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Target intensity and interval walking training in water to enhance physical fitness in middle-aged and older women: a randomised controlled study

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Abstract

Purpose

To determine the target intensity for fast walking during interval walking training (IWT) in water for middle-aged and older people to enhance physical fitness.

Methods

Thirty-one women [59±5 (SD) years old] were randomly divided into two groups: IWT on land (LG, N = 15) and in water (WG, N = 16). All subjects were instructed to perform ≥6 sets of fast and slow walking for 3 min each in a day, ≥4 days week−1, for 8 weeks, at an intensity 35 % higher than the oxygen consumption rate at the gas exchange threshold (\(\dot{V}\)O2GET), with a subjective feeling of 16–18 points of the Borg scale during fast walking in each condition. Before and after IWT, we measured \(\dot{V}\)O2GET, peak aerobic capacity (\(\dot{V}\)O2peak) by graded walking and cycling tests on land and isometric knee extension (F EXT) and flexion (F FLX) forces.

Results

Before IWT, the \(\dot{V}\)O2GET for walking in water was 14 % higher and the heart rate (HR) at a given \(\dot{V}\)O2 was ~10 beats min−1 lower (P=0.001) than on land. During IWT, subjects in both groups performed IWT for ~4 days week−1 (P > 0.9) with a 14 % higher fast walking intensity in WG than in LG (P < 0.05). After IWT, the \(\dot{V}\)O2peak and \(\dot{V}\)O2GET for cycling, F EXT and F FLX increased more in WG than in LG (all, P < 0.05).

Conclusion

Walking in water elevated \(\dot{V}\)O2GET and decreased HR at a given exercise intensity in middle-aged and older women, which enabled them to perform exercise at a higher metabolic rate than on land due to improved subjective feelings, which, for these subjects, resulted in greater gains in physical fitness.

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Abbreviations

BMI:

Body mass index

DBP:

Diastolic blood pressure

F EXT :

Knee extension force

F FLX :

Knee flexion force

GET:

Gas exchange threshold

HR:

Heart rate

HRGET :

HR at GET

HRpeak :

HR at \(\dot{V}\)O2peak

IWT:

Interval walking training

LG:

Land group

RPE:

Rating of perceived exertion

SBP:

Systolic blood pressure

\(\dot{V}\)CO2 :

Carbon dioxide production rate

VM:

Vector magnitude of tri-axial accelerations

\(\dot{V}\)O2 :

Oxygen consumption rate

\(\dot{V}\)O2GET :

\(\dot{V}\)O2 at GET

\(\dot{V}\)O2peak :

Peak oxygen consumption rate

WG:

Water group

References

  • American College of Sports Medicine (2010) ACSM’s guidelines for exercise testing and prescription, 8th edn. Lippincott Williams & Wilkins, pp 152–182

  • Bartels EM, Lund H, Hagen KB, Dagfinrud H, Christensen R, Danneskiold-Samsøe B (2007) Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev (4):CD005523

  • Beaver WL, Wasserman K, Whipp BJ (1986) A new method for detecting anaerobic threshold by gas exchange. J Appl Physiol 60(6):2020–2027

    PubMed  CAS  Google Scholar 

  • Bocalini DS, Serra AJ, Murad N, Levy RF (2008) Water- versus land-based exercise effects on physical fitness in older women. Geriatr Gerontol Int 8(4):265–271

    Article  PubMed  Google Scholar 

  • Christie JL, Sheldahl LM, Tristani FE, Wann LS, Sagar KB, Levandoski SG, Ptacin MJ, Sobocinski KA, Morris RD (1990) Cardiovascular regulation during head-out water immersion exercise. J Appl Physiol 69(2):657–664

    PubMed  CAS  Google Scholar 

  • Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, Publishers, Hillsdale, pp 1–17

  • Connelly TP, Sheldahl LM, Tristani FE, Levandoski SG, Kalkhoff RK, Hoffman MD, Kalbfleisch JH (1990) Effect of increased central blood volume with water immersion on plasma catecholamines during exercise. J Appl Physiol 69(2):651–656

    PubMed  CAS  Google Scholar 

  • Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, Kington RS, Lane NE, Nevitt MC, Zhang Y, Sowers M, McAlindon T, Spector TD, Poole AR, Yanovski SZ, Ateshian G, Sharma L, Buckwalter JA, Brandt KD, Fries JF (2000) Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med 133(8):635–646

