Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial

Abstract Physical exercise, when practiced regularly and in adequate doses, is a proven nonpharmacological measure that helps to prevent and reverse noncommunicable diseases, as well as reduce mortality rates from any cause. In general, older adults perform insufficient physical activity and do not...

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Autores principales:	Eduardo Carballeira, Karla C. Censi, Ana Maseda, Rocío López-López, Laura Lorenzo-López, José C. Millán-Calenti
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/91769e9d55b34dd2aee7e1ae9fd22657
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spelling	oai:doaj.org-article:91769e9d55b34dd2aee7e1ae9fd226572021-12-02T14:33:57ZLow-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial10.1038/s41598-021-92716-92045-2322https://doaj.org/article/91769e9d55b34dd2aee7e1ae9fd226572021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92716-9https://doaj.org/toc/2045-2322Abstract Physical exercise, when practiced regularly and in adequate doses, is a proven nonpharmacological measure that helps to prevent and reverse noncommunicable diseases, as well as reduce mortality rates from any cause. In general, older adults perform insufficient physical activity and do not meet the doses recommended by the World Health Organization for the improvement of health through physical activity. However, there is little evidence on adequate doses of exercise in older people, especially in those with multimorbidity. Our main aim was to evaluate the effect of a 6-week intervention on health-related outcomes (body composition, hemodynamic and functionality changes) in 24 individuals aged 65 and older with multimorbidity in a randomized controlled trial. The intervention consisted of a very low volume (60 min per week) of low-to-moderate intensity exercise training (perception of effort from 3 to 6 on an 11-point scale). After the intervention, blood pressure was significantly (p = 0.038) reduced in the exercise group (EG), with a higher reduction in men. Furthermore, the EG decreased their waist circumference (p = 0.005), a proxy of abdominal adiposity, and demonstrated an increased likelihood (73%) that a randomly selected change in muscle mass score from the EG would be greater than a randomly selected change score from the control group. The exercise intervention was particularly effective in enhancing the functionality of older adults with multimorbidity, especially in walking speed and balance skills. Perceptually regulated intensity during exercise training seemed to be a very interesting strategy to train individuals with low physical fitness and comorbidities. This study is registered with Clinicaltrials.gov (NCT 04842396).Eduardo CarballeiraKarla C. CensiAna MasedaRocío López-LópezLaura Lorenzo-LópezJosé C. Millán-CalentiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eduardo Carballeira Karla C. Censi Ana Maseda Rocío López-López Laura Lorenzo-López José C. Millán-Calenti Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
description	Abstract Physical exercise, when practiced regularly and in adequate doses, is a proven nonpharmacological measure that helps to prevent and reverse noncommunicable diseases, as well as reduce mortality rates from any cause. In general, older adults perform insufficient physical activity and do not meet the doses recommended by the World Health Organization for the improvement of health through physical activity. However, there is little evidence on adequate doses of exercise in older people, especially in those with multimorbidity. Our main aim was to evaluate the effect of a 6-week intervention on health-related outcomes (body composition, hemodynamic and functionality changes) in 24 individuals aged 65 and older with multimorbidity in a randomized controlled trial. The intervention consisted of a very low volume (60 min per week) of low-to-moderate intensity exercise training (perception of effort from 3 to 6 on an 11-point scale). After the intervention, blood pressure was significantly (p = 0.038) reduced in the exercise group (EG), with a higher reduction in men. Furthermore, the EG decreased their waist circumference (p = 0.005), a proxy of abdominal adiposity, and demonstrated an increased likelihood (73%) that a randomly selected change in muscle mass score from the EG would be greater than a randomly selected change score from the control group. The exercise intervention was particularly effective in enhancing the functionality of older adults with multimorbidity, especially in walking speed and balance skills. Perceptually regulated intensity during exercise training seemed to be a very interesting strategy to train individuals with low physical fitness and comorbidities. This study is registered with Clinicaltrials.gov (NCT 04842396).
format	article
author	Eduardo Carballeira Karla C. Censi Ana Maseda Rocío López-López Laura Lorenzo-López José C. Millán-Calenti
author_facet	Eduardo Carballeira Karla C. Censi Ana Maseda Rocío López-López Laura Lorenzo-López José C. Millán-Calenti
author_sort	Eduardo Carballeira
title	Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
title_short	Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
title_full	Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
title_fullStr	Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
title_full_unstemmed	Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
title_sort	low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/91769e9d55b34dd2aee7e1ae9fd22657
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Low-volume cycling training improves body composition and functionality in older people with multimorbidity: a randomized controlled trial

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