Combined Aerobic and Strength Training Improves Dynamic Stability and can Prevent against Static Stability Decline in Postmenopausal Women: A Randomized Clinical Trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMARQUES, Ana Claudia Fortaleza
dc.contributor.authorROSSI, Fabricio Eduardo
dc.contributor.authorNEVES, Lucas Melo
dc.contributor.authorDINIZ, Tiego Aparecido
dc.contributor.authorMESSIAS, Iracimara de Anchieta
dc.contributor.authorBARELA, Jose A.
dc.contributor.authorHORAK, Fay B.
dc.contributor.authorFREITAS JUNIOR, Ismael Forte
dc.date.accessioned2023-12-15T18:59:01Z
dc.date.available2023-12-15T18:59:01Z
dc.date.issued2023
dc.description.abstractObjective To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women. Methods A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 +/- 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform - Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators Results The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002). Conclusion In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.eng
dc.description.abstractObjetivo Analisar o efeito do treinamento combinado (TC) no controle postural e nos parâmetros da marcha em mulheres na pós-menopausa. Métodos Foi realizado um estudo controlado randomizado de grupos paralelos com 16 semanas de treinamento combinado (n = 16) versus um grupo controle sem treinamento (n = 12) em mulheres na pós-menopausa (59,3 8,0 anos). As avaliações pré e pós-intervenção incluíram controle postural (usando a plataforma de força AMTI) e deficiências da marcha (usando baropodometria). Além disso, os testes de força de membros superiors e abdominal, bem como a capacidade aeróbica, avaliaram indicadores funcionais. Resultados A intervenção do TC em mulheres na pós-menopausa resultou em melhora da marcha (comprimento da passada (p = 0,006), velocidade (p = 0,013), tempo de apoio duplo (p = 0,045) e controle postural aprimorado (área de deslocamento da oscilação postural em base de apoio normal com olhos abertos (p = 0,006). O TC aumentou os indicadores funcionais (abdominal - p = 0,031; capacidade aeróbia - p = 0,002). Conclusão Em conclusão, o TC de força e aeróbico melhorou efetivamente o controle da marcha e do equilíbrio em mulheres idosas. As mulheres na pós-menopausa do grupo CT caminharam mais rápido e com passos maiores após a intervenção do que o grupo controle. Além disso, elas apresentaram redução da oscilação postural em pé e do percentual de tempo de apoio duplo durante a caminhada, o que significa melhora no controle do equilíbrio estático e dinâmico e dos indicadores funcionais.
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationREVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA, v.45, n.8, p.465-473, 2023
dc.identifier.doi10.1055/s-0043-1772178
dc.identifier.eissn1806-9339
dc.identifier.issn0100-7203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/57609
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KGeng
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetricia
dc.rightsopenAccesseng
dc.rights.holderCopyright GEORG THIEME VERLAG KGeng
dc.subjectphysical exerciseeng
dc.subjectmenopauseeng
dc.subjectbalanceeng
dc.subjectconcurrent trainingeng
dc.subjectgaiteng
dc.subjectexercício físico
dc.subjectmenopausa
dc.subjectequilíbrio
dc.subjecttreinamento concorrente
dc.subjectmarcha
dc.subject.otherbase-line characteristicseng
dc.subject.otherquality-of-lifeeng
dc.subject.otherolder-adultseng
dc.subject.otherexercise interventionseng
dc.subject.othermetabolic profileeng
dc.subject.otherbody-compositioneng
dc.subject.othermuscle strengtheng
dc.subject.otherlatin-americaeng
dc.subject.otherbalanceeng
dc.subject.otherperformanceeng
dc.subject.wosObstetrics & Gynecologyeng
dc.titleCombined Aerobic and Strength Training Improves Dynamic Stability and can Prevent against Static Stability Decline in Postmenopausal Women: A Randomized Clinical Trialeng
dc.title.alternativeO treinamento de força e aeróbio combinado melhora a estabilidade dinâmica e pode prevenir contra o declínio da estabilidade estática em mulheres na pósmenopausa: um ensaio clínico randomizado
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalMARQUES, Ana Claudia Fortaleza:Univ Oeste Paulista, Dept Med, Presidente Prudente, SP, Brazil; Rua Rodovia Raposo Tavares,Km 572, BR-19067175 Presidente Prudente, SP, Brazil
hcfmusp.author.externalROSSI, Fabricio Eduardo:Univ Fed Piaui, Dept Phys Educ, Immunometabolism Skeletal Muscle & Exercise Res Gr, Teresina, PI, Brazil
hcfmusp.author.externalDINIZ, Tiego Aparecido:Univ Sao Paulo, Sao Paulo, SP, Brazil
hcfmusp.author.externalMESSIAS, Iracimara de Anchieta:Univ Estadual Paulista, Fac Ciencias & Tecnol, Presidente Prudente, SP, Brazil
hcfmusp.author.externalBARELA, Jose A.:Inst Biociencias, Dept Phys Educ, Rio Claro, SP, Brazil
hcfmusp.author.externalHORAK, Fay B.:Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR USA
hcfmusp.author.externalFREITAS JUNIOR, Ismael Forte:Univ Estadual Paulista, Fac Ciencias & Tecnol, Presidente Prudente, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcLUCAS MELO NEVES
hcfmusp.description.beginpage465
hcfmusp.description.endpage473
hcfmusp.description.issue8
hcfmusp.description.volume45
hcfmusp.origemWOS
hcfmusp.origem.pubmed37683658
hcfmusp.origem.scopus2-s2.0-85170344081
hcfmusp.origem.wosWOS:001064313400005
hcfmusp.publisher.citySTUTTGARTeng
hcfmusp.publisher.countryGERMANYeng
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