Effect of a 12-week mixed power training on physical function in dynapenic-obese older men: does severity of dynapenia matter?

Introduction Mobility disability affects nearly 15% of people aged 65 or over worldwide. Excess weight or obesity (OB), along with an accentuated loss of muscle strength (dynapenia), is recognized to be one of the most common risk factors for mobility impairment among the elderly. Objective To inves...

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Veröffentlicht in:Aging clinical and experimental research 2019-07, Vol.31 (7), p.977-984
Hauptverfasser: Carvalho, Livia P., Pion, Charlotte H., El Hajj Boutros, Guy, Gaudreau, Pierrette, Chevalier, Stéphanie, Bélanger, Marc, Morais, José A., Aubertin-Leheudre, Mylène
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container_issue 7
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container_title Aging clinical and experimental research
container_volume 31
creator Carvalho, Livia P.
Pion, Charlotte H.
El Hajj Boutros, Guy
Gaudreau, Pierrette
Chevalier, Stéphanie
Bélanger, Marc
Morais, José A.
Aubertin-Leheudre, Mylène
description Introduction Mobility disability affects nearly 15% of people aged 65 or over worldwide. Excess weight or obesity (OB), along with an accentuated loss of muscle strength (dynapenia), is recognized to be one of the most common risk factors for mobility impairment among the elderly. Objective To investigate the effect of a 12-week mixed power training (MPT high-velocity resistance training mixed with functional exercises) on physical function in obese older men exhibiting different severities of dynapenia. Methods Community-dwelling older men (69 ± 6 years) were assigned to the study if they were considered obese (OB, fat mass ≥ 25% body weight, BW) and to one of the two groups according to severity of dynapenia [(handgrip strength—HS)/BW]: type 1(OB-DY1) or type 2(OB-DY2),
doi_str_mv 10.1007/s40520-018-1048-0
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Excess weight or obesity (OB), along with an accentuated loss of muscle strength (dynapenia), is recognized to be one of the most common risk factors for mobility impairment among the elderly. Objective To investigate the effect of a 12-week mixed power training (MPT high-velocity resistance training mixed with functional exercises) on physical function in obese older men exhibiting different severities of dynapenia. Methods Community-dwelling older men (69 ± 6 years) were assigned to the study if they were considered obese (OB, fat mass ≥ 25% body weight, BW) and to one of the two groups according to severity of dynapenia [(handgrip strength—HS)/BW]: type 1(OB-DY1) or type 2(OB-DY2), < 1 or 2SD from a young reference group. Participants followed a 12-week MPT, three times/week, 75 min/session. Main outcomes included the performance on the 4-m and 6-min walking tests, Timed Up and Go, stair and balance tests. Results and discussion At baseline, OB-DY1 performed better than OB-DY2 in all functional tests ( p  < 0.05). Following the intervention, medium-to-large training effect size (ES) were observed for fat (ES = 0.21) and lean (ES = 0.32, p  < 0.001) masses, functional performance (ES 0.11–0.54, p  < 0.05), HS (ES = 0.10, p  < 0.05) and lower limb muscle strength (ES = 0.67, p  < 0.001) and power (ES = 0.60, p  < 0.05). Training-by-group interaction showed that OB-DY1 lost more FM (ES = 0.11, p  = 0.03) and OB-DY2 improved more HS (ES = 0.19, p  = 0.006) than their counterparts. Conclusions Seniors with obesity and severe dynapenia have poorer physical function than those in the early stage of dynapenia. Both seem to benefit from a high-velocity resistance training mixed with functional exercises, although by slightly different pathways.]]