The Effect of Resistance Training, Resistance Training-Forward Walking, and resistance Training-Backward Walking on Cardiac and Physical Function of Middle-Aged Men.

Document Type : Original Article

Authors

1 Department of Physical Education, Islamic Azad University, Neyshabor branch, Neyshabor, Iran

2 Department of Sports Physiology, Faculty of Sports Sciences, Ferdowsi University of Mashhad, Mashhad, Iran

3 Department of Cardiology, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Purpose:
Backward walking compared to forward walking in combination with resistance training and their interference effect have been less studied. So, the purpose of this study was to compare the effect of three resistances, concurrent forward walking, and backward walking training on the physical and cardiac function in middle-aged men.
Methods:
In a semi-experimental study design, 48 middle-aged (mean age 56.5±4.3 years, mean weight 79.4 ±4.9 kg and mean body mass index 27 ±2.9 kg/m2) were recruited and randomly assigned into four groups: Group 1) resistance training (n=8), Group 2) resistance–aerobic training forward walking/running (n=10), Group 3) resistance–aerobic training backward walking/running (n=11), and Group 4) control (n=9). The training was performed for eight weeks, three sessions per week. 48-h after the last exercise training, echocardiography (TAPSE, LVEDD, ESV, EF, and RHR), muscle strength, and aerobic capacity were performed. An analysis of variance with repeated measures test was used to analyze the data (p<0.05).
Results:
The results showed that despite improvement in aerobic capacity (Group1.2,3 and 4, 6.1, 8.4, 7.5, and 1.3 percent respectively) and muscle strength (Group1.2,3 and 4, 5.5, 2.15, 3.8, and -1.1 kg respectively) there was no significant difference between or within groups in any cardiac performance variables (P>0.05). However, the training improved some physical performance.
Conclusion:
In middle-aged men, eight weeks of combined training regardless of aerobic type (forward or backward walking or running), although it improves aerobic capacity and muscle strength, has no significant effect on cardiac performance. Perhaps the duration or intensity of the training was not enough to affect these variables, which could be considered in future studies

