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Age and the effect of exercise, nutrition and cognitive training on oxidative stress - The Vienna Active Aging Study (VAAS), a randomized controlled trial.

Free radical biology & medicine
June 1, 2018
Bernhard Franzke et al. (10 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate the effects of resistance training alone or combined with nutritional supplements and cognitive training on oxidative stress, antioxidant defense, and physical fitness in institutionalized elderly individuals.

Results Summary

Resistance training (RT) and RT combined with supplementation (RTS) significantly improved physical performance. RT showed greater improvements in antioxidant defense and DNA stability, particularly in subjects over their statistical life expectancy, while supplementation might inhibit optimal cellular response to exercise.

Population

Institutionalized elderly individuals (mean age 83.1 ± 6.1 years) living in Vienna.

Effective Dosage

Two guided training sessions per week (specific supplement dosage not detailed).

Duration

Six months.

Interactions

None mentioned.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
resistance training
increase
physical performance
institutionalized elderly, living in Vienna
-
showed significant improvements
#1
resistance training combined with protein and vitamin supplementation
increase
physical performance
institutionalized elderly, living in Vienna
-
showed significant improvements
#2
resistance training
increase
"antioxidant factor"
subjects over their statistical life-expectancy
-
demonstrated a significant greater response
#3
six months of elastic band resistance training
increase
antioxidant defense, DNA stability and oxidative damage, summarized in the "antioxidant factor"
subjects over their statistical life-expectancy
-
lead to improvements
#4
consuming a supplement containing antioxidants
decrease
optimal cellular response to exercise
-
-
might inhibit optimal cellular response
#5
Abstract

The purpose of this study was to investigated the effect of age - over or under life-expectancy (LE) - on six months resistance training alone or combined with a nutritional supplement, and cognitive training by analyzing markers for oxidative stress and antioxidant defense in institutionalized elderly, living in Vienna. Three groups (n = 117, age = 83.1 ± 6.1 years) - resistance training (RT), RT combined with protein and vitamin supplementation (RTS) or cognitive training (CT) - performed two guided training sessions per week for six months. Oxidative stress, antioxidant defense and DNA strand breaks were analyzed and transformed into an "antioxidant factor" to compare the total effect of the intervention. Physical fitness was assessed by the 6-min-walking, the chair-rise and the handgrip strength tests. We observed significant negative baseline correlations between 8-oxo-7.8-dihydroguanosine and handgrip strength (r = -0.350, p = 0.001), and between high sensitive troponin-T and the 6-min-walking test (r = -0.210, p = 0.035). RT and RTS groups, showed significant improvements in physical performance. Over LE, subjects of the RT group demonstrated a significant greater response in the "antioxidant factor" compared to RTS and CT (RT vs. RTS p = 0.033, RT vs. CT p = 0.028), whereas no difference was observed between the intervention groups under LE. Six months of elastic band resistance training lead to improvements in antioxidant defense, DNA stability and oxidative damage, summarized in the "antioxidant factor", however mainly in subjects over their statistical LE. Consuming a supplement containing antioxidants might inhibit optimal cellular response to exercise. The study was approved by the ethics committee of the City of Vienna (EK-11-151-0811) and registered at ClinicalTrials.gov, NCT01775111.

Medical Subject Headings (MeSH)
AgedAged, 80 and overAntioxidantsCognitive Behavioral TherapyDietary SupplementsExerciseFemaleHand StrengthHumansMaleOxidative StressProtective FactorsQuality of LifeResistance TrainingWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations15
Citations/Year2.1
Relative Citation Ratio0.94
NIH Percentile48%
Research Impact Scores
APT Score0.50
Weight Score2.16
Normalized Score0.67
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