Key result
High-intensity interval walking improves sit-and-reach flexibility by ~10 cm vs continuous walking in older adults.
Why the study?
The effects of high-intensity interval exercise training on microvascular endothelial function among community-dwelling older people were not well established.
RCT (n=26)
Assessor-blind
Randomly assigned
No
Mean Difference: 10.23 (95% CI 4.37–16.09)
p-value: p=<0.001
May enhance flexibility in older adults; hypothesis-generating for endothelial effects and requires randomized confirmation before practice change.
AIM: To investigate the effects of high-intensity interval exercise training on microvascular endothelial function among community-dwelling older people. METHODS: We analyzed the data from a nonrandomized controlled trial. This study's participants were 48 men (aged 75 ± 5 years; exercise training group, n = 24; control group, n = 24) and 83 women (aged 75 ± 4 years; exercise training group, n = 36; control group, n = 47). The exercise training group underwent a high-intensity interval walking training for 5 months. RESULTS: In the exercise group, 100% and 91.7% of men and women, respectively, achieved brisk walking times ≥50 min/week. The change in the reactive hyperemia index significantly differed between the groups of men, whereas that in the control group was not significant; however, a significant increase was observed in the exercise training group. Among women, changes in the reactive hyperemia index were not significant in either group; however, for women in the exercise training group, these changes negatively and positively correlated with the change in body mass index (Spearman's rho = -0.342; P = 0.041) and baseline body mass index (rho = 0.362, P = 0.030), respectively. Additionally, the distribution of body mass index was broader in women than in men. CONCLUSIONS: Interval walking training increased the reactive hyperemia index in men rather than in women. A higher variation in baseline body mass index may be associated with no statistical increase in reactive hyperemia index in women. Geriatr Gerontol Int 2023; 23: 103-110.
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Kamiya et al. (2023) conducted an RCT in Healthy older adults (n=26). High-intensity interval walking (HIIW) vs. Moderate-intensity continuous walking (MICW) (30 min at 70% HRmax) was evaluated on Sit and reach test (cm) (MD 10.23, 95% CI 4.37-16.09, p=<0.001). High-intensity interval walking significantly improved sit and reach performance by a mean difference of 10.23 cm compared to moderate-intensity continuous walking in older adults.
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