></description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-018-1048-0</identifier><identifier>PMID: 30293107</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Geriatrics/Gerontology ; Hand Strength - physiology ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Muscle Weakness - complications ; Obesity ; Obesity - classification ; Obesity - complications ; Obesity - therapy ; Older people ; Original Article ; Resistance Training - methods ; Risk Factors ; Sarcopenia ; Sarcopenia - classification ; Sarcopenia - complications ; Sarcopenia - therapy ; Severity of Illness Index ; Strength training</subject><ispartof>Aging clinical and experimental research, 2019-07, Vol.31 (7), p.977-984</ispartof><rights>Springer Nature Switzerland AG 2018</rights><rights>Aging Clinical and Experimental Research is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2ef7c6a27169df7cccd64a90e83c3db19cd88ea4dfc59f3971d2770828a028bd3</citedby><cites>FETCH-LOGICAL-c372t-2ef7c6a27169df7cccd64a90e83c3db19cd88ea4dfc59f3971d2770828a028bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-018-1048-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-018-1048-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30293107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carvalho, Livia P.</creatorcontrib><creatorcontrib>Pion, Charlotte H.</creatorcontrib><creatorcontrib>El Hajj Boutros, Guy</creatorcontrib><creatorcontrib>Gaudreau, Pierrette</creatorcontrib><creatorcontrib>Chevalier, Stéphanie</creatorcontrib><creatorcontrib>Bélanger, Marc</creatorcontrib><creatorcontrib>Morais, José A.</creatorcontrib><creatorcontrib>Aubertin-Leheudre, Mylène</creatorcontrib><title>Effect of a 12-week mixed power training on physical function in dynapenic-obese older men: does severity of dynapenia matter?</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description><![CDATA[Introduction Mobility disability affects nearly 15% of people aged 65 or over worldwide. Excess weight or obesity (OB), along with an accentuated loss of muscle strength (dynapenia), is recognized to be one of the most common risk factors for mobility impairment among the elderly. Objective To investigate the effect of a 12-week mixed power training (MPT high-velocity resistance training mixed with functional exercises) on physical function in obese older men exhibiting different severities of dynapenia. Methods Community-dwelling older men (69 ± 6 years) were assigned to the study if they were considered obese (OB, fat mass ≥ 25% body weight, BW) and to one of the two groups according to severity of dynapenia [(handgrip strength—HS)/BW]: type 1(OB-DY1) or type 2(OB-DY2), < 1 or 2SD from a young reference group. Participants followed a 12-week MPT, three times/week, 75 min/session. Main outcomes included the performance on the 4-m and 6-min walking tests, Timed Up and Go, stair and balance tests. Results and discussion At baseline, OB-DY1 performed better than OB-DY2 in all functional tests ( p  < 0.05). Following the intervention, medium-to-large training effect size (ES) were observed for fat (ES = 0.21) and lean (ES = 0.32, p  < 0.001) masses, functional performance (ES 0.11–0.54, p  < 0.05), HS (ES = 0.10, p  < 0.05) and lower limb muscle strength (ES = 0.67, p  < 0.001) and power (ES = 0.60, p  < 0.05). Training-by-group interaction showed that OB-DY1 lost more FM (ES = 0.11, p  = 0.03) and OB-DY2 improved more HS (ES = 0.19, p  = 0.006) than their counterparts. Conclusions Seniors with obesity and severe dynapenia have poorer physical function than those in the early stage of dynapenia. Both seem to benefit from a high-velocity resistance training mixed with functional exercises, although by slightly different pathways.]]