Abstract
Background
Ageing is accompanied by a loss of muscle mass and function, which are associated with decrease of functional capacity. Combination of WBV training with normobaric hypoxic exposure could augment the beneficial effects due to synergic effects of both treatments.
Aims
The purpose of this study was to examine the effects of 36 sessions of the combined WBV training and normobaric hypoxic exposure on muscle mass and functional mobility in older adults.
Methods
Nineteen elderly people were randomly assigned to a: vibration normoxic exposure group (NWBV; n = 10; 20.9% FiO2) and vibration hypoxic exposure group (HWBV; n = 9). Participants developed 36 sessions of WBV training along 18 weeks, which included 4 bouts of 30 s (12.6 Hz in frequency and 4 mm in amplitude) with 60 s of rest between bouts, inside a hypoxic chamber for the HWBV. The “Timed Up and Go Test” evaluated functional mobility. Percentages of lean mass were obtained with dual-energy X-ray absorptiometry.
Results
Neither statistically significant within group variations nor statistically significant differences between both groups were detected to any parameter.
Discussion
Baseline characteristics of population, training protocol and the level of hypoxia employed could cause different adaptations on muscle mass and function.
Conclusions
The combination of WBV training and hypoxic exposure did not cause any effect on either legs lean mass or functional mobility of older adults.
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References
Walston JD (2012) Sarcopenia in older adults. Curr Opin Rheumatol 24:623–627. https://doi.org/10.1097/BOR.0b013e328358d59b
Gomez-Cabello A, Gonzalez-Aguero A, Ara I et al (2013) Effects of a short-term whole body vibration intervention on physical fitness in elderly people. Maturitas 74:276–278. https://doi.org/10.1016/j.maturitas.2012.12.008
Rolland Y, Czerwinski S, Abellan Van Kan G et al (2008) Sarcopenia: its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging 12:433–450
Hairi NN, Cumming RG, Naganathan V et al (2010) Loss of muscle strength, mass (sarcopenia), and quality (specific force) and its relationship with functional limitation and physical disability: the Concord Health and Ageing in Men Project. J Am Geriatr Soc 58:2055–2062. https://doi.org/10.1111/j.1532-5415.2010.03145.x
Trombetti A, Reid KF, Hars M et al (2016) Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporos Int 27:463–471. https://doi.org/10.1007/s00198-015-3236-5
Freiberger E, Sieber C, Pfeifer K (2011) Physical activity, exercise, and sarcopenia—future challenges. Wien Med Wochenschr 161:416–425. https://doi.org/10.1007/s10354-011-0001-z
Csapo R, Alegre LM (2016) Effects of resistance training with moderate vs heavy loads on muscle mass and strength in the elderly: a meta-analysis. Scand J Med Sci Sports 26:995–1006. https://doi.org/10.1111/sms.12536
Schega L, Peter B, Torpel A et al (2013) Effects of intermittent hypoxia on cognitive performance and quality of life in elderly adults: a pilot study. Gerontology 59:316–323. https://doi.org/10.1159/000350927
Goudarzian M, Ghavi S, Shariat A et al (2017) Effects of whole body vibration training and mental training on mobility, neuromuscular performance, and muscle strength in older men. J Exerc Rehabil 13:573–580. https://doi.org/10.12965/jer.1735024.512
Ko MC, Wu LS, Lee S et al (2017) Whole-body vibration training improves balance control and sit-to-stand performance among middle-aged and older adults: a pilot randomized controlled trial. Eur Rev Aging Phys Act 14:11. https://doi.org/10.1186/s11556-017-0180-8
Lau RW, Liao LR, Yu F et al (2011) The effects of whole body vibration therapy on bone mineral density and leg muscle strength in older adults: a systematic review and meta-analysis. Clin Rehabil 25:975–988. https://doi.org/10.1177/0269215511405078
Rogan S, Hilfiker R, Herren K et al (2011) Effects of whole-body vibration on postural control in elderly: a systematic review and meta-analysis. BMC Geriatr 11:72. https://doi.org/10.1186/1471-2318-11-72
