Exercise training in older adults, what effects on muscle oxygenation? A systematic review

Fiogbé, Elie; Vassimon‐Barroso, Verena; Takahashi, Anielle Cristhine de Medeiros

doi:10.1016/j.archger.2017.03.001

Cited by 17 publications

(16 citation statements)

References 40 publications

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“…This finding indicates that after the intervention, the subjects were able to maintain walking exercise for a longer period of time, despite the level of muscle ischemia. The improvement of resistance after reaching the lowest StO 2 reinforces the theory that training optimizes the transport and use of oxygen in patients with PAD 34 .…”

Section: Discussionsupporting

confidence: 73%

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Effects of modified aerobic training on muscle metabolism in individuals with peripheral arterial disease: a randomized clinical trial

Monteiro

Ribeiro-Samora

Britto

2019

Sci Rep

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The primary objective of this study was to compare the effects on muscle metabolism of two types of aerobic training, with and without a load on the lower limbs, in adults with peripheral arterial disease (PAD). A simple blind randomized clinical trial was conducted using two groups: conventional aerobic (CG) and modified aerobic with a load on the lower limbs (MG). Both groups underwent training by walking three times a week over a 12-week period. The ratings of muscle metabolism were determined after a treadmill test with constant velocity and inclination concomitant with the use of near infrared spectroscopy (NIRS). Altogether 40 individuals with PAD (CG = 65.45 ± 10.60 and MG = 63.10 ± 10.54) were included in the study. After the intervention, in both groups, there was a reduction in the relative time to recovery (p = 0.002), an improvement in the re-oxygenation rate (p = 0.017), an increased time of resistance after reaching the lowest muscle oxygen saturation (StO2) (p < 0.001), an increase in the distance walked (p < 0.001), and an improvement of the walking economy relative to StO2 (p < 0.001). After 12 weeks of training, an improvement in the deoxygenation rate was observed in both groups (p = 0.002), but with a greater magnitude in the CG (p = 0.017). Only the CG presented an increase in time to reach the lowest StO2 on the treadmill after the intervention (p = 0.010). The traditional aerobic training was superior to the modified training in relation to the improvement of muscle metabolism in patients with PAD.

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Section: Discussionsupporting

confidence: 73%

“…That is, for the same variation of StO 2 during the test, the individual was able to recover faster, even having walked for longer after the intervention. The improvement in the re-oxygenation rate and the relative time of recovery suggest a probable optimization of both muscular oxidative capacity and vascular function 34 .…”

Section: Discussionmentioning

confidence: 92%

Effects of modified aerobic training on muscle metabolism in individuals with peripheral arterial disease: a randomized clinical trial

Monteiro

Ribeiro-Samora

Britto

2019

Sci Rep

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“…Physical exercise has been proved to be beneficial in the physical performance of older subjects, and is a strategy for the prevention of falls 10,11 . Among several exercises modalities, strength training is a widely used method for the prevention of diseases associated with the development of co-morbidity and mortality in aging population, as well as improvement of physical performance through muscular strength.…”

Section: Introductionmentioning

confidence: 99%

Influence of strength training and multicomponent training on the functionality of older adults: systematic review and meta-analysis

Meereis-Lemos

Guadagnin

Mota

2020

Rev. bras. cineantropom. desempenho hum.

