Effects of High-speed Elastic Band Training on Physical Fitness and Muscle Function in Rural Community-dwelling Elderly: a Single-blinded Randomized Controlled Trial

Jun Seok Son; Dongheon Kang; Dong Hyun Yoon; Dae-Young Kim; Hee-jae Kim; Jang Hoe Kim; Byunghun So; Han Sol Song; Su Seung Hwang; Wook Song

doi:10.15384/kjhp.2015.15.4.254

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Son, Kang, Yoon, Kim, Kim, Kim, So, Song, Hwang, and Song: Effects of High-speed Elastic Band Training on Physical Fitness and Muscle Function in Rural Community-dwelling Elderly: a Single-blinded Randomized Controlled Trial

Original Article

Korean J Health Promot 2015;15(4):254-261.

Published online: 19 December 2015

DOI: https://doi.org/10.15384/kjhp.2015.15.4.254

Effects of High-speed Elastic Band Training on Physical Fitness and Muscle Function in Rural Community-dwelling Elderly: a Single-blinded Randomized Controlled Trial

Jun Seok Son¹, Dongheon Kang¹, Dong Hyun Yoon¹, Dae-Young Kim¹, Hee-jae Kim¹, Jang Hoe Kim¹, Byunghun So¹, Han Sol Song¹, Su Seung Hwang¹, Wook Song^1,²

¹Health and Exercise Science Laboratory, Institute of Sport Science, Seoul National University, Seoul, Korea

²Institute on Aging, Seoul National University, Seoul, Korea

￭ Corresponding author：Wook Song, PhD Health and Exercise Science Laboratory, Institute of Sport Science, Institute on Aging, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea Tel: +82-2-880-7791, Fax: +82-2-872-2867 E-mail: songw3@snu.ac.kr

Received 1 September 2015 Accepted 26 October 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

Aging related decrease in muscle strength and flexibility leads to functional loss of physical ability. Power training is known to improve these capacities and helps in performing daily routine better. Therefore, we modified previously proven and certified sarcopenia intervention exercise for elderly in rural community and applied them to examine the effects on physical fitness and muscle functions to show its applicability.

Methods

Subjects were divided into control and exercise group using single-blind method. Exercise group underwent high-speed elastic band training(concentric contraction in 1 second) 2 days per week for 12 weeks. Before and after the intervention, we performed body composition analysis, anthropometric measurement, blood test, blood pressure check, senior fitness test (SFT), upper body and lower body strength examination. Korean version of Physical Activity Scale for the Elderly (K-PASE), and Center for Epidemiological Studies-Depression Scale (CES-D) were also assessed.

Results

Body weight in control group was significantly increased (Paired t-test: P＝0.008), although it was consistent in exercise group (Group×Time: P＝0.013). 30-second chair stand (P＜0.001) and 30-second arm curl (P＜0.001) of the senior fitness test were also significantly improved in exercise group compared to control. In addition, muscle strength of knee flexion (P＝0.034) and K-PASE score (P＜0.001) were improved in training group with statistical significance.

Conclusions

The modified high-speed elastic band training for rural elderly improved muscle strength and daily physical performance. This result suggests a simple and easy to perform band training could be an excellent solution to prevent sarcopenia in rural elderly. It also supports the evidence that this program would be widely distributed.

Keywords: Muscle strength, Sarcopenia, Physical performance, Rural elderly

REFERENCES

1.Census of Population. Statistics Korea. Daejeon: Korean Statistical Information Service;2010. [Accessed Sep 4, 2012].http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parmTabId=M_01_01.

2.Park TJ., Kim BS., Chon HJ. Factors associated with farmers' syndrome. Korean J Rural Med. 1994. 19(1):5–13.

3.Holmberg S., Thelin A., Stiernstrom E., Svardsudd K. The impact of physical work exposure on musculoskeletal symptoms among farmers and rural non-farmers. Ann Agric Environ Med. 2003. 10(2):179–84.

4.Jenkins PL., Earle-Richardson G., Bell EM., May JJ., Green A. Chronic disease risk in central New York dairy farmers: results from a large health survey 1989-1999. Am J Ind Med. 2005. 47(1):20–6.

5.Cruz-Jentoft AJ., Baeyens JP., Bauer JM., Boirie Y., Cederholm T., Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in older people. Age Ageing. 2010. 39(4):412–23.

