Nishiwaki Masato, Fujibayashi Mami, Nanayama Chika, Ogawa Noriko, Itakura Isako, Matsumoto Naoyuki
Faculty of Engineering, Osaka Institute of Technology, Osaka, Japan -
Division of Physical and Health Education, Setsunan University, Osaka, Japan.
J Sports Med Phys Fitness. 2018 Nov;58(11):1701-1709. doi: 10.23736/S0022-4707.17.07238-3. Epub 2017 May 5.
The recent Japanese official physical activity (PA) guidelines for health promotion recommend increasing PA by 10 minutes per day (Plus 10), which generally corresponds to about 1000 steps per day. However, whether habitually increasing PA in daily life improves arterial stiffness in older people is unclear. The present study aimed to examine the effects of habitually increasing PA during an intervention on arterial stiffness in older women.
Twenty-one older women (age, 76±1 years) participated in supervised group activity and seated exercise for 60 min per session, once each week during an 8-week intervention. The women wore an activity monitor for 1 week to determine baseline values and for the 8 weeks of intervention. Arterial stiffness was assessed before and after the intervention using the Cardio-Ankle Vascular Index (CAVI).
Based on changes in steps between baseline and the intervention, the participants were assigned to control (<1000 steps/day, N.=14) or PA-increased (≥1000 steps/day, N.=7) groups with changes of -138±198 steps/day and 2,047±580 steps/day, respectively. The CAVI was significantly reduced only in the PA-increased group (Pre, 9.2±0.2; Post, 9.0±0.2 units), and changes in CAVI were significantly inversely correlated with changes in step counts (rs=-0.62).
Habitually increasing PA in daily life during 8-week intervention can induce a small but significant reduction in arterial stiffness among older women.
日本近期发布的促进健康的官方身体活动(PA)指南建议每天增加10分钟的身体活动(即“加10”),这通常相当于每天增加约1000步。然而,在日常生活中习惯性地增加身体活动是否能改善老年人的动脉僵硬度尚不清楚。本研究旨在探讨在干预期间习惯性增加身体活动对老年女性动脉僵硬度的影响。
21名老年女性(年龄76±1岁)参加了监督下的小组活动和坐姿锻炼,每次活动60分钟,在为期8周的干预期间每周进行一次。这些女性佩戴活动监测器1周以确定基线值,并在干预的8周内持续佩戴。在干预前后使用心踝血管指数(CAVI)评估动脉僵硬度。
根据基线和干预期间步数的变化,参与者被分为对照组(每天<1000步,N = 14)或步数增加组(每天≥1000步,N = 7),步数变化分别为-138±198步/天和2047±580步/天。只有步数增加组的CAVI显著降低(干预前,9.2±0.2;干预后,9.0±0.2单位),并且CAVI的变化与步数变化显著负相关(rs = -0.62)。
在为期8周的干预期间,在日常生活中习惯性地增加身体活动可使老年女性的动脉僵硬度有小幅但显著的降低。