Effects of Multicomponent Training on Metabolic and Functional Health of Older Women With Obesity: A Randomized Clinical Trial.

IF 1.5 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Sofia Germano Travieso, Gabriela Ueta Ortiz, Gabriela Ferreira Abud, Marina Mello Villalba, Gizela Pedroso Junqueira, Matheus Machado Gomes, Julio Sergio Marchini, Ellen Cristini Freitas
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引用次数: 0

Abstract

Introduction: The aging global population demands strategies to mitigate inflammation and anabolic resistance impacting older adults' quality of life. This randomized controlled trial examined the effects of multicomponent training on obese older women to enhance muscle health and functionality.

Objectives: To assess the effects of a 12-week multicomponent training program on physical and functional capacities, body composition, metabolic health, and whole body muscle quality.

Methods: Twenty-six older women (body mass index: >30 kg/m2) were randomized into an exercise (n = 13) or control group (n = 13). Exercise group participated in 12 weeks of supervised multicomponent training. Outcomes assessed pre- and postintervention including functional and physical capacities, body composition, waist circumference, lower limb muscle ultrasound, lipid profile, blood glucose, glucose tolerance, inflammatory cytokines, and type III procollagen peptide protein. Assessments were conducted blind to group allocation. Data were analyzed using R software.

Results: Exercise group showed significant reductions in body fat percentage (Hedges' g: -0.14) and enhanced functional performance (sit-to-stand test: Hedges' g: 1.21). Improvements in cardiometabolic health and inflammatory profiles were observed, reducing morbidity risk. Correlations between inflammatory markers, body composition, and functional outcomes suggested a nonlinear cytokine response.

Conclusion: Multicomponent training effectively improved body composition and functional capacity in obese older women, with potential benefits for inflammatory and metabolic health.

Significance: These results underscore the importance of integrating exercise with dietary strategies to optimize outcomes.

Trial registration: ClinicalTrials.gov NCT05552677.

Funding: Supported by FAPESP/2022/15078-4 and CnPq 303766/2022-0.

多组分训练对老年肥胖妇女代谢和功能健康的影响:一项随机临床试验
引言:全球人口老龄化需要减轻影响老年人生活质量的炎症和合成代谢抵抗的策略。这项随机对照试验检验了多组分训练对肥胖老年妇女增强肌肉健康和功能的影响。目的:评估为期12周的多组分训练计划对身体和功能能力、身体成分、代谢健康和全身肌肉质量的影响。方法:26例老年妇女(体重指数:bbb30 kg/m2)随机分为运动组(n = 13)和对照组(n = 13)。运动组参加为期12周的有监督的多组分训练。干预前后评估的结果包括功能和身体能力、身体组成、腰围、下肢肌肉超声、血脂、血糖、葡萄糖耐量、炎症细胞因子和III型前胶原肽蛋白。评估不考虑分组分配。数据分析采用R软件。结果:运动组体脂率显著降低(Hedges' g: -0.14),功能表现显著提高(坐立比试:Hedges' g: 1.21)。观察到心脏代谢健康和炎症状况的改善,降低了发病风险。炎症标志物、身体成分和功能结果之间的相关性表明存在非线性细胞因子反应。结论:多组分训练可有效改善肥胖老年妇女的身体组成和功能,对炎症和代谢健康有潜在益处。意义:这些结果强调了将运动与饮食策略相结合以优化结果的重要性。试验注册:ClinicalTrials.gov NCT05552677。项目资助:FAPESP/2022/15078-4和CnPq 303766/2022-0。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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