6.Meng P., Hu YX., Fan L., Zhang Y., Zhang MX., Sun J, et al. Sarcopenia and sarcopenic obesity among men aged 80 years and older in Beijing: prevalence and its association with functional performance. Geriatr Gerontol Int. 2014. 14(Suppl 1):29–35.

7.World Health Organization. Ageing and life course. Geneva: World Health Organization;2009. [Accessed 2009 April 30].http://www.who.int/ageing/en/.

8.Janssen I., Shepard DS., Katzmarzyk PT., Roubenoff R. The healthcare costs of sarcopenia in the United States. J Am Geriatr Soc. 2004. 52(1):80–5.

9.Cooper R., Kuh D., Cooper C., Gale CR., Lawlor DA., Matthews F, et al. Objective measures of physical capability and subsequent health: a systematic review. Age Ageing. 2011. 40(1):14–23.

10.Fried LP., Tangen CM., Walston J., Newman AB., Hirsch C., Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001. 56(3):M146–56.

11.Ziólkowski A., Blachnio A., Pachalska M. An evaluation of life satisfaction and health - Quality of life of senior citizens. Ann Agric Environ Med. 2015. 22(1):147–51.

12.Gyeongin Regional Statistics Office. Older Statistics of Seoul Special City. Gwacheon: Gyeongin Regional Statistics Office;2013. [Accessed Dec 6. 2013].http://kostat.go.kr/office/giro/rogi_nw/2/1/index.board?bmode=read&aSeq=310499.

13.Daly RM., Duckham RL., Tait JL., Rantalainen T., Nowson CA., Taaffe DR, et al. Effectiveness of dual-task functional power training for preventing falls in older people: study protocol for a cluster randomised controlled trial. Trials. 2015. 16:120.

14.Pereira A., Izquierdo M., Silva AJ., Costa AM., Bastos E., González-Badillo JJ, et al. Effects of high-speed power training on functional capacity and muscle performance in older women. Exp Gerontol. 2012. 47(3):250–5.

15.Kamada M., Kitayuguchi J., Lee IM., Hamano T., Imamura F., Inoue S, et al. Relationship between physical activity and chronic musculoskeletal pain among community-dwelling Japanese adults. J Epidemiol. 2014. 24(6):474–83.

16.Kang D., Kim H., Yoon D., Kim J., Song W. Effects of 12 weeks high-speed elastic band training on cognitive function, physical performance and muscle strength in older women with mild cognitive impairment: a randomized controlled trial. Korean J Health Promot. 2014. 14(1):26–32.

17.Sunchang County. Population by Age and Gender. Sunchang: Sunchang County;2014. [Accessed December 31, 2013].http://www.sunchang.go.kr/index.sunchang?menuCd=DOM_000000105004000000#.

18.Seoul Metropolitan Government. Resident registration statistics. Seoul: Seoul Metropolitan Government;2014. [Accessed November 27, 2015].http://stat.seoul.go.kr/jsp3/stat.book.jsp?link=6&cot=009.

19.Sport White Paper. Ministry of Culture, Sports and Tourism: Korea Institute of Sport Science. 2012. [Accessed Sep, 2013]. http://www.mcst.go.kr/web/s_data/research/researchView.jsp?pSeq=1613&pMenuCD=0406000000&pCurrentPage=1&pTypeDept=&pSearchType=01&pSearchWord=%EC%B2%B4%EC%9C%A1%EB%B0%B1%EC%84%9C.

20.Rikli RE., Jones CJ. Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist. 2013. 53(2):255–67.

21.DiBrezzo R., Shadden BB., Raybon BH., Powers M. Exercise intervention designed to improve strength and dynamic balance among community-dwelling older adults. J Aging Phys Act. 2005. 13(2):198–209.

22.Rikli RE., Jones CJ. Senior Fitness Test Manual. Champaign, IL: Human Kinetics;2001.

23.Martin HJ., Yule V., Syddall HE., Dennison EM., Cooper C., Aihie Sayer A. Is hand-held dynamometry useful for the measurement of quadriceps strength in older people? A comparison with the gold standard Bodex dynamometry. Gerontology. 2006. 52(3):154–9.