Keywords


  1. Strait JB, Lakatta EG. Aging-associated cardiovascular changes and their relationship to heart failure. Heart Fail Clin. 2012; 8(1): 143-164.
  2. Hunter GR, McCarthy JP & Bamman MM. Effects of resistance training on older adults. Sports Med 2004; 34: 329-348.
  3. Trajković N, Đorđević D, Stanković M, Petrušič T, et al. Exercise-based interventions in middle-aged and older adults after myocardial infarction: a systematic review. Life (Basel) 2021; 11(9):1-14.
  4. Williams MA, Haskell WL, Ades PA, et al. American heart association council on clinical cardiology; American heart association council on nutrition, physical activity, and metabolism. resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American heart association council on clinical cardiology and council on nutrition, physical activity, and metabolism. Circulation 2007; 116(5): 572-584.
  5. Franklin BA, Eijsvogels TMH, Pandey A, Quindry J, Toth PP. Physical activity, cardiorespiratory fitness, and cardiovascular health: A clinical practice statement of the ASPC Part I: Bioenergetics, contemporary physical activity recommendations, benefits, risks, extreme exercise regimens, potential maladaptations. Am J Prev Cardiol 2022; 13; 12: 100424.
  6. Hotta K, Chen B, Behnke BJ, Ghosh P, et al. Exercise training reverses age-induced diastolic dysfunction and restores coronary microvascular function. J Physiol 2017; 595(12): 3703-3719.
  7. Howden EJ, Sarma S, Lawley JS, Opondo M, et al. Reversing the cardiac effects of sedentary aging in middle age-a randomized controlled trial: implications for heart failure prevention. Circulation 2018; 137(15): 1549-1560.
  8. Khadanga S, Savage PD, Ades PA. Resistance training for older adults in cardiac rehabilitation. Clin Geriatr Med 2019; 35(4): 459-468.
  9. Thompson PD. The role of physical activity and exercise in preventive cardiology. Med Clin North Am 2022; 106(2): 249-258.
  10. Wilson JM, Marin PJ, Rhea MR, Wilson SM, et al. Concurrent training: a meta-analysis examining interference of aerobic and resistance exercises. J Strength Cond Res 2012; 26(8): 2293-307.
  11. Morris JH, Chen L. Exercise training and heart failure: a review of the literature. Card Fail Rev 2019, 5(1): 57-61.
  12. Gielen S, Laughlin MH, O'Conner C, Duncker DJ. Exercise training in patients with heart disease: review of beneficial effects and clinical recommendations. Prog Cardiovasc Dis 2015; 57(4): 347-355.
  13. DeMaria AN, Neumann A, Lee G, Fowler W, Mason DT. Alterations in ventricular mass and performance induced by exercise training in man evaluated by echocardiography. Circulation 1978; 57(2): 237-244.
  14. Lin LL, Chen YJ, Lin TY, Weng TC. Effects of resistance training intensity on heart rate variability at rest and in response to orthostasis in middle-aged and older adults. Int J Environ Res Public Health 2022; 25; 19(17): 10579.
  15. Jurca R, Church TS, Morss GM, Jordan AN, Earnest CP. Eight weeks of moderate-intensity exercise training increases heart rate variability in sedentary postmenopausal women. Am Heart J 2004; 147(5): e21.
  16. Khani F, Nikbakht H, Ghazalian F, Barzegar M. The effect of endurance, resistance and concurrent training on the structure of the heart of healthy middle-aged women. J Jiroft Univ Med Sci 2020; 7 (1): 255-265.
  17. Krishnan V, Pithadia K. Effect of retro walking versus balance training on pain and disability in patients with osteoarthritis of the knee: a randomized controlled trial. Bull Fac Phys Ther 2021; 26(19): 1-7.
  18. Alghadir AH, Anwer S, Sarkar B, Paul AK, Anwar D. Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: a randomized controlled trial (retro-walking trial). BMC Musculoskelet Disord 2019; 20(1): 1-10.
  19. Gondhalekar GA, Deo MV. Retrowalking as an adjunct to conventional treatment versus conventional treatment alone on pain and disability in patients with acute exacerbation of chronic knee osteoarthritis: a randomized clinical trial. N Am J Med Sci 2013; 5(2): 108-112.
  20. Ansari S, Raza S, & Bhati P. Impact of retrowalking on pain, range of motion, muscle fatigability, and balance in collegiate athletes with chronic mechanical low back pain. Sport Sci Health 2021; (17): 307-316.
  21. DelMastro HM, Ruiz JA, Simaitis LB, Gromisch ES, et al. Effect of backward and forward walking on lower limb strength, balance, and gait in multiple sclerosis: a randomized feasibility trial. Int J MS Care 2023; 25(2): 45-50.
  22. Alkhathami K, Soman A, Chandy S, Ramamoorthy B, Alqahtani B. Comparing the effects of retro and forward walking on serum adiponectin levels in obese young adults. J Taibah Univ Med Sci 2023; 18(5): 917-925.
  23. Thomas KS, Hammond M, Magal M. Graded forward and backward walking at a matched intensity on cardiorespiratory responses and postural control. Gait Posture 2018; 65: 20-25.
