Effects of Progressive Walking and Stair-Climbing Training Program on Muscle Size and Strength of the Lower Body in Untrained Older Adults.
Study Goal
The researchers aimed to determine the effects of a progressive walking program on lower limb muscle size and strength in elderly subjects and whether adding stair-climbing provided additional benefits.
Results Summary
The progressive walking program significantly increased thigh muscle thickness and strength in older adults, but stair-climbing did not provide additional training effects. Improvement in knee flexion strength correlated with pre-intervention values.
Population
Elderly subjects (age 69 ± 1 years, height 1.63 ± 0.02 m, body weight 64.5 ± 2.0 kg).
Effective Dosage
Continuous walking (weeks 1-8) and interval walking (weeks 9-17); stair-climbing for the combined group (frequency not specified).
Duration
17 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
progressive walking program | increase | muscle thickness of the anterior and posterior parts of the thigh | elderly subjects | - | significantly increased | #1 |
progressive walking program | increase | isometric maximal strength expressed relative to body mass for knee extension | elderly subjects | - | significant main effect of time | #2 |
progressive walking program | increase | isometric maximal strength expressed relative to body mass for knee flexion | elderly subjects | - | significant main effect of time | #3 |
stair-climbing exercise | no change | training effects | elderly subjects | - | may not provide additional training effects | #4 |
progressive walking program | neutral | percentage change of knee flexion strength | elderly subjects | - | significantly correlated | #5 |
progressive walking program | increase | thigh muscle size | older adults | - | can increase | #6 |
progressive walking program | increase | thigh muscle strength | older adults | - | can increase | #7 |
The purpose of the present study was to investigate the effect of the progressive walking program on lower limb muscle size and strength and evaluated whether the stair-climbing exercise provided additional training effects when combined with the walking program. Fifteen elderly subjects (age 69 ± 1 years, height 1.63 ± 0.02 m, body weight 64.5 ± 2.0 kg) were randomly assigned to a walking group or a walking and stair-climbing group. The progressive walking program comprised continuous (week 1-8) and interval (week 9-17) exercises. The walking and stair-climbing group also performed stair climbing. Muscle thickness, strength, and walking performance were evaluated before and 8 and 17 weeks after the start of the program. The muscle thickness of the anterior and posterior parts of the thigh significantly (p < 0.05) increased in both groups. There was also a significant (p < 0.01) main effect of time in isometric maximal strength and the values expressed relative to body mass for both knee extension and flexion. However, no group × time interactions were noted. Furthermore, the percentage change of knee flexion strength after the training period was significantly (p < 0.01) correlated with the pre-intervention value. Seventeen weeks of the progressive walking program can increase thigh muscle size and strength for older adults; however, an added stair-climbing exercise may not provide additional training effects. Furthermore, the magnitude of improvement in knee flexion strength would depend on the pre-intervention value.