Zhang L, Weng C, Liu M et al (2014) Effect of whole-body vibration exercise on mobility, balance ability and general health status in frail elderly patients: a pilot randomized controlled trial. Clin Rehabil 28:59–68. https://doi.org/10.1177/0269215513492162
Merriman H, Jackson K (2009) The effects of whole-body vibration training in aging adults: a systematic review. J Geriatr Phys Therapy 32:134–145
Lam FM, Lau RW, Chung RC et al (2012) The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas 72:206–213. https://doi.org/10.1016/j.maturitas.2012.04.009
Delecluse C, Roelants M, Verschueren S (2003) Strength increase after whole-body vibration compared with resistance training. Med Sci Sports Exerc 35:1033–1041. https://doi.org/10.1249/01.MSS.0000069752.96438.B0
Chen H, Ma J, Lu B et al (2017) The effect of whole-body vibration training on lean mass: a PRISMA-compliant meta-analysis. Medicine 96:e8390. https://doi.org/10.1097/MD.0000000000008390
Beaudart C, Maquet D, Mannarino M et al (2013) Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents. BMC Geriatr 13:42. https://doi.org/10.1186/1471-2318-13-42
Van Nes IJ, Latour H, Schils F et al (2006) Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial. Stroke 37:2331–2335. https://doi.org/10.1161/01.STR.0000236494.62957.f3
Pollock RD, Martin FC, Newham DJ (2012) Whole-body vibration in addition to strength and balance exercise for falls-related functional mobility of frail older adults: a single-blind randomized controlled trial. Clin Rehabil 26:915–923. https://doi.org/10.1177/0269215511435688
Buckinx F, Beaudart C, Maquet D et al (2014) Evaluation of the impact of 6-month training by whole body vibration on the risk of falls among nursing home residents, observed over a 12-month period: a single blind, randomized controlled trial. Aging Clin Exp Res 26:369–376. https://doi.org/10.1007/s40520-014-0197-z
Wandrag L, Siervo M, Riley HL et al (2017) Does hypoxia play a role in the development of sarcopenia in humans? Mechanistic insights from the Caudwell Xtreme Everest Expedition. Redox Biol 13:60–68. https://doi.org/10.1016/j.redox.2017.05.004
Palmer BF, Clegg DJ (2014) Ascent to altitude as a weight loss method: the good and bad of hypoxia inducible factor activation. Obesity 22(2):311–317. https://doi.org/10.1002/oby.20499
Scott BR, Slattery KM, Sculley DV et al (2014) Hypoxia and resistance exercise: a comparison of localized and systemic methods. Sports Med 44:1037–1054. https://doi.org/10.1007/s40279-014-0177-7
Scott BR, Slattery KM, Sculley DV et al (2017) Acute physiological responses to moderate-load resistance exercise in hypoxia. J Strength Cond Res 31:1973–1981. https://doi.org/10.1519/JSC.0000000000001649
Ramos-Campo DJ, Scott BR, Alcaraz PE et al (2017) The efficacy of resistance training in hypoxia to enhance strength and muscle growth: a systematic review and meta-analysis. Eur J Sport Sci. https://doi.org/10.1080/17461391.2017.1388850
Scott BR, Slattery KM, Sculley DV et al (2017) Acute physiological and perceptual responses to high-load resistance exercise in hypoxia. Clin Physiol Funct Imaging. https://doi.org/10.1111/cpf.12451
Inness MW, Billaut F, Walker EJ et al (2016) Heavy resistance training in hypoxia enhances 1RM squat performance. Front Physiol 7:502. https://doi.org/10.3389/fphys.2016.00502
Bayer U, Likar R, Pinter G et al (2017) Intermittent hypoxic-hyperoxic training on cognitive performance in geriatric patients. Alzheimer’s Dement 3:114–122. https://doi.org/10.1016/j.trci.2017.01.002
Korkushko OV, Shatilo VB, Ishchuk VA (2010) Effectiveness of intermittent normabaric hypoxic trainings in elderly patients with coronary artery disease. Adv Gerontol 23:476–482
Weeks BK, Beck BR (2008) The BPAQ: a bone-specific physical activity assessment instrument. Osteoporos Int 19:1567–1577. https://doi.org/10.1007/s00198-008-0606-2
Cohen J (1992) A power primer. Psychol Bull 112:155–159
