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Combined Aerobic And Strength Exercises May Help Decrease Functional Limitations And Insulin Resistance Among Obese Older Adults

Date:
January 29, 2009
Source:
JAMA and Archives Journals
Summary:
Sedentary, obese older adults appear to improve their functional abilities and reduce insulin resistance through a combination of resistance and aerobic exercises, according to a new report.

Sedentary, obese older adults appear to improve their functional abilities and reduce insulin resistance through a combination of resistance and aerobic exercises, according to a new report.

Older adults currently comprise less than 13 percent of the U.S. population but account for about 35 percent of total personal health care costs, according to background information in the article. "Projections indicating that the U.S. population 65 years and older will increase from 12 percent in 2000 to 20 percent in 2030 underscore the urgent need to develop effective strategies designed to manage the risk factors for disease and disability and thereby improve the overall health and quality of life of older adults," the authors write.

"With respect to risk factors for disease, it is well established that aging is associated with a marked increase in insulin resistance, a primary defect that precedes serious diseases, including diabetes, stroke and coronary heart disease independent of other major cardiovascular disease risk factors," they continue. "Aging is also associated with a progressive increase in functional limitations that affect activities of daily living and quality of life and that are highly predictive of subsequent disability."

Lance E. Davidson, Ph.D., of Queen's University, Kingston, Ontario, Canada, and Columbia University, New York, and colleagues conducted a randomized clinical trial involving 136 sedentary older adults who were abdominally obese, meaning they had a waist circumference of at least 102 centimeters (40 inches) for men or 88 centimeters (35 inches) for women. For six months, participants were randomly assigned to one of four groups: resistance exercise (one set of nine exercises, 20 minutes three times per week), aerobic exercise (30 minutes of moderate-intensity treadmill walking five times per week), combined exercise (30 minutes of aerobic exercise three times per week plus 60 minutes of resistance training weekly) and a control group that did not exercise.

After six months, insulin resistance improved in the aerobic and combined exercise groups as compared with the control group. In addition, all exercise groups improved their functional limitation (as measured by tests such as the number of times a person could stand up out of a chair in 30 seconds or step in place in two minutes) compared with the control group. The combined exercise group showed greater improvement than the aerobic only group. Finally, cardiorespiratory fitness increased in the aerobic and combined exercise groups but not in the resistance exercise group.

"That these observations were obtained in response to 90 minutes of moderate-intensity aerobic exercise combined with 60 minutes of resistance exercise performed across three days each week is promising and suggests that substantial improvement in overall health through effective management of risk factors for disease and disability can be achieved in a pragmatic manner," the authors write. "Health care providers are encouraged to promote performance of resistance and aerobic exercise by older adults for simultaneous reduction of insulin resistance and functional limitations, established risk factors for disease and disability."

This study was supported by a research grant from the Canadian Institutes of Health Research. Dr. Ross has received honoraria from scientific, educational and community groups; research grants from M&M Mars Inc., Roche Pharmaceutical and Sanofi-Aventis Inc, and royalties from Human Kinetics.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Davidson et al. Effects of Exercise Modality on Insulin Resistance and Functional Limitation in Older Adults: A Randomized Controlled Trial. Archives of Internal Medicine, 2009; 169 (2): 122 DOI: 10.1001/archinternmed.2008.558

Cite This Page:

JAMA and Archives Journals. "Combined Aerobic And Strength Exercises May Help Decrease Functional Limitations And Insulin Resistance Among Obese Older Adults." ScienceDaily. ScienceDaily, 29 January 2009. <www.sciencedaily.com/releases/2009/01/090126173621.htm>.
JAMA and Archives Journals. (2009, January 29). Combined Aerobic And Strength Exercises May Help Decrease Functional Limitations And Insulin Resistance Among Obese Older Adults. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2009/01/090126173621.htm
JAMA and Archives Journals. "Combined Aerobic And Strength Exercises May Help Decrease Functional Limitations And Insulin Resistance Among Obese Older Adults." ScienceDaily. www.sciencedaily.com/releases/2009/01/090126173621.htm (accessed July 22, 2014).

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