Effects of concurrent training on muscle strength in older adults with metabolic syndrome: A randomized controlled clinical trial

Effects of concurrent training on muscle strength in older adults with metabolic syndrome: A randomized controlled clinical trial

Author Clemente Agner, Vania Fernanda Autor UNIFESP Google Scholar
Garcia, Marcia Carvalho Autor UNIFESP Google Scholar
Taffarel, Andre Andriolli Autor UNIFESP Google Scholar
Mourao, Camila Baldini Autor UNIFESP Google Scholar
da Silva, Isabel Paulo Google Scholar
da Silva, Sara Pereira Autor UNIFESP Google Scholar
Peccin, Maria Stella Autor UNIFESP Google Scholar
Lombardi Júnior, Imperio Autor UNIFESP Google Scholar
Abstract Introduction: Metabolic syndrome is highly prevalent among older adults. Concurrent training comprises muscle strengthening and aerobic exercise. Objective: Determine the effects of a concurrent training program on muscle strength, walking function, metabolic profile, cardiovascular risk, use of medications and quality of life among older adults with metabolic syndrome. Methods: A randomised, controlled, blind, clinical trial was conducted in the city of Santos, state of Sao Paulo, Brazil, involving 41 male and female older adults. The participants were randomly allocated to a control group (n=18) and intervention group (n=23) and were submitted to the following evaluations: strength - 1 maximum repetition (1MR) for 12 muscle groups

the Six-Minute Walk Test (6MWT)

blood concentrations of cholesterol and glucose

the use of medications

and the administration of the SF-36 questionnaire. The intervention was conducted twice a week over a total of 24 sessions of concurrent training: 50 min of strength exercises (40-70% 1MR) and 40 min of walking exercises (70-85% maximum heart rate). Results: Increases in muscle strength were found in the upper and lower limbs in the inter-group analysis and a greater distance travelled on the 6MWT was found in the intervention group (p=0.001). The intervention group demonstrated a reduction in the consumption of biguanides (p=0.002). No changes were found regarding metabolic profile, cardiovascular risk or self-perceived quality of life. Conclusion: The findings of this clinical trial can be used for the prescription of concurrent training for older adults with metabolic syndrome for gains in muscle strength and walking distance as well as a reduction in the use of biguanides.
Keywords Older adults
Metabolic syndrome
Physical exercise
Muscle strength
Physical endurance
Quality of life
xmlui.dri2xhtml.METS-1.0.item-coverage Clare
Language English
Date 2018
Published in Archives Of Gerontology And Geriatrics. Clare, v. 75, p. 158-164, 2018.
ISSN 0167-4943 (Sherpa/Romeo, impact factor)
Publisher Elsevier Ireland Ltd
Extent 158-164
Origin http://dx.doi.org/10.1016/j.archger.2017.12.011
Access rights Closed access
Type Article
Web of Science ID WOS:000426105800024
URI https://repositorio.unifesp.br/handle/11600/54059

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