Yan B, Lai X, Yi L et al (2016) Effects of five-week resistance training in hypoxia on hormones and muscle strength. J Strength Cond Res 30:184–193. https://doi.org/10.1519/JSC.0000000000001056
Martinez-Guardado I, Ramos-Campo DJ, Olcina GJ et al (2019) Effects of high-intensity resistance circuit-based training in hypoxia on body composition and strength performance. Eur J Sport Sci. https://doi.org/10.1080/17461391.2018.1564796
Dempsey JA, Morgan BJ (2015) Humans in hypoxia: a conspiracy of maladaptation?! Physiology 30:304–316. https://doi.org/10.1152/physiol.00007.2015
Alvarez-Herms J, Julia-Sanchez S, Gatterer H et al (2015) Differing levels of acute hypoxia do not influence maximal anaerobic power capacity. Wilderness Environ Med 26:78–82. https://doi.org/10.1016/j.wem.2014.07.014
Ramos-Campo DJ, Rubio-Arias JA, Dufour S et al (2017) Biochemical responses and physical performance during high-intensity resistance circuit training in hypoxia and normoxia. Eur J Appl Physiol 117:809–818. https://doi.org/10.1007/s00421-017-3571-7
Bowtell JL, Cooke K, Turner R et al (2014) Acute physiological and performance responses to repeated sprints in varying degrees of hypoxia. J Sci Med Sport 17:399–403. https://doi.org/10.1016/j.jsams.2013.05.016
Hogan MC, Richardson RS, Haseler LJ (1999) Human muscle performance and PCr hydrolysis with varied inspired oxygen fractions: a 31P-MRS study. J Appl Physiol 86:1367–1373. https://doi.org/10.1152/jappl.1999.86.4.1367
Scott BR, Goods PS, Slattery KM (2016) High-intensity exercise in hypoxia: is increased reliance on anaerobic metabolism important? Front Physiol 7:637. https://doi.org/10.3389/fphys.2016.00637
Mateika JH, El-Chami M, Shaheen D et al (2015) Intermittent hypoxia: a low-risk research tool with therapeutic value in humans. J Appl Physiol 118:520–532. https://doi.org/10.1152/japplphysiol.00564.2014
Sitja-Rabert M, Martinez-Zapata MJ, Fort Vanmeerhaeghe A et al (2015) Effects of a whole body vibration (WBV) exercise intervention for institutionalized older people: a randomized, multicentre, parallel, clinical trial. J Am Med Dir Assoc 16:125–131. https://doi.org/10.1016/j.jamda.2014.07.018
Podsiadlo D, Richardson S (1991) The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148
Levine BD (2002) Intermittent hypoxic training: fact and fancy. High Alt Med Biol 3:177–193. https://doi.org/10.1089/15270290260131911
Duckham RL, Tait JL, Nowson CA et al (2018) Strategies and challenges associated with recruiting retirement village communities and residents into a group exercise intervention. BMC Med Res Methodol 18:173. https://doi.org/10.1186/s12874-018-0633-4
Kadam P, Bhalerao S (2010) Sample size calculation. Int J Ayurveda Res 1:55–57. https://doi.org/10.4103/0974-7788.59946
Bustamante-Ara N, Villarroel L, Paredes F et al (2019) Frailty and health risks in an agricultural population, Chile 2014–2017. Arch Gerontol Geriatr 82:114–119. https://doi.org/10.1016/j.archger.2019.01.012
Gomez JF, Curcio CL, Alvarado B et al (2013) Validity and reliability of the short physical performance battery (SPPB): a pilot study on mobility in the Colombian Andes. Colomb Med (Cali) 44:165–171
Funding
The project has been supported by the Government of Extremadura with funding from the European Regional Development Fund under Grant (Ref: GR18003); and the Ministry of Education, Culture and Sports, under Grant FPU15/00450 and FPU15/00452.
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All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards and the study design was approved by the Bioethical and Biosecurity Commission of the University of Extremadura (17/2016).
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Camacho-Cardenosa, M., Camacho-Cardenosa, A., Tomas-Carus, P. et al. Effects of whole-body vibration under hypoxic exposure on muscle mass and functional mobility in older adults. Aging Clin Exp Res 32, 625–632 (2020). https://doi.org/10.1007/s40520-019-01246-y
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DOI: https://doi.org/10.1007/s40520-019-01246-y