Maressa P. Krause

The Effects of 12 Weeks of Step Aerobics Training on Functional Fitness of Elderly Women

Hallage, T, Krause, MP, Haile, L, Miculis, CP, Nagle, EF, Reis, RS, and Da Silva, SG. The effects of 12 weeks of step aerobics training on functional fitness of elderly women. J Strength Cond Res 24(8): 2261-2266, 2010-The purpose of this study was to determine the effects of 12 weeks of step aerobics (SA) training on the functional fitness of apparently healthy older women. Thirteen previously sedentary elderly women (mean age 63.14 years) participated in this study. Subjects performed 3 training sessions per week for 30-60 minutes per session. All measurements were assessed at baseline, after 12 weeks of training (posttest), and after 1 month of detraining. Assessments included the evaluation of body mass index (BMI), waist circumference (WC), strength of the upper (arm-curl [AC] test) and lower body (30-second chair-stand test [CS]), dynamic balance and agility (8 foot up and go [8 ft]), flexibility (chair sit-and-reach [CSR]), and cardiorespiratory fitness (6-minute walk test [6MW]). Step aerobics significantly improved all functional fitness components except for BMI. The 12 weeks of SA promoted a large effect size in the following measurements: WC (d = 1.6); CSR (d = 1.51); CS (d = 1.49); AC (d = 1.41); 8 ft (d = 1.32); and 6MW (d = 1.06) (p < 0.05). These results indicate that 12 weeks of SA had a positive effect on the functional fitness components of these older women. Furthermore, these findings were confirmed by the reverse effect observed after 1 month of detraining, except for upper body strength (AC test). In conclusion, 12 weeks of SA training can promote improvements in the functional fitness of apparently healthy older women. Therefore, SA can be considered an effective exercise modality to prevent the loss of functional fitness and its associated consequences.

Urinary incontinence and waist circumference in older women

OBJECTIVE the study aims to determine the association between adiposity and fitness with urinary incontinence (UI) in older women. METHODS a cross-sectional study was conducted in southern Brazil. A sample of 1,069 urban women, age 60+, was assessed for UI (in-person interview), adiposity (body mass index [BMI] and waist circumference [WC]) and fitness. Logistic regression models were developed to assess the association between UI and the independent variables-adiposity (BMI and WC) and fitness indicators. All models were adjusted for age, socioecomomic level, diabetes and hypertension. RESULTS BMI and functional tests were not significantly associated with UI. WC was an independent and significant predictor. Relative to women in the lowest quartile of WC, odds ratios for UI were 1.98 for WC of 79-86 cm, 2.07 for WC of 86-94 cm and 2.24 for WC >94 cm (P = 0.03). CONCLUSION central adiposity, as indicated by large WC, increases the risk of UI. Intra-abdominal pressure and its effect on urethral structures may be responsible for this increased risk. Older women should be counselled on the risk of central obesity for UI.

Is the Self-Selected Resistance Exercise Intensity by Older Women Consistent With the American College of Sports Medicine Guidelines to Improve Muscular Fitness?

Abstract Elsangedy, HM, Krause, MP, Krinski, K, Alves, RC, Hsin Nery Chao, C, and da Silva, SG. Is the self-selected resistance exercise intensity by older women consistent with the American College of Sports Medicine guidelines to improve muscular fitness? J Strength Cond Res 27(7): 1877–1884, 2013—The purpose of this study was to verify the self-selected intensity during resistance training (RT) in older women. Twenty healthy women (mean age, 65.6 years) underwent a 2-week familiarization period followed by 3 experimental sessions. During the first session, anthropometric measurements were taken. The second session involved completion of a 1 repetition maximum (1RM) test for the following exercises: chest press, leg press, lat pull-down, leg extension, lateral shoulder raise, leg curl, biceps curl, and triceps pushdown. Last, a single RT session was performed at a self-selected intensity. During the RT session, participants were instructed to self-select a load for performing 3 sets of 10–15 repetitions. Data were analyzed by mean (SD) and analysis of variance with repeated measures (p < 0.05). Global mean of the 3 sets was bench press 41.0% 1RM (11.9), leg press 43.0% 1RM (17.2), lat pull-down 47.2% 1RM (11.1), leg extension 33.0% 1RM (8.1), lateral shoulder raise 51.1% 1RM (12.1), leg curl 43.5% 1RM (8.8), biceps curl 48.0% 1RM (15.5), and triceps pushdown 51.7% 1RM (13.3); there were no significant differences between the sets (p > 0.05). These results indicate that inactive older women self-selected an intensity exercise during RT below the recommendation for improvements on muscle fitness in apparently healthy older adults. However, this intensity is recommended for very deconditioned individuals. Nevertheless, the use of self-selection strategy during an exercise program can have greater advantages because of its easy applicability, its positive relation with exercise adherence, and for promoting initial muscle conditioning in older adults. Furthermore, it is crucial to gradually increase the RT load to guarantee better and sustainable effects on muscle fitness. Finally, future studies are needed to establish the chronic effects of RT at self-selected intensity on muscle fitness and the functional health of older adults.

