Cardiovascular and hemodynamic responses to adapted physical exercises in very old adults

Panzarino, M; Gravina, Angela; Carosi, Veronica; Crobeddu, P.; Tiroli, A.; Lombardi, Roberto; D’Ottavio, S; Galante, Alberto; Legramante, Jacopo M.

doi:10.1007/s40520-016-0598-2

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…The aging process primarily results in myocardial remodeling ( Rose & Howlett, 2024 ), declining cardiac function ( Ali et al, 2020 ), reduced functional reserves of the heart and blood vessels ( Zhang et al, 2024 ), arteriosclerosis ( Shikimoto et al, 2024 ), and increased endothelial damage ( Li, 2019 ). Additionally, metabolic changes, long-term unhealthy dietary habits, lack of exercise ( Panzarino et al, 2017 ), and various other factors are associated with this process, which cumulatively contribute to the onset of CVD in the older adult population. CVD is strongly associated with mortality, accounting for almost 30% of all deaths in middle-aged and older adult population ( Coutinho et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of five types of exercise on vascular function in postmenopausal women: a network meta-analysis and systematic review of 32 randomized controlled trials

Sun,

Han,

2024

PeerJ

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Background As women age, especially after menopause, cardiovascular disease (CVD) prevalence rises, posing a significant global health concern. Regular exercise can mitigate CVD risks by improving blood pressure and lipid levels in postmenopausal women. Yet, the optimal exercise modality for enhancing vascular structure and function in this demographic remains uncertain. This study aims to compare five exercise forms to discern the most effective interventions for reducing cardiovascular risk in postmenopausal women. Methods The study searched PubMed, Web of Science, Cochrane, EBSCO, and Embase databases. It conducted a network meta-analysis (NMA) of randomized controlled trials (RCTs) on five exercise interventions: continuous endurance training (CET), interval training (INT), resistance training (RT), aerobic combined with resistance training (CT), and hybrid-type training (HYB). Outcome measures included carotid artery intima-media thickness (IMT), nitric oxide (NO), augmentation index (AIx), pulse wave velocity (PWV), and flow-mediated dilatation (FMD) of the brachial artery. Eligible studies were assessed for bias using the Cochrane tool. A frequentist random-effects NMA was employed to rank exercise effects, calculating standardized mean differences (SMDs) with 95% confidence intervals (CIs). Results The analysis of 32 studies (n = 1,427) indicates significant increases in FMD with CET, INT, RT, and HYB in postmenopausal women. Reductions in PWV were significant with CET, INT, RT, CT, and HYB. AIx decreased significantly with INT and HYB. CET, INT, and CT significantly increased NO levels. However, no significant reduction in IMT was observed. SUCRA probabilities show INT as most effective for increasing FMD, CT for reducing PWV, INT for decreasing AIx, CT for lowering IMT, and INT for increasing NO in postmenopausal women. Conclusion The study demonstrates that CET, INT, RT, and HYB have a significant positive impact on FMD in postmenopausal women. Furthermore, all five forms of exercise significantly enhance PWV in this population. INT and HYB were found to have a significant positive effect on AIx in postmenopausal women, while CET, INT, and CT were found to significantly improve NO levels. For improving vascular function in postmenopausal women, it is recommended to prioritize INT and CT exercise modalities. On the other hand, as CET and RT were not ranked at the top of the Sucra value ranking in this study and were less effective than INT and CT as exercise interventions to improve vascular function in postmenopausal women, it is not recommended that CET and RT be considered the preferred exercise modality.

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Section: Introductionmentioning

confidence: 99%

Effects of five types of exercise on vascular function in postmenopausal women: a network meta-analysis and systematic review of 32 randomized controlled trials

Sun,

Han,

2024

PeerJ

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“…Although physical inactivity is widespread in the general population, it is especially prevalent among the elderly as a consequence of aging [7][8][9]. The result is age-related physical decline and decreased quality of life [10]. This situation can be reversed, however, through regular engagement in an Adapted Physical Activity (APA) program.…”

Section: Introductionmentioning

confidence: 99%

The Health of Community-Residing Elderly Study: Effectiveness of Health in Movement, an Adapted Physical Activity Program, in Improving Psychophysical Performance in Community-Residing Older Adults

2021

Sports Injr Med

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The aim of this study was to evaluate the association between cognitive function and an Adapted Physical Activity (APA) program in community-residing older adults. The study was carried out in accordance with the principles of the Helsinki Declaration. The final study sample was 60 adults who received either APA plus cognitive training (experimental group, n=34) or APA alone (comparison group, n=26) for 75 minutes per session twice weekly for 12 weeks. A test battery to evaluate executive function and cognitive skills was performed before (baseline) and after the intervention. Significant differences in motor and cognitive performance were observed between the two groups at the final assessment. The experimental group was noted to have improved mobility, physical performance, and pain symptoms, as well as cognitive competencies in the domains typically affected by cognitive decline with advancing age such as memory, orientation, and fine motor skills.

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Early cardiac rehabilitation: could it improve functional outcomes and reduce length of stay and sanitary costs in patients aged 75 years or older? A retrospective case–control study

et al. 2020

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Cardiovascular and hemodynamic responses to adapted physical exercises in very old adults

Abstract: In very old people, physical activity induces cardiovascular and hemodynamic responses not significantly different from those induced in adult even though some cautions particularly in the early recovery phase after exercise should be exercised.

Cited by 3 publications

References 37 publications

Effects of five types of exercise on vascular function in postmenopausal women: a network meta-analysis and systematic review of 32 randomized controlled trials

Effects of five types of exercise on vascular function in postmenopausal women: a network meta-analysis and systematic review of 32 randomized controlled trials

The Health of Community-Residing Elderly Study: Effectiveness of Health in Movement, an Adapted Physical Activity Program, in Improving Psychophysical Performance in Community-Residing Older Adults

Early cardiac rehabilitation: could it improve functional outcomes and reduce length of stay and sanitary costs in patients aged 75 years or older? A retrospective case–control study

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