Department of Health and Natural Sciences, Gdansk University of Physical Education and Sport, 80-336, Gdansk, Poland.
Department of Bioenergetics and Physiology of Exercise, Medical University of Gdansk, 80-211, Gdansk, Poland.
BMC Geriatr. 2024 Mar 29;24(1):300. doi: 10.1186/s12877-024-04876-8.
BACKGROUND AND AIMS: This study evaluated whether stored iron determines the adaptive response induced by Nordic walking (NW) training combined with 10 hours' time-restricted eating (TRE) in older adults. TRIAL DESIGN AND METHODS: Twenty-four participants underwent 12-week NW training supported by 10 h of TRE. The group was divided due to baseline ferritin concentration low < 75 ng/ml (LF) and high level ≥ 75 ng/ml (HF). Body composition, physical fitness and blood collection were assessed at baseline and post-intervention. RESULTS: NW + TRE induced a statistically significant decrease in ferritin levels in all participants (p = 0.01). Additionally, statistically significant intergroup differences in the LF vs. HF in the reduction of serum ferritin levels (p = 0.04) were observed. The procedure NW + TRE diminished HbA1c levels (p < 0.01) and glucose in all participants (p = 0.05). The range of HbA1c drop was more pronounced among those participants who experienced a greater decrease in the stored iron (p = 0.04, [Formula: see text]=0.17, F=4.59). Greater changes in body weight and percent of body fat were recorded in the HF group (for both p<0.01). CONCLUSION: Body iron stores determine the effects of a 12-week NW + TRE intervention on serum ferritin. The changes in HbA1c are more pronounced in subjects with a higher decrease in serum ferritin. TRIAL REGISTRATION: All experimental protocols were approved by the Bioethical Committee of the Regional Medical Society in Gdansk, Poland (NKBBN/330/2021) according to the Declaration of Helsinki. We confirm that all methods were carried out in accordance with relevant guidelines and regulations. The trial was registered as a clinical trial (NCT05229835, date of first registration: 14/01/2022, direct link: https://classic. CLINICALTRIALS: gov/ct2/show/NCT05229835 ). Informed consent was obtained from all subjects.
背景与目的:本研究旨在评估储存铁是否决定了北欧健走(NW)训练与限时进食(TRE)联合应用于老年人时所引起的适应性反应。
试验设计和方法:24 名参与者接受了 12 周的 NW 训练,同时辅以 10 小时的 TRE。根据基线铁蛋白浓度(低 < 75ng/ml,LF;高 ≥ 75ng/ml,HF)将该组分为两个亚组。在基线和干预后评估身体成分、体能和血液采集情况。
结果:NW + TRE 使所有参与者的铁蛋白水平均显著降低(p = 0.01)。此外,LF 与 HF 亚组之间在血清铁蛋白水平降低方面存在统计学显著差异(p = 0.04)。NW + TRE 降低了所有参与者的糖化血红蛋白(HbA1c)水平(p < 0.01)和血糖(p = 0.05)。在储存铁减少幅度较大的参与者中,HbA1c 下降幅度更为明显(p = 0.04,[Formula: see text]=0.17,F=4.59)。HF 组的体重和体脂百分比变化更大(均为 p<0.01)。
结论:体内铁储存量决定了 12 周 NW + TRE 干预对血清铁蛋白的影响。在血清铁蛋白下降幅度较大的受试者中,HbA1c 的变化更为明显。
试验注册:所有实验方案均获得波兰格但斯克地区医学协会生物伦理委员会的批准(NKBBN/330/2021),并符合《赫尔辛基宣言》的规定。我们确认所有方法均符合相关指南和规定。该试验已作为临床试验进行注册(NCT05229835,首次注册日期:2022 年 1 月 14 日,直接链接:https://classic.clinicaltrials.gov/ct2/show/NCT05229835)。所有受试者均获得知情同意。
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