Changes in plantar pressure and spatiotemporal parameters during gait in older adults after two different training programs

Sanchis-Sanchis, Roberto; Blasco-Lafarga, Cristina; Encarnación-Martínez, Alberto; Pérez-Soriano, Pedro

doi:10.1016/j.gaitpost.2020.01.015

Cited by 10 publications

(8 citation statements)

References 28 publications

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“…Importantly, the program, which is supervised and conducted by graduates in sport sciences, takes only 60 min per session, twice a week, and it has previously shown improvements in body composition [ 40 ], physical function [ 40 , 42 , 43 , 45 , 52 , 53 ], and executive function [ 43 , 52 ].…”

Section: Methodsmentioning

confidence: 99%

“…In the last decade, our group of research has been working on a MC cog TP, registered in 2016 as EFAM-UV© [ 39 ] (Spanish acronym for Entrenamiento Funcional para Adultos Mayores property of the University of Valencia). This multicomponent neuromotor exercise training methodology has shown improvements in different populations of older adults [ 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ], but it remains unknown its long-term benefits (i.e., the addition of consecutive years of training), as well as the detraining effects following the exercise cessation in summer holiday, both of them purposes of this study. Up to our knowledge, little is known about the long-term effects of MC cog TPs in the older adults, most of them lasting < 1 year.…”

Section: Introductionmentioning

confidence: 99%

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Short and Long-Term Trainability in Older Adults: Training and Detraining Following Two Years of Multicomponent Cognitive—Physical Exercise Training

Blasco-Lafarga

Cordellat

Forte

et al. 2020

IJERPH

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Despite the benefits of multicomponent physical–cognitive training programs (MCCogTPs), lower training intensities in the concurrent approach, and bigger heterogeneity with aging, suggest the need for long-term analyses, with special attention to training and detraining in older adults. The present study aims to examine these training/detraining effects in a two year MCCogTP, looking for specific dynamics in the trainability of their physical and cognitive capacities. The intervention was divided into four periods: T1, T2 (8 months of training each), and D1, D2 (3.5 months of detraining plus 0.5 of testing each). Twenty-five healthy seniors (70.82 ± 5.18 years) comprised the final sample and were assessed for cardiovascular fitness (6-minutes walking test), lower-limbs strength (30-seconds chair-stand test) and agility (8-feet timed up-and-go test). Inhibition (Stroop test) was considered for executive function. Physical and cognitive status improved significantly (p < 0.05) throughout the two years, with larger enhancements for physical function (mainly strength and agility). Strength and cardiovascular fitness were more sensitive to detraining, whilst agility proved to have larger training retentions. Inhibition followed an initial similar trend, but it was the only variable to improve along D2 (d = 0.52), and changes were not significant within periods. Notwithstanding aging, and the exercise cessation in D2, physical and cognitive status remained enhanced two years later compared to baseline, except for lower-limb strength. According to these results, basic physical capacities are very sensitive to training/detraining, deserving continuous attention (especially strength). Both reducing detraining periods and complementary resistance training should be considered. Additionally, physical enhancements following MCcogTPs may help cognition maintenance during detraining.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Short and Long-Term Trainability in Older Adults: Training and Detraining Following Two Years of Multicomponent Cognitive—Physical Exercise Training

Blasco-Lafarga

Cordellat

Forte

et al. 2020

IJERPH

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“…As mentioned above, this multicomponent neuromotor exercise training methodology has shown improvements in different populations of older adults [34,39,44,[46][47][48]54]. A medium duration (i.e., 15 weeks) may be enough [55] to result in improvements in this population.…”

Section: The Efam-uv© Multicomponent Training Programmentioning

confidence: 99%

“…Therefore, the present study aimed to analyze the impact of a MCT program on physical function, executive function, and health-related quality of life in a group of non-active older adults comparing two different dose distributions (accumulative versus continuous). We evaluated if a particular type of the aforementioned multicomponent program, which has shown significant improvements in physical function and mental health [34,39,44,[46][47][48][49], is more or less beneficial when carried out accumulatively throughout the day. We hypothesized that both strategies will effectively improve physical and mental health in non-active older adults starting regular training.…”

Section: Introductionmentioning

confidence: 99%

Exploring Potential Benefits of Accumulated Multicomponent-Training in Non-Active Older Adults: From Physical Fitness to Mental Health