  24. Adesolaa M, Azeezo M. Comparison of cardiopulmonary responses to forward and backward walking and running. African J Biomed Res 2009; 2: 95 -100
  25. Chaloupka EC, Kang J, Mastrangelo MA, Donnelly MS. Cardiorespiratory and metabolic responses during forward and backward walking. J Orthop Sports Phys Ther 1997; 25(5): 302-306.
  26. Hooper TL, Dunn DM, Props JE, Bruce BA, et al. The effects of graded forward and backward walking on heart rate and oxygen consumption. J Orthop Sports Phys Ther 2004; 34(2): 65-71.
  27. Anandh S, & Sajan Varughese S.  Effectiveness of Forward Walking and Retro Walking on Balance and Walking Speed in Geriatric Population. Journal of Coastal Life Medicine 2023; 11(1): 1134–1139.
  28. Cha HG, Kim TH, Kim MK. Therapeutic efficacy of walking backward and forward on a slope in normal adults. J Phys Ther Sci 2016; 28(6): 1901-1903.
  29. Mendes J, Amaral TF, Borges N, Santos A, et al. Handgrip strength values of Portuguese older adults: a population based study. BMC Geriatr 2017; 23; 17(1):1-12.
  30. Rikli RE,  Jones CJ. Senior fitness test manual. Human Kinetics, 2nd edition 2013.
  31. Najjarian Kakhki A, Hosseini Kakhak SA, Khajeei R, Vakilian Aghouee F.  The comparison of the effect of strength training, strength training-forward walking/running, and strength training-backward walking/running on body composition and functional fitness of middle age men. Journal of Sport in Biomotor Sciences 2022; 27(1); 82-91.
  32. Wood RH, Reyes R, Welsch MA, Favaloro-Sabatier J, et al. Concurrent cardiovascular and resistance training in healthy older adults. Med Sci Sports Exerc 2001; 33(10): 1751-1758.
  33. Khalafi M, Sakhaei MH, Rosenkranz SK, Symonds ME. Impact of concurrent training versus aerobic or resistance training on cardiorespiratory fitness and muscular strength in middle-aged to older adults: A systematic review and meta-analysis. Physiol Behav 2022; 1(254):1-12
  34. Irving, BA, Lanza IR, Henderson GC, Rao RR, et al. Combined training enhances skeletal muscle mitochondrial oxidative capacity independent of age. JCEM 2015; 100(4): 1654-1663.
  35. Hurst C, Weston KL, McLaren SJ, Weston M. The effects of same-session combined exercise training on cardiorespiratory and functional fitness in older adults: a systematic review and meta-analysis. Aging Clin. Exp. Res 2019; 31(12): 1701-1717.
  36. Vigorito C, Giallauria F. Effects of exercise on cardiovascular performance in the elderly. Front Physiol 2014; 5(20): 1-8.
  37. Markov A, Hauser L & Chaabene H. Effects of concurrent strength and endurance training on measures of physical fitness in healthy middle-aged and older adults: a systematic review with meta-analysis. Sports Med 2023; (53): 437–455.
  38. Leggio M, Mazza A, Cruciani G. et al. Effects of exercise training on systo–diastolic ventricular dysfunction in patients with hypertension: an echocardiographic study with tissue velocity and strain imaging evaluation. Hypertens Res 2014; 37 (7): 649-654.
  39. Eiji P, Nikbakht H, Abednatanzi H. investigate the effect of short-term and long-term combined resistance (resistance-endurance) on some structural variables of the heart of young non-athletic men. RJMS 2020; 27(9): 44-53.
  40. Spence AL, Naylor LH, Carter HH, Buck CL, et al. A prospective randomised longitudinal MRI study of left ventricular adaptation to endurance and resistance exercise training in humans. J Physiol 2011; 589(22): 5443-5452.
  41. Cavalcante PAM, Perilhão MS, Ariana A. da Silva, et al. Cardiac remodeling and physical exercise: a brief review about concepts and adaptations. International Journal of Sports Science 2016; 6(2): 52-61.
  42. Haykowsky MJ, Liang Y, Pechter D, Jones LW, et al. A meta-analysis of the effect of exercise training on left ventricular remodeling in heart failure patients: the benefit depends on the type of training performed. J Am Coll Cardiol 2007; 19; 49(24): 2329-2336.
  43. Haykowsky MJ, Dressendorfer R, Taylor D, Mandic S, Humen D. Resistance training and cardiac hypertrophy: unravelling the training effect. Sports Med 2002; 32(13): 837-849.
  44. Uthoff A, Oliver J, Cronin J, Harrison C, Winwood P. A New Direction to Athletic Performance: Understanding the Acute and Longitudinal Responses to Backward Running. Sports Med 2018; 48(5): 1083-1096.
  45. Rognmo O, Moholdt T, Bakken H, Hole T, et al. Cardiovascular risk of high- versus moderate-intensity aerobic exercise in coronary heart disease patients, Circulation 2012; 126 (12): 1436-1440.
  46. Elliott A, Bentley D, Aromataris E. Effectiveness of high-intensity interval training in patients with coronary heart disease: a systematic review protocol, JBI Database of Systematic Reviews & Implementation Reports 2013; 11(8): 13- 22.
  47. Gibala MJ, Little JP, Maureen J, Macdonald MJ. et al.  Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol 2012; 590 (5): 1077-1084.