    Article  PubMed  CAS  Google Scholar 

  • Hall J, Grant J, Blake D, Taylor G, Garbutt G (2004) Cardiorespiratory responses to aquatic treadmill walking in patients with rheumatoid arthritis. Physiother Res Int 9(2):59–73

    Article  PubMed  Google Scholar 

  • Harrison R, Hillman M, Bulstrode S (1992) Loading of the lower limb when walking partially immersed: implications for clinical practice. Physiotherapy 78(3):164–166

    Article  Google Scholar 

  • Hunter AM, St Clair Gibson A, Lambert M, Dennis S, Mullany H, O’Malley MJ, Vaughan CL, Kay D, Noakes TD (2003) EMG amplitude in maximal and submaximal exercise is dependent on signal capture rate. Int J Sports Med 24(2):83–89

    Article  PubMed  CAS  Google Scholar 

  • Ide MR, Laurindo IMM, Rodrigues-Junior AL, Tanaka C (2008) Effect of aquatic respiratory exercise-based program in patients with fibromyalgia. Int J Rheum Dis 11(2):131–140

    Article  Google Scholar 

  • Iwashita S, Takeno Y, Okazaki K, Itoh J, Kamijo Y, Masuki S, Yanagidaira Y, Nose H (2003) Triaxial accelerometry to evaluate walking efficiency in older subjects. Med Sci Sports Exerc 35(10):1766–1772

    Article  PubMed  Google Scholar 

  • Kamioka H, Tsutani K, Okuizumi H, Mutoh Y, Ohta M, Handa S, Okada S, Kitayuguchi J, Kamada M, Shiozawa N, Honda T (2010) Effectiveness of aquatic exercise and balneotherapy: a summary of systematic reviews based on randomized controlled trials of water immersion therapies. J Epidemiol 20(1):2–12

    Article  PubMed  PubMed Central  Google Scholar 

  • Karstoft K, Winding K, Knudsen SH, Nielsen JS, Thomsen C, Pedersen BK, Solomon TP (2013) The effects of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetic patients: a randomized, controlled trial. Diabetes Care 36(2):228–236

    Article  PubMed  PubMed Central  Google Scholar 

  • Karstoft K, Winding K, Knudsen SH, James NG, Sheel MM, Olesen J, Holst JJ, Pedersen BK, Solomon TP (2014) Mechanisms behind the superior effects of interval vs continuous training on glycaemic control in individuals with type 2 diabetes: a randomized controlled trial. Diabetologia 57(10):2081–2093

    Article  PubMed  Google Scholar 

  • Lalande S, Okazaki K, Yamazaki T, Nose H, Joyner MJ, Johnson BD (2010) Effects of interval walking on physical fitness in middle-aged individuals. J Prim Care Community Health 1(2):104–110

    Article  PubMed  Google Scholar 

  • Lim K, Rhi S (2014) The effects of landed and aquatic treadmill walking at moderate intensity on heart rate, energy expenditure and catecholamine. J Exerc Nutr Biochem 18(2):197–203

    Article  Google Scholar 

  • Masuki S, Mori M, Tabara Y, Miki T, Sakurai A, Morikawa M, Miyagawa K, Higuchi K, Nose H (2010) Vasopressin V1a receptor polymorphism and interval walking training effects in middle-aged and older people. Hypertension 55(3):747–754

    Article  PubMed  CAS  Google Scholar 

  • Masuki S, Mori M, Tabara Y, Sakurai A, Hashimoto S, Morikawa M, Miyagawa K, Sumiyoshi E, Miki T, Higuchi K, Nose H (2015) The factors affecting adherence to a long-term interval walking training program in middle-aged and older people. J Appl Physiol 118(5):595–603

    Article  PubMed  CAS  Google Scholar 

  • Morikawa M, Okazaki K, Masuki S, Kamijo Y, Yamazaki T, Gen-no H, Nose H (2011) Physical fitness and indices of lifestyle-related diseases before and after interval walking training in middle-aged and older males and females. Br J Sports Med 45(3):216–224

    Article  PubMed  CAS  Google Scholar 

  • Morishima Y, Mizushima T, Yamauchi K, Morikawa M, Masuki S, Nose H (2014) Effects of home-based interval walking training on thigh muscle strength and aerobic capacity in female total hip arthroplasty patients: a randomized, controlled pilot study. PLoS One 9(9):e108690