Effect of Body Mass Index on Affect at Intensities Spanning the Ventilatory Threshold

The aim of this study was to compare acute affective responses at exercise intensities based on the ventilatory threshold between normal weight, overweight, and obese women. 66 sedentary women (22 in each Body Mass Index group) performed a maximal graded treadmill test to measure their maximal oxygen uptake and ventilatory thresholds. Affective valence was compared at intensities spanning the ventilatory threshold (below, at, and above threshold). Affective valence below ventilatory threshold did not differ among the Body Mass Index groups. The obese group had a lower affective response at ventilatory threshold and above ventilatory threshold than the normal weight and overweight groups; the latter two groups did not differ. The obese group had a lower affective response than the normal and overweight groups, which corresponds to a less pleasant experience. Exercise prescriptions for obese subjects targeting intensities below ventilatory threshold can provide a more pleasant experience and may facilitate exercise adherence.

Associação de aptidão cardiorrespiratória e circunferência abdominal com hipertensão em mulheres idosas brasileiras

BACKGROUND: The protective effect of cardiorespiratory fitness, regardless of obesity, has been recognized in adults. However, this association is still not clear in elderly individuals. OBJECTIVE: To analyze the association between hypertension and cardiorespiratory fitness in 1,064 elderly Brazilian women. METHODS: Central obesity was estimated by waist circumference and cardiorespiratory fitness by the 6-minutes walk test. ANOVA one way, chi-square and logistic regression were used for the statistical analysis. RESULTS: The prevalence of hypertension was 53.9%. The central obesity group had higher odds for hypertension when compared with the non-central-obesity group, in the same cardiorespiratory fitness group. Furthermore, both the central obesity and non-central obesity groups had a progressive increase in the odds ratio for hypertension, from the highest to lowest fitness groups, indicating an inverse relation between fitness and central adiposity. The non-central obesity group had the lowest odds ratios (OR), 1.49 (95%IC 0.97-2.28) and 1.54 (95%IC 0.94-2.51); whereas the central obesity group had an OR of 2.08 (95%IC 1.47-2.93), 2.79 (95%IC 1.79-4.33) and 3.09 (95%IC 1.86-5.12). CONCLUSION: Our findings indicated that the waist circumference measurement is a strong predictor of hypertension and suggested that the protective effect of cardiorespiratory fitness can be extended to elderly women, even to those with central obesity.BACKGROUND The protective effect of cardiorespiratory fitness, regardless of obesity, has been recognized in adults. However, this association is still not clear in elderly individuals. OBJECTIVE To analyze the association between hypertension and cardiorespiratory fitness in 1,064 elderly Brazilian women. METHODS Central obesity was estimated by waist circumference and cardiorespiratory fitness by the 6-minutes walk test. ANOVA one way, chi-square and logistic regression were used for the statistical analysis. RESULTS The prevalence of hypertension was 53.9%. The central obesity group had higher odds for hypertension when compared with the non-central-obesity group, in the same cardiorespiratory fitness group. Furthermore, both the central obesity and non-central obesity groups had a progressive increase in the odds ratio for hypertension, from the highest to lowest fitness groups, indicating an inverse relation between fitness and central adiposity. The non-central obesity group had the lowest odds ratios (OR), 1.49 (95%IC 0.97-2.28) and 1.54 (95%IC 0.94-2.51); whereas the central obesity group had an OR of 2.08 (95%IC 1.47-2.93), 2.79 (95%IC 1.79-4.33) and 3.09 (95%IC 1.86-5.12). CONCLUSION Our findings indicated that the waist circumference measurement is a strong predictor of hypertension and suggested that the protective effect of cardiorespiratory fitness can be extended to elderly women, even to those with central obesity.

