The Effect of Two Types of Exercise on Water and Land on Some Inflammatory Factors in Elderly Women with Diastolic Disorder

Authors
fateme soleymani nia 1
bahman mirzaei 1
farhad rahmani nia 1
samane tabaei 2
1 Department of Sports Physiology, Faculty of Physical Education and Sport Sciences, University of Guilan, Guilan, Iran
2 School of Medicine, Neishabour University of Medical Sciences, Neishabour, Iran
Abstract
Introduction

Background: One of the most important health goals is to reduce age-related limitations in the elderly. Physical activity is one of the ways to prevent, delay or treat aging-related disorders in people with heart failure. The aim of this study was to investigate the effect of walking on water and land on some inflammatory factors in elderly women with diastolic disorders.

Material and Methods

In this semi-experimental study, 40 subjects (mean age 65±5) were randomly divided into3 groups, control (n = 10) and two groups: walking on water (n = 15) and walking on land (n = 15). Exercises consisted of 12 weeks, 3 sessions per week for 60 minutes on the treadmill each session with 40-50% VO2max intensity. Blood samples were taken 48 h after the last practice session the levels of TNF-α and IL-10 were evaluated. were used One-way ANOVA and Tukey post hoc tests to determine the significance.

Results

The results showed that the water and land-based training group decreased the serum levels of TNF-α (P = 0.016) (P = 0.027) and increased the IL-10 serum levels, respectively. There were statistically significant differences (P = 0.002) (P = 0.011).

Conclusion

Aerobic exercise, including walking, reduces systemic inflammation. Due to orthopedic problems and joint pain in the elderly, walking in the water can be substituted. Exercise in water due to the hydrostatic pressure of water increases venous return and improves heart function in the elderly
Keywords
walking
exercise Left ventricular diastolic heart failure
TNF-α
IL-10
1. Hernández-Saavedra D, Stanford KI. The Regulation of Lipokines by Environmental Factors. Nutrients. 2019;11(10):2422.
2. Sharifirad G, Mohebbi S, Matlabi M. The relationship of physical activity in middle age and cardiovascular problems in old age in retired people in Isfahan, 2006. The Horizon of Medical Sciences. 2007;13(2):57-63.
3. MOHTASHAM AZ, Toloei M, Farazmand A. CAUSES OF PATIENTS'HOSPITALIZATION IN GUILAN UNIVERSITY HOSPITALS. 2002.
4. Rafii F, Shahpoorian F, Naasher Z, Azarbaad M, Hosseini F. The importance of learning needs of CHF patients from patients' and nurses' perspective. Iran Journal of Nursing. 2009;22(57):19-30.
5. Ahmed A. DEFEAT–heart failure: a guide to management of geriatric heart failure by generalist physicians. Minerva medica. 2009;100(1):39.
6. Gevaert AB, Boen J, Segers VF, Van Craenenbroeck EM. Heart failure with preserved ejection fraction–a review of cardiac and non-cardiac pathophysiology. Frontiers in physiology. 2019;10:638.
7. Van Heerebeek L, Paulus W. Understanding heart failure with preserved ejection fraction: where are we today? Netherlands Heart Journal. 2016;24(4):227-36.
8. Batista Junior ML, Lopes RD, Seelaender M, Lopes AC. Anti-inflammatory effect of physical training in heart failure: role of TNF-alpha and IL-10. Arquivos Brasileiros de Cardiologia. 2009.
9. Gary RA, Sueta CA, Dougherty M, Rosenberg B, Cheek D, Preisser J, et al. Home-based exercise improves functional performance and quality of life in women with diastolic heart failure. Heart & Lung. 2004;33(4):210-8.
10. Smart N, Haluska B, Jeffriess L, Marwick TH. Exercise training in systolic and diastolic dysfunction: effects on cardiac function, functional capacity, and quality of life. American heart journal. 2007;153(4):530-6.
11. Ribeiro F, Alves A, Teixeira M, Miranda F, Azevedo C, Duarte J, et al. Exercise training increases interleukin-10 after an acute myocardial infarction: a randomised clinical trial. International journal of sports medicine. 2012;33(03):192-8.
12. Rodriguez D, Silva V, Prestes J, Rica RL, Serra AJ, Bocalini DS, et al. Hypotensive response after water-walking and land-walking exercise sessions in healthy trained and untrained women. International journal of general medicine. 2011;4:549.
13. Kruel LFM, Beilke DD, Kanitz AC, Alberton CL, Antunes AH, Pantoja PD, et al. Cardiorespiratory responses to stationary running in water and on land. Journal of sports science & medicine. 2013;12(3):594.
14. Zand S, Khajehgoodari M, Rafiei M, Rafiei F. Effect of Walking at Home on Heart Functioning Levels of People with Heart Failure. Preventive Care in Nursing & Midwifery Journal (PCNM). 2016;6(2):13-23.
15. Pereira DS, Mateo ECC, de Queiroz BZ, Assumpção AM, Miranda AS, Felício DC, et al. TNF-α, IL6, and IL10 polymorphisms and the effect of physical exercise on inflammatory parameters and physical performance in elderly women. Age. 2013;35(6):2455-63.
16. Babbitt DM, Diaz KM, Feairheller DL, Sturgeon KM, Perkins AM, Veerabhadrappa P, et al. Endothelial activation microparticles and inflammation status improve with exercise training in African Americans. International journal of hypertension. 2013;2013.
17. Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nature reviews immunology. 2011;11(9):607-15.
18. Oertelt-Prigione S. The influence of sex and gender on the immune response. Autoimmunity reviews. 2012;11(6-7):A479-A85.
19. McTiernan CF, Lemster BH, Frye C, Brooks S, Combes A, Feldman AM. Interleukin-1β inhibits phospholamban gene expression in cultured cardiomyocytes. Circulation research. 1997;81(4):493-503.
20. Nunes RB, Alves JP, Kessler LP, Lago PD. Aerobic exercise improves the inflammatory profile correlated with cardiac remodeling and function in chronic heart failure rats. Clinics. 2013;68(6):876-82.
21. COSTILL DL. Energy requirements during exercise in the water. J Sports Med. 1971;11:87-92.
22. Åsa C, Maria S, Katharina SS, Bert A. Aquatic exercise is effective in improving exercise performance in patients with heart failure and type 2 diabetes mellitus. Evidence-based complementary and alternative medicine. 2012;2012.
23. Farinha JB, Steckling FM, Stefanello ST, Cardoso MS, Nunes LS, Barcelos RP, et al. Response of oxidative stress and inflammatory biomarkers to a 12-week aerobic exercise training in women with metabolic syndrome. Sports medicine-open. 2015;1(1):19.
24. Rafraf M, Karimi M, Jafari A. Effect of L-carnitine supplementation in comparison with moderate aerobic training on serum inflammatory parameters in healthy obese women. The Journal of sports medicine and physical fitness. 2015;55(11):1363-70.
Journal of Netshabur University of Medical Sciences
Volume 9, Issue 1 - Serial Number 30
Winter 2021
Pages 119-130