    Article  PubMed  PubMed Central  Google Scholar 

  • Muraki S, Oka H, Akune T, Mabuchi A, En-yo Y, Yoshida M, Saika S, Suzuki T, Yoshida H, Ishibashi H, Yamamoto S, Nakamura K, Kawaguchi H, Yoshimura N (2009) Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthr Cartil 17(9):1137–1143

    Article  PubMed  CAS  Google Scholar 

  • Nakajima K, Takeoka M, Mori M, Hashimoto S, Sakurai A, Nose H, Higuchi K, Itano N, Shiohara M, Oh T, Taniguchi S (2010) Exercise effects on methylation of ASC gene. Int J Sports Med 31(9):671–675

    Article  PubMed  CAS  Google Scholar 

  • Nemoto K, Gen-no H, Masuki S, Okazaki K, Nose H (2007) Effects of high-intensity interval walking training on physical fitness and blood pressure in middle-aged and older people. Mayo Clin Proc 82(7):803–811

    Article  PubMed  Google Scholar 

  • Nose H, Morikawa M, Yamazaki T, Nemoto K, Okazaki K, Masuki S, Kamijo Y, Gen-No H (2009) Beyond epidemiology: field studies and the physiology laboratory as the whole world. J Physiol 587(Pt 23):5569–5575

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Park KS, Choi JK, Park YS (1999) Cardiovascular regulation during water immersion. Appl Human Sci 18(6):233–241

    Article  PubMed  CAS  Google Scholar 

  • Sanders ME, Takeshima N, Rogers ME, Colado JC, Borreani S (2013) Impact of the S.W.E.A.T.™ water-exercise method on activities of daily living for older women. J Sports Sci Med 12(4):707–715

  • Silva LE, Valim V, Pessanha AP, Oliveira LM, Myamoto S, Jones A, Natour J (2008) Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: a randomized clinical trial. Phys Ther 88(1):12–21

    Article  PubMed  Google Scholar 

  • Slemenda C, Heilman DK, Brandt KD, Katz BP, Mazzuca SA, Braunstein EM, Byrd D (1998) Reduced quadriceps strength relative to body weight: a risk factor for knee osteoarthritis in women? Arthritis Rheum 41(11):1951–1959

    Article  PubMed  CAS  Google Scholar 

  • Takeshima N, Rogers ME, Watanabe E, Brechue WF, Okada A, Yamada T, Islam MM, Hayano J (2002) Water-based exercise improves health-related aspects of fitness in older women. Med Sci Sports Exerc 34(3):544–551

    Article  PubMed  Google Scholar 

  • Tsourlou T, Benik A, Dipla K, Zafeiridis A, Kellis S (2006) The effects of a twenty-four-week aquatic training program on muscular strength performance in healthy elderly women. J Strength Cond Res 20(4):811–818

    PubMed  Google Scholar 

  • Yamazaki T, Gen-No H, Kamijo Y, Okazaki K, Masuki S, Nose H (2009) A new device to estimate VO2 during incline walking by accelerometry and barometry. Med Sci Sports Exerc 41(12):2213–2219

    Article  PubMed  Google Scholar 

  • Zhang Y, Hashimoto S, Fujii C, Hida S, Ito K, Matsumura T, Sakaizawa T, Morikawa M, Masuki S, Nose H, Higuchi K, Nakajima K, Taniguchi S (2015) NFkB2 gene as a noble candidate epigenetically responding to interval walking training. Int J Sports Med 36(9):769–775

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported in part by grants from the Ministry of Health, Labour, and Welfare (Comprehensive Research on Ageing and Health) and the Japan Society for the Promotion of Science (24240089).

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Correspondence to Hiroshi Nose.

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No conflicts of interest, financial or otherwise, are declared by the authors.

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Communicated by David C. Poole.

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Handa, S., Masuki, S., Ohshio, T. et al. Target intensity and interval walking training in water to enhance physical fitness in middle-aged and older women: a randomised controlled study. Eur J Appl Physiol 116, 203–215 (2016). https://doi.org/10.1007/s00421-015-3267-9

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  • DOI: https://doi.org/10.1007/s00421-015-3267-9

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