Osteoarthritis of the knee (kOA) is a disease that mainly affects the elderly and can
lead to major physical and functional limitations. However, the specific effects of
walking, particularly on the immune system, are unknown. Therefore, this study aimed
to analyze the effect of 12 weeks of walking (3×/week) on the leukocyte profile and
quality of life (QL) of elderly women with kOA. Sixteen women (age: 67±4 years, body
mass index: 28.07±4.16 kg/m2) participated in a walking program. The
variables were assessed before and after 12 weeks of training with a progressively
longer duration (30–55 min) and higher intensity (72–82% of HRmax determined using a
graded incremental treadmill test). The QL was assessed using the Medical Outcomes
Study 36-Item Short Form Health Survey (SF-36), and blood samples were collected for
analysis with a cell counter and the San Fac flow cytometer. Walking training
resulted in a 47% enhancement of the self-reported QL (P<0.05) and a 21% increase
in the VO2max (P<0.0001) in elderly women with kOA. Furthermore, there
was a reduction in CD4+ cells (pre=46.59±7%, post=44.58±9%, P=0.0189) and a higher
fluorescence intensity for CD18+CD4+ (pre=45.30±10, post=64.27±33, P=0.0256) and
CD18+CD8+ (pre=64.2±27, post=85.02±35, P=0.0130). In
conclusion, the walking program stimulated leukocyte production, which may be related
to the immunomodulatory effect of exercise. Walking also led to improvements in the
QL and physical performance in elderly women with kOA.