Análise do perfil lipídico de mulheres idosas em Curitiba - Paraná

BACKGROUND: Dyslipidemia is considered one of the main risk factors for cardiovascular disease (CVD), which is more frequent in older individuals. However, evidence suggests that a large number of elderly individuals is not aware of their lipid profile status; additionally, many of them do not have access to adequate treatment. OBJECTIVE: To analyze the lipid profile and the frequency of lipid-lowering therapy use in elderly women from the city of Curitiba, state of Parana, Brazil. METHODS: The sample consisted of 312 women (mean age = 68.8; SD = 6.0 years). The lipid profile was determined by plasma levels of total cholesterol (TC), high-density cholesterol (HDL-C), low-density cholesterol (LDL-C) and triglycerides (TG). The number of subjects that reported being on lipid-lowering therapy was self-reported; therefore, the groups were divided into two subgroups, satisfactory and unsatisfactory. RESULTS: A high prevalence of individuals with unsatisfactory levels of lipid profile components was observed in the group that self-reported not being on lipid-lowering therapy; of these, 74.2% of women with CVD presented levels above the LDL-C goal. On the other hand, 45.8 to 49.3% of the individuals from the group that self-reported being on lipid-lowering therapy had unsatisfactory values of TC, TG and LDL-C, and 25.4% had HDL-C levels lower than 40.0 mg/dl. CONCLUSION: The results of this investigation indicate a high prevalence of elderly women, regardless of self-reports of being on lipid-lowering therapy, with an unsatisfactory lipid profile, mainly related to LDL-C goal for those individuals with CVD.

Association of fitness and waist circumference with hypertension in Brazilian elderly women

BACKGROUND: The protective effect of cardiorespiratory fitness, regardless of obesity, has been recognized in adults. However, this association is still not clear in elderly individuals. OBJECTIVE: To analyze the association between hypertension and cardiorespiratory fitness in 1,064 elderly Brazilian women. METHODS: Central obesity was estimated by waist circumference and cardiorespiratory fitness by the 6-minutes walk test. ANOVA one way, chi-square and logistic regression were used for the statistical analysis. RESULTS: The prevalence of hypertension was 53.9%. The central obesity group had higher odds for hypertension when compared with the non-central-obesity group, in the same cardiorespiratory fitness group. Furthermore, both the central obesity and non-central obesity groups had a progressive increase in the odds ratio for hypertension, from the highest to lowest fitness groups, indicating an inverse relation between fitness and central adiposity. The non-central obesity group had the lowest odds ratios (OR), 1.49 (95%IC 0.97-2.28) and 1.54 (95%IC 0.94-2.51); whereas the central obesity group had an OR of 2.08 (95%IC 1.47-2.93), 2.79 (95%IC 1.79-4.33) and 3.09 (95%IC 1.86-5.12). CONCLUSION: Our findings indicated that the waist circumference measurement is a strong predictor of hypertension and suggested that the protective effect of cardiorespiratory fitness can be extended to elderly women, even to those with central obesity.BACKGROUND The protective effect of cardiorespiratory fitness, regardless of obesity, has been recognized in adults. However, this association is still not clear in elderly individuals. OBJECTIVE To analyze the association between hypertension and cardiorespiratory fitness in 1,064 elderly Brazilian women. METHODS Central obesity was estimated by waist circumference and cardiorespiratory fitness by the 6-minutes walk test. ANOVA one way, chi-square and logistic regression were used for the statistical analysis. RESULTS The prevalence of hypertension was 53.9%. The central obesity group had higher odds for hypertension when compared with the non-central-obesity group, in the same cardiorespiratory fitness group. Furthermore, both the central obesity and non-central obesity groups had a progressive increase in the odds ratio for hypertension, from the highest to lowest fitness groups, indicating an inverse relation between fitness and central adiposity. The non-central obesity group had the lowest odds ratios (OR), 1.49 (95%IC 0.97-2.28) and 1.54 (95%IC 0.94-2.51); whereas the central obesity group had an OR of 2.08 (95%IC 1.47-2.93), 2.79 (95%IC 1.79-4.33) and 3.09 (95%IC 1.86-5.12). CONCLUSION Our findings indicated that the waist circumference measurement is a strong predictor of hypertension and suggested that the protective effect of cardiorespiratory fitness can be extended to elderly women, even to those with central obesity.