Monteagudo

Cordellat

Roldán

et al. 2021

IJERPH

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The present study aimed to analyze the impact of a multicomponent training (MCT) program in a group of non-active older adults, comparing two different dose distributions. Twenty-four individuals, assigned to two groups, completed 15 weeks of MCT (2 days/week). The continuous group (CMCT; n = 14, 9 females; 71.07 ± 5.09 years) trained for 60 min/session in the morning. The accumulated group (AMCT; n = 10, 5 females; 72.70 ± 3.59 years) performed the same exercises, volume, and intensity, but the training was distributed twice per day (30 min in the morning; 30 more in the afternoon). Bonferroni post hoc comparisons revealed significant (p < 0.001) and similar large improvements in both groups in lower limb strength (five times sit-to-stand test: CMCT, 12.55 ± 2.83 vs. 9.44 ± 1.72 s; AMCT, 10.37 ± 2.35 vs. 7.46 ± 1.75 s). In addition, there were large gains in preferred walking speed and instrumental daily life activities, which were higher for CMCT and AMCT, respectively (in this order: 1.00 ± 0.18 vs. 1.44 ± 0.26 m/s and 1.09 ± 0.80 vs. 1.58 ± 0.18 m/s; 33.07 ± 2.88 vs. 36.57 ± 1.65 points and 32.80 ± 1.93 vs. 36.80 ± 0.92 points); improvements in cardiorespiratory fitness, now moderate for CMCT (474.14 ± 93.60 vs. 529.64 ± 82.76 m) and large for AMCT (515.10 ± 20.24 vs. 589.60 ± 40.38 m); and medium and similar enhancements in agility in both groups (TUG test: CMCT: 7.49 ± 1.11 vs. 6.77 ± 1.16 s; AMCT: 6.84 ± 1.01 vs. 6.18 ± 0.62 s). None of the protocols had an impact on the executive function, whereas health-related quality of life showed a trend to significance in the whole sample only (EQindex overall sample, p = 0.062; d = 0.48 CMCT; d = 0.34 AMCT). Regardless of the type of dose distribution, starting multicomponent training improves physical function in non-active older adults, but does not improve cognitive function at mid-term. Because both forms of MCT showed similar compliance, slightly positive differences in accumulated strategies may indicate some benefits related to breaking afternoon sedentary behaviors, which deserves further research in longer and larger interventions. The mixed nature of MCT suggests accumulative group interventions may be a promising approach to address sedentary aging.

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“…A recent study showed that either a multicomponent training program or interval-walking training can improve gait parameters over a short time (Two weeks). These results also indicate that the type of training is essential in terms of intended adaptations [63]. Accordingly, the lack of gait adaptations can be at least partly explained by the fact that Pilates and Tai Chi are less gait-specific training approaches.…”

Section: Discussionmentioning

confidence: 98%

Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review

et al. 2021

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Introduction: Declines in physical fitness can notably affect healthy aging of older adults. Multimodal exercise training regimen such as mind-body interventions (MBIs) has been reported to mitigate these aging-related declines of physical function. This meta-analytical review aimed at pooling the effects of MBIs on physical fitness indices compared to active control (AC) and inactive control (IC) conditions in healthy older adults. Methods: The literature search was conducted in 3 databases using search terms with Boolean conjunctions. Randomized controlled trials applying MBIs focusing on improving physical fitness parameters in healthy seniors over 65 years of age were screened for eligibility. Eligibility and study quality were assessed by 2 researchers using the PEDro scale. Standardized mean differences (SMD) adjusted for small sample sizes (Hedges’ g) served as main outcomes for the comparisons of MBIs versus IC and MBIs versus AC. Results: Thirty trials with 2,792 healthy community dwellers (mean age: 71.2 ± 4.7 years) were included. Large overall effects were found for strength (p < 0.001, SMD: 0.87 [90% CI: 0.43, 1.30], I2 = 94%), medium effects were observed for functional mobility (p = 0.009, SMD: 0.55 [90% CI: 0.20, 0.89], I2 = 83%), and small overall effects were found for static balance (p = 0.02, SMD: 0.35 [90% CI: 0.10, 0.60], I2 = 77%), endurance (p = 0.0001, SMD: 0.44 [90% CI: 0.25, 0.62], I2 = 0%), and flexibility (p = 0.003, SMD: 0.46 [90% CI: 0.21, 0.72], I2 = 54%) in favor of MBIs compared to IC. Small effects of strength slightly favoring AC (p = 0.08, SMD: −0.22 [90% CI: −0.43, −0.01], I2 = 52%) were found, whereas static balance moderately improved in favor of MBIs (p < 0.001, SMD: 0.46 [90% CI: 0.16, 0.76], I2 = 73%). Discussion/Conclusion: MBIs induce small to moderate effects in relevant domains of physical fitness in healthy older adults. Strength should be better targeted with traditional resistance training routines, whereas balance seems to sufficiently benefit from MBIs. However, large variability between the studies was observed due to differences in methodology, intervention content, and outcomes that affect conclusive evidence.

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Changes in plantar pressure and spatiotemporal parameters during gait in older adults after two different training programs

Cited by 10 publications

References 28 publications

Short and Long-Term Trainability in Older Adults: Training and Detraining Following Two Years of Multicomponent Cognitive—Physical Exercise Training

Short and Long-Term Trainability in Older Adults: Training and Detraining Following Two Years of Multicomponent Cognitive—Physical Exercise Training

Exploring Potential Benefits of Accumulated Multicomponent-Training in Non-Active Older Adults: From Physical Fitness to Mental Health

Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review

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