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Physical exercise is an important option to maintain functional independence in older adults, however, it is not clear which type of exercise is the most benefic: strength or multicomponent. The objective was to verify the effectiveness of strength training and multicomponent training on functionality of healthy older patients through a systematic review with meta-analysis. Registration number: CRD42017071887. Two independent evaluators searched Pubmed, Web of Science, PEDro, Cochrane and Lilacs databases. Of the 1434 studies found, 32 clinical trials that investigated the effects of strength training only and/or combined with other modalities (multicomponent) in older adults and evaluated the Timed up and Go (TUG), sit-to-stand (STS) and/or Berg Balance Scale (BBS) were included. The methodological quality was evaluated with the Downs & Black scale. Data analysis was performed with the Software Review Manager. It was verified improvement in all the investigated outcomes when performing multicomponent training in comparison to control groups. Strength training, compared to control groups, showed benefit only for sit-to-stand test. Studies comparing the two trainings found no difference between them. The not high average score in the methodological quality assessment of the included studies is a limitation of the present study. In conclusion, both types of training were effective to improve functionality and are good strategies of training for older individuals. However, as the comparison between the two types of training was performed in few studies, it is not possible to infer which is more effective for the functionality, suggesting the realization of new clinical trials.Resumo -O exercício físico é uma opção importante para a manutenção da independência funcional nos idosos, porém, não está claro qual tipo de exercício pode ser mais benéfico. Diante disso, buscou--se verificar o efeito de intervenções com treinamento de força e do treino com multicomponentes na funcionalidade em idosos saudáveis, através de uma revisão sistemática com metanálise. Número de registro: CRD42017071887. Foram realizadas buscas nas bases de dados Pubmed, Web of Science, PEDro, Cochrane e Lilacs. Dos 1434 estudos encontrados, 32 ensaios clínicos que realizaram treino de força e/ou combinado com outras modalidades (multicomponentes) em idosos e avaliaram os desfechos Timed up and Go (TUG), sentar-e-levantar (STS) e/ou Escala de Equilíbrio de Berg (EEB) foram incluídos. A qualidade metodológica foi avaliada pela escala Downs & Black. A análise dos dados foi realizada no Software Rewiew Manager. Verificou-se que os resultados favoreceram o treino multicomponentes em comparação aos grupos controle nos desfechos TUG, STS e EEB. Já para o treino de força isso ocorreu somente para o STS. Quando os dois treinamentos foram comparados, não houve favorecimento para nenhum deles. O escore médio não alto na avaliação da qualidade metodológica dos estudos incluídos é uma limitação do presente estudo. Conclui-se que ambos os treinos se mostraram ef...

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“…Although older adults are generally less active, physical activity and exercise training have beneficial effects on neuromuscular adaptations (muscle and myofiber hypertrophy with gains in strength and power ( 14 )) in healthy older adults, depending on clinical status and the training modality exercise training, specially endurance training improves different aspects of muscle oxygenation ( 15 ). In fact endurance and resistance training programs have proved to be effective to the positive increment in aerobic capacity and thus also in functional capacity of participants as so in cognitive function and in the reduction of the risk for chronic diseases ( 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

Functional Capacity and Levels of Physical Activity in Aging: A 3-Year Follow-up

et al. 2018

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Over the last decades, the world elderly population has increased exponentially and this tendency will continue during the coming years; from 2000 to 2050, people over 60 will double and those over 80 will quadruple. Loss of independence occurs as people age due to mobility restrictions, frailty, and decreased functional fitness and cognitive abilities. Evidence has shown that appropriate programs and policies contribute to keep older adults healthy and independent over time. The purpose of this chapter is to report the results of our 3-year follow-up study designed to characterize functional physical fitness in a sample of Portuguese community-dwelling older adults to propose a set of functional parameters that decline the most. We studied a group of 43 elderly people, aged 60 and over. Variables assessed on the participants were anthropometric measurements, functional capacity with the Senior Fitness Test battery (muscle strength, aerobic endurance, flexibility, agility, and dynamic balance), handgrip strength, levels of physical activity, and balance. Three years after the first assessment, a second assessment of the same variables was conducted. We analyzed what were the variables that, for this group, were related with a healthier aging and the relation with different physical activity levels. Our study showed that the distance covered in 6-min walk test and handgrip strength seem to explain a great amount of variability on functional variables that have changed on this period (68% of balance, lower and upper functional strength, respectively) and the active participants showed less decrements with aging in anthropometric and functional variables than those inactive or insufficiently active (p < 0.05). Greater importance should be given to prescription of exercise targeting older adults and, specifically, walking and manual activities should be given more attention as components of a community exercise program.

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Exercise training in older adults, what effects on muscle oxygenation? A systematic review

Cited by 17 publications

References 40 publications

Effects of modified aerobic training on muscle metabolism in individuals with peripheral arterial disease: a randomized clinical trial

Effects of modified aerobic training on muscle metabolism in individuals with peripheral arterial disease: a randomized clinical trial

Influence of strength training and multicomponent training on the functionality of older adults: systematic review and meta-analysis

Functional Capacity and Levels of Physical Activity in Aging: A 3-Year Follow-up

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