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CC BY 4.0 · Rev Bras Ginecol Obstet 2023; 45(08): e465-e473
DOI: 10.1055/s-0043-1772178
Original Article
Menopause

Combined Aerobic and Strength Training Improves Dynamic Stability and can Prevent against Static Stability Decline in Postmenopausal Women: A Randomized Clinical Trial

O treinamento de força e aeróbio combinado melhora a estabilidade dinâmica e pode prevenir contra o declínio da estabilidade estática em mulheres na pósmenopausa: um ensaio clínico randomizado
Ana Claudia Fortaleza Marques 
1   Department of Medicine, Universidade do Oeste Paulista, Presidente Prudente, SP, Brazil
,
Fabrício Eduardo Rossi 
2   Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Universidade Federal do Piauí, Teresina, PI, Brazil
,
Lucas Melo Neves 
3   Universidade Santo Amaro, São Paulo, SP, Brazil
4   Department of Psychiatry, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
,
Tiego Aparecido Diniz 
5   Universidade de São Paulo, São Paulo, SP Brazil
,
Iracimara de Anchieta Messias 
6   Faculty of Science and Technology, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Presidente Prudente, SP, Brazil
,
José A. Barela 
7   Department of Physical Education, Instituto de Biociências, Rio Claro, SP, Brazil
,
Fay B. Horak 
8   Department of Neurology, Oregon Health & Science University, Portland, OR, United States
,
Ismael Forte Freitas Júnior 
6   Faculty of Science and Technology, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Presidente Prudente, SP, Brazil
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Abstract

Objective To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women.

Methods A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 ± 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform – Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators.

Results The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002).

Conclusion In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.

Resumo

Objetivo Analisar o efeito do treinamento combinado (TC) no controle postural e nos parâmetros da marcha em mulheres na pós-menopausa.

Métodos Foi realizado um estudo controlado randomizado de grupos paralelos com 16 semanas de treinamento combinado (n = 16) versus um grupo controle sem treinamento (n = 12) em mulheres na pós-menopausa (59,3 ± 8,0 anos). As avaliações pré e pós-intervenção incluíram controle postural (usando a plataforma de força AMTI) e deficiências da marcha (usando baropodometria). Além disso, os testes de força de membros superiors e abdominal, bem como a capacidade aeróbica, avaliaram indicadores funcionais.

Resultados A intervenção do TC em mulheres na pós-menopausa resultou em melhora da marcha (comprimento da passada (p = 0,006), velocidade (p = 0,013), tempo de apoio duplo (p = 0,045) e controle postural aprimorado (área de deslocamento da oscilação postural em base de apoio normal com olhos abertos (p = 0,006). O TC aumentou os indicadores funcionais (abdominal - p = 0,031; capacidade aeróbia - p = 0,002).

Conclusão Em conclusão, o TC de força e aeróbico melhorou efetivamente o controle da marcha e do equilíbrio em mulheres idosas. As mulheres na pós-menopausa do grupo CT caminharam mais rápido e com passos maiores após a intervenção do que o grupo controle. Além disso, elas apresentaram redução da oscilação postural em pé e do percentual de tempo de apoio duplo durante a caminhada, o que significa melhora no controle do equilíbrio estático e dinâmico e dos indicadores funcionais.

Keywords

physical exercise - menopause - balance - concurrent training - gait

Palavras-chave

exercício físico - menopausa - equilíbrio - treinamento concorrente - marcha

Contributions

ACFM, FER, LMN: Conceptualization, methodology, formal analysis, investigation, writing original draft, writing review and editing, and visualization. ACFM, FER, LMN, TAD, IAM, JAB, FBH, IFFJ: Methodology, writing of the original draft, and writing of review editing. ACFM, FER, LMN, TAD, IAM, JAB, FBH, IFFJ.: Conceptualization, methodology, formal analysis, writing original draft, writing review: CFM, FER; IFFJ: Supervision. All authors contributed to the article and approved the submitted version.




Publication History

Received: 21 January 2023

Accepted: 07 March 2023

Article published online:
08 September 2023

© 2023. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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