1. Effects of 10-week walking and walking with home-based resistance training on muscle quality, muscle size, and physical functional tests in healthy older individuals
- Author
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Madoka Ogawa, Noriko Tanaka, Ryosuke Ando, Teruhiko Koike, Hiroshi Akima, Akira Saito, Yoshiharu Oshida, Aya Tomita, Akito Yoshiko, and Shohei Kondo
- Subjects
medicine.medical_specialty ,Supine position ,Muscle size ,Walking ,lcsh:Geriatrics ,Thigh ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Randomized controlled trial ,law ,medicine ,Ultrasonography ,Muscle quality ,business.industry ,Resistance training ,Skeletal muscle ,030229 sport sciences ,Echo intensity ,Home-based resistance training ,Muscle atrophy ,lcsh:RC952-954.6 ,medicine.anatomical_structure ,Geriatrics and Gerontology ,medicine.symptom ,business ,human activities ,030217 neurology & neurosurgery ,Research Article - Abstract
Background Older individuals have been shown to present muscle atrophy in conjunction with increased fat fraction in some muscles. The proportion of fat and connective tissue within the skeletal muscle can be estimated from axial B-mode ultrasound images using echo intensity (EI). EI was used to calculate the index of muscle quality. Walking, home-based weight-bearing resistance training, and its combinations are considered simple, easy, and practical exercise interventions for older adults. The purpose of this study was to quantify the effects of walking and walking with home-based resistance training on muscle quality of older individuals. Methods Thirty-one participants performed walking training only (W-group; 72 ± 5 years) and 33 participants performed walking and home-based resistance training (WR-group; 73 ± 6 years). This study was a non-randomized controlled trial with no control group. All participants were instructed to walk 2 or 3 sets per week for 10 weeks (one set: 30-min continuous walking). In addition, the WR-group performed home-based weight-bearing resistance training. EI was measured as a muscle quality index using axial B-mode ultrasound images of the rectus femoris and vastus lateralis of the mid-thigh. We further averaged these parameters to obtain the EI of the quadriceps femoris (QF). Participants further performed five functional tests: sit-ups, supine up, sit-to-stand, 5-m maximal walk, and 6-min walk. Results QF EI was significantly decreased in both groups after training (W-group 69.9 ± 7.4 a.u. to 61.7 ± 7.0 a.u., WR-group 64.0 ± 9.5 a.u. to 51.1 ± 10.0 a.u.; P
- Published
- 2018