. Walking program reduces elevated cholesterol in women postmenopause. Can J Cardiol 1995; 11: 905–12.PubMed
23.
Zurück zum Zitat Ready AE, Naimark B, Ducas J et al. Influence of walking volume on health benefits in women post-menopause. Med Sci Sports Exerc 1996; 28: 1097–105.CrossRefPubMed Ready AE, Naimark B, Ducas J et al. Influence of walking volume on health benefits in women post-menopause. Med Sci Sports Exerc 1996; 28: 1097–105.CrossRefPubMed
24.
Zurück zum Zitat Hamdorf PA, Penhall RK. Walking with its training effects on the fitness and activity patterns of 79-91 year old females. Aust N Z J Med 1999; 29: 22–8.CrossRefPubMed Hamdorf PA, Penhall RK. Walking with its training effects on the fitness and activity patterns of 79-91 year old females. Aust N Z J Med 1999; 29: 22–8.CrossRefPubMed
25.
Zurück zum Zitat Murtagh EM, Boreham CA, Nevill A, Hare LG, Murphy MH. The effects of 60 minutes of brisk walking per week, accumulated in two different patterns, on cardiovascular risk. Preventive Medicine 2005; 41: 92–7.CrossRefPubMed Murtagh EM, Boreham CA, Nevill A, Hare LG, Murphy MH. The effects of 60 minutes of brisk walking per week, accumulated in two different patterns, on cardiovascular risk. Preventive Medicine 2005; 41: 92–7.CrossRefPubMed
26.
Zurück zum Zitat Audette JF, Jin YS, Newcomer R, Stein L, Duncan G, Frontera WR. Tai Chi versus brisk walking in elderly women. Age Ageing 2006; 35: 388–93.CrossRefPubMed Audette JF, Jin YS, Newcomer R, Stein L, Duncan G, Frontera WR. Tai Chi versus brisk walking in elderly women. Age Ageing 2006; 35: 388–93.CrossRefPubMed
27.
Zurück zum Zitat Harris T, Kerry SM, Victor CR, et al. A primary care nurse-delivered walking intervention in older adults: PACE (pedometer accelerometer consultation evaluation)-Lift cluster randomised controlled trial. PLoS Med 2015; 12:e1001783.CrossRef Harris T, Kerry SM, Victor CR, et al. A primary care nurse-delivered walking intervention in older adults: PACE (pedometer accelerometer consultation evaluation)-Lift cluster randomised controlled trial. PLoS Med 2015; 12:e1001783.CrossRef
28.
Zurück zum Zitat Sabia S, van Hees VT, Shipley MJ, Trenell MI, Hagger-Johnson G, et al. Association Between Questionnaire-and Accelerometer-Assessed Physical Activity: The Role of Sociodemographic Factors. Am J Epidemiol. 2014; 179: 781–790.CrossRefPubMedPubMedCentral Sabia S, van Hees VT, Shipley MJ, Trenell MI, Hagger-Johnson G, et al. Association Between Questionnaire-and Accelerometer-Assessed Physical Activity: The Role of Sociodemographic Factors. Am J Epidemiol. 2014; 179: 781–790.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Ogilvie D, Foster CE, Rothnie H et al. Scottish Physical Activity Research Collaboration. Interventions to promote walking: systematic review. BMJ 2007; 334: 1204.CrossRefPubMedPubMedCentral Ogilvie D, Foster CE, Rothnie H et al. Scottish Physical Activity Research Collaboration. Interventions to promote walking: systematic review. BMJ 2007; 334: 1204.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Wulf G, Chiviacowsky S, Lewthwaite R. Normative feedback effects on learning a timing task. Res Q Exerc Sport. 2010; 81: 425–31.CrossRefPubMed Wulf G, Chiviacowsky S, Lewthwaite R. Normative feedback effects on learning a timing task. Res Q Exerc Sport. 2010; 81: 425–31.CrossRefPubMed
31.