></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Geriatrics/Gerontology</subject><subject>Hand Strength - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Muscle Weakness - complications</subject><subject>Obesity</subject><subject>Obesity - classification</subject><subject>Obesity - complications</subject><subject>Obesity - therapy</subject><subject>Older people</subject><subject>Original Article</subject><subject>Resistance Training - methods</subject><subject>Risk Factors</subject><subject>Sarcopenia</subject><subject>Sarcopenia - classification</subject><subject>Sarcopenia - complications</subject><subject>Sarcopenia - therapy</subject><subject>Severity of Illness Index</subject><subject>Strength training</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFvFSEQxonR2Fr9A7wYEi9eVhnYt4AXY5pWTZp40TPhwVCpu7DCbuu7-LeXl9eqMfHEMPP7vpnkI-Q5sNfAmHxTe7bhrGOgOmC96tgDcgyydZQA_fCv-og8qfWKsR7a5zE5EoxrAUwek19nIaBbaA7UUuDdDeJ3OsWf6Omcb7DQpdiYYrqkOdH5265GZ0ca1uSW2DoxUb9LdsYUXZe3WJHm0TfZhOkt9RkrrXiNJS67_Yp71tLJLguWd0_Jo2DHis_u3hPy9fzsy-nH7uLzh0-n7y86JyRfOo5BusFyCYP2rXTOD73VDJVwwm9BO68U2t4Ht9FBaAmeS8kUV5ZxtfXihLw6-M4l_1ixLmaK1eE42oR5rYYDSNgMA4iGvvwHvcprSe06w0WvATQfNo2CA-VKrrVgMHOJky07A8zswzGHcEwLx-zDMaxpXtw5r9sJ_W_FfRoN4AegtlG6xPJn9f9dbwG0X5pM</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Carvalho, Livia P.</creator><creator>Pion, Charlotte H.</creator><creator>El Hajj Boutros, Guy</creator><creator>Gaudreau, Pierrette</creator><creator>Chevalier, Stéphanie</creator><creator>Bélanger, Marc</creator><creator>Morais, José A.</creator><creator>Aubertin-Leheudre, Mylène</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190701</creationdate><title>Effect of a 12-week mixed power training on physical function in dynapenic-obese older men: does severity of dynapenia matter?</title><author>Carvalho, Livia P. ; 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Excess weight or obesity (OB), along with an accentuated loss of muscle strength (dynapenia), is recognized to be one of the most common risk factors for mobility impairment among the elderly. Objective To investigate the effect of a 12-week mixed power training (MPT high-velocity resistance training mixed with functional exercises) on physical function in obese older men exhibiting different severities of dynapenia. Methods Community-dwelling older men (69 ± 6 years) were assigned to the study if they were considered obese (OB, fat mass ≥ 25% body weight, BW) and to one of the two groups according to severity of dynapenia [(handgrip strength—HS)/BW]: type 1(OB-DY1) or type 2(OB-DY2), < 1 or 2SD from a young reference group. Participants followed a 12-week MPT, three times/week, 75 min/session. Main outcomes included the performance on the 4-m and 6-min walking tests, Timed Up and Go, stair and balance tests. Results and discussion At baseline, OB-DY1 performed better than OB-DY2 in all functional tests ( p  < 0.05). Following the intervention, medium-to-large training effect size (ES) were observed for fat (ES = 0.21) and lean (ES = 0.32, p  < 0.001) masses, functional performance (ES 0.11–0.54, p  < 0.05), HS (ES = 0.10, p  < 0.05) and lower limb muscle strength (ES = 0.67, p  < 0.001) and power (ES = 0.60, p  < 0.05). Training-by-group interaction showed that OB-DY1 lost more FM (ES = 0.11, p  = 0.03) and OB-DY2 improved more HS (ES = 0.19, p  = 0.006) than their counterparts. Conclusions Seniors with obesity and severe dynapenia have poorer physical function than those in the early stage of dynapenia. Both seem to benefit from a high-velocity resistance training mixed with functional exercises, although by slightly different pathways.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30293107</pmid><doi>10.1007/s40520-018-1048-0</doi><tpages>8</tpages></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Aged
Aged, 80 and over
Geriatrics/Gerontology
Hand Strength - physiology
Humans
Male
Medicine
Medicine & Public Health
Muscle Weakness - complications
Obesity
Obesity - classification
Obesity - complications
Obesity - therapy
Older people
Original Article
Resistance Training - methods
Risk Factors
Sarcopenia
Sarcopenia - classification
Sarcopenia - complications
Sarcopenia - therapy
Severity of Illness Index
Strength training
title Effect of a 12-week mixed power training on physical function in dynapenic-obese older men: does severity of dynapenia matter?
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