24.Stevens PJ., Syddall HE., Patel HP., Martin HJ., Cooper C., Aihie Sayer A. Is grip strength a good marker of physical performance among community-dwelling older people? J Nutr Health Aging. 2012. 16(9):769–74.

25.Choe MA., Kim J., Jeon MY., Chae YR. Evaluation of the Korean version of physical activity scale for the elderly (K-PASE). Korean J Women Health Nurs. 2010. 16(1):47–59.

27.Lee SH., Yeon SE., Son HR., Choi JS., Kim EK. Assessment of energy intake and physical activity level for Korean farmers to establish estimated energy requirements during the off-season for farmers. J Community Nutr. 2012. 17(5):652–63.

28.Goodpaster BH., Park SW., Harris TB., Kritchevsky SB., Nevitt M., Schwartz AV, et al. The loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study. J Gerontol A Biol Sci. 2006. 61(10):1059–64.

29.Nicklas BJ., Chmelo E., Delbono O., Carr JJ., Lyles MF., Marsh AP. Effects of resistance training with and without caloric restriction on physical function and mobility in overweight and obese older adults: a randomized controlled trial. Am J Clin Nutr. 2015. 101(5):991–9.

Figure 1.

Flow chart of cluster randomized controlled trial.

Table 1.

Basic characteristics and anthropometric data of subjects before and after high-speed elastic band training^a

	Control group (n=16)		HSEBT group (n=16)		ANOVA (P)^b
	Pre-test	Post-test	Pre-test	Post-test	ANOVA (P)^b
Characteristics
Age, y	73.8±5.0		72.2±3.6
Height, cm	156.21±8.07	155.94±8.27	151.91±6.36	151.44±6.58	0.551
Body weight, kg	57.58±7.33	58.56±7.37^c	54.33±8.10	54.06±7.85	0.013
Skeletal muscle mass, kg	20.44±4.19	19.15±4.69	19.41±2.54	17.76±3.67	0.671
BMI, kg/m²	23.64±2.93	24.19±2.92	23.49±2.81	23.82±2.80	0.275
Fat percent, %	33.26±8.88	38.63±11.64	31.83±9.07	38.47±8.59	0.647
WHR, ratio	0.87±0.05	0.86±0.05	0.87±0.04	0.87±0.08	0.685
Anthropometry
Upper arm circumference, cm	25.72±3.50	27.13±2.57	24.38±2.81	25.88±2.41	0.899
Thigh circumference, cm	48.66±4.66	48.72±4.02	48.75±3.76	47.88±4.11	0.269
Waist circumference, cm	86.06±6.22	89.28±4.74	81.78±9.00	86.56±8.37	0.272

Abbreviations: HSEBT, High-speed elastic band training; BMI, Body mass index; WHR, Waist-hip ratio.

^a Mean±SD.

^b Two-way analysis of variance.

^c Paired t-test, P=0.008, compared with pre-test.

Table 2.

Blood lipid profiles and blood pressure after high-speed elastic band training^a

	Control group (n=16)		HSEBT group (n=16)		ANOVA (P)^b
	Pre-test	Post-test	Pre-test	Post-test	ANOVA (P)^b
Blood profiles
Glucose, mg/dL	101.25±19.15	101.94±17.90	92.50±16.40	101.25±26.42	0.355
Total cholesterol, mg/dL	180.81±34.14	174.75±36.27	196.81±44.42	193.00±42.11	0.744
Triglyceride, mg/dL	115.88±54.86	124.88±57.78	112.50±43.36	116.75±42.79	0.664
LDL cholesterol, mg/dL	109.38±29.61	102.88±33.83	118.63±35.89	111.13±30.98	0.864
HDL cholesterol, mg/dL	49.25±9.67	50.25±11.61	56.81±16.91	61.69±19.02	0.146
Blood pressures
Systolic pressure, mmHg	139.63±11.42	134.56±16.40	134.50±16.03	139.00±12.23	0.068
Diastolic pressure, mmHg	76.25±9.64	79.44±8.94	75.94±11.41	78.13±7.95	0.723

Abbreviations: HSEBT, High-speed elastic band training; LDL, Low-density lipoprotein; HDL, High-density lipoprotein.

^a Mean±SD.

^b Two-way analysis of variance.

Table 3.

Senior Fitness Test, muscle strength, K-PASE and CES-D of balance and tone group and high-speed power training group^a

	Control group