Zurück zum Zitat Cress ME, Buchner DM, Prohaska T et al. Best practices for physical activity programs and behavior counseling in older adult populations. J Aging Phys Act 2005; 13: 61–74.CrossRefPubMed Cress ME, Buchner DM, Prohaska T et al. Best practices for physical activity programs and behavior counseling in older adult populations. J Aging Phys Act 2005; 13: 61–74.CrossRefPubMed
32.
Zurück zum Zitat Lacharité-Lemieux M, Brunelle JP, Dionne IJ. Adherence to exercise and affective responses: comparison between outdoor and indoor training. Menopause 2015; 22: 731–40.CrossRefPubMed Lacharité-Lemieux M, Brunelle JP, Dionne IJ. Adherence to exercise and affective responses: comparison between outdoor and indoor training. Menopause 2015; 22: 731–40.CrossRefPubMed
33.
Zurück zum Zitat Sellers CE, Grant PM, Ryan CG, O’Kane C, Raw K, Conn D. Take a walk in the park? A cross-over pilot trial comparing brisk walking in two different environments: park and urban. Prev Med 2012; 55: 438–43.CrossRefPubMed Sellers CE, Grant PM, Ryan CG, O’Kane C, Raw K, Conn D. Take a walk in the park? A cross-over pilot trial comparing brisk walking in two different environments: park and urban. Prev Med 2012; 55: 438–43.CrossRefPubMed
34.
Zurück zum Zitat Irwin ML, Yasui Y, Ulrich CM et al. Effect of exercise on total and intra-abdominal body fat in postmenopausal women: a randomized controlled trial. JAMA 2003; 289: 323–30.CrossRefPubMed Irwin ML, Yasui Y, Ulrich CM et al. Effect of exercise on total and intra-abdominal body fat in postmenopausal women: a randomized controlled trial. JAMA 2003; 289: 323–30.CrossRefPubMed
35.
Zurück zum Zitat Tully MA, Cupples ME, Chan WS, McGlade K, Young IS. Brisk walking, fitness, and cardiovascular risk: a randomized controlled trial in primary care. Prev Med. 2005; 41: 622–8.CrossRefPubMed Tully MA, Cupples ME, Chan WS, McGlade K, Young IS. Brisk walking, fitness, and cardiovascular risk: a randomized controlled trial in primary care. Prev Med. 2005; 41: 622–8.CrossRefPubMed
36.
Zurück zum Zitat Bohannon RW. Association of Grip and Knee Extension Strength with Walking Speed of Older Women Receiving Home-care Physical Therapy. J Frailty Aging 2015; 4: 181–3.PubMed Bohannon RW. Association of Grip and Knee Extension Strength with Walking Speed of Older Women Receiving Home-care Physical Therapy. J Frailty Aging 2015; 4: 181–3.PubMed
37.
Zurück zum Zitat Tanaka T, Tanaka K, Suyama K, Honda S, Senjyu H, Kozu R. A Comparison of Objective Physical Activity, Muscle Strength, and Depression among Communitydwelling Older Women Living in Sloped Versus Non-sloped Environments. J Nutr Health Aging. 2016; 20: 520–4.CrossRefPubMed Tanaka T, Tanaka K, Suyama K, Honda S, Senjyu H, Kozu R. A Comparison of Objective Physical Activity, Muscle Strength, and Depression among Communitydwelling Older Women Living in Sloped Versus Non-sloped Environments. J Nutr Health Aging. 2016; 20: 520–4.CrossRefPubMed
38.
Zurück zum Zitat Wu G, Sanderson B, Bittner V. The 6-minute walk test: how important is the learning effect? Am Heart J. 2003; 146: 129–33.CrossRefPubMed Wu G, Sanderson B, Bittner V. The 6-minute walk test: how important is the learning effect? Am Heart J. 2003; 146: 129–33.CrossRefPubMed
Metadaten
Titel
Effect of a 6-month brisk walking program on walking endurance in sedentary and physically deconditioned women aged 60 or older: A randomized trial
verfasst von
H. Blain
A. Jaussent
M.-C. Picot
L. Maimoun
O. Coste
T. Masud
J. Bousquet
P. L. Bernard
Publikationsdatum
26.08.2017
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 10/2017
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-017-0955-7

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