Age and Physiological, Perceptual, and Affective Responses during Walking at a Self-Selected Pace

The aim of this study was to examine physiological, perceptual, and affective responses during self-paced walking for three age groups. 66 adult women were assigned into three groups by age: 20–25 yr. (n =22), 30–35 yr. (n = 22), and 40–45 yr. (n = 22). Each participant completed a maximal exercise test and a 20-min. bout of walking at a self-selected pace. The preferred walking speed was similar for all age groups, whereas physiological responses relative to maximal and ventilatory threshold values were greater in the 40–45 yr. group than the other two groups. Nevertheless, perceptual and affective responses were similar for all age groups. These findings suggest that physiological responses, but not perceptual and affective responses, of sedentary women are associated with age during walking at a self-selected pace.

Concurrent Validity of an OMNI Rating of Perceived Exertion Scale for Bench Stepping Exercise

Krause, MP, Goss, FL, Robertson, RJ, Kim, K, Elsangedy, HM, Krinski, K, and da Silva, SG. Concurrent validity of an OMNI rating of perceived exertion scale for bench stepping exercise. J Strength Cond Res 26(2): 506–512, 2012—To develop and validate a modified OMNI rating of perceived exertion (RPE) scale for use during bench stepping exercise (OMNI-BS). Thirty women (age: 19.8 ± 1.8 years) undertook 2 experimental trials, separated by 7 days. Concurrent validity was established by examining the relation between physiological criterion variables, oxygen consumption (&OV0312;o2), and heart rate (HR), with the concurrent variable, RPE from OMNI-BS, during 2 trials in which the intensity increased linearly (test 1) and intermittently (test 2). The first test consisted of 3-minute stages. Subjects stepped up and down on the bench at 120 b·min−1. The test was terminated owing to subject fatigue. Exercise intensity increased as bench height increased every 3 minutes. The second test consisted of three 3-minute exercise bouts that reproduced exercise stage 1 (low intensity), stage 3 (moderate intensity), and stage 5 (high intensity) performed in the first test. The order of these 3 exercise bouts was counterbalanced. Intraclass correlation analysis from experimental trials indicated a strong positive association between RPE and &OV0312;o2 (r = 0.96 and r = 0.95) and HR (r = 0.95 and r = 0.95). Concurrent validity for the OMNI-BS RPE scale was established for women performing bench stepping exercise.

Influence of fish oil supplementation and strength training on some functional aspects of immune cells in healthy elderly women.

Immune function changes with ageing and is influenced by physical activity (strength training, ST) and diet (fish oil, FO). The present study investigated the effect of FO and ST on the immune system of elderly women. Forty-five women (64 (sd 1.4) years) were assigned to ST for 90 d (ST; n 15), ST plus 2 g/d FO for 90 d (ST90; n 15) or 2 g/d FO for 60 d followed by ST plus FO for 90 d (ST150; n 15). Training was performed three times per week, for 12 weeks. A number of innate (zymosan phagocytosis, lysosomal volume, superoxide anion, peroxide of hydrogen) and adaptive (cluster of differentiation 4 (CD4), CD8, TNF-α, interferon-γ (IFN-γ), IL-2, IL-6 and IL-10 produced by lymphocytes) immune parameters were assessed before supplementation (base), before (pre-) and after (post-) training. ST induced no immune changes. FO supplementation caused increased phagocytosis (48 %), lysosomal volume (100 %) and the production of superoxide anion (32 %) and H₂O₂(70 %) in the ST90. Additional FO supplementation (ST150) caused no additive influence on the immune system, as ST150 and ST90 did not differ, but caused greater changes when compared to the ST (P< 0·05). FO increased CD4+ and CD8+ lymphocytes in the ST150, which remained unchanged when training was introduced. The combination of ST and FO reduced TNF-α in the ST150 from base to post-test. FO supplementation (ST150, base-pre) when combined with exercise (ST150, pre-post) increased IFN-γ, IL-2, IL-6 and IL-10 production. The immune parameters improved in response to FO supplementation; however, ST alone did not enhance the immune system.