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Effects of Progressive Walking and Stair-Climbing Training Program on Muscle Size and Strength of the Lower Body in Untrained Older Adults.

Journal of sports science & medicine
December 1, 2019
Hayao Ozaki et al. (10 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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.

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AgedFemaleHumansKneeLower ExtremityMaleMuscle StrengthMuscle, SkeletalPhysical Conditioning, HumanStair ClimbingThighWalking
Study Links
PubMed ID31827357
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations10
Citations/Year1.7
Relative Citation Ratio0.86
NIH Percentile44.6%
Research Impact Scores
APT Score0.50
Weight Score2.08
Normalized Score0.69
Related Supplements
Effects of Progressive Walking and Stair-Climbing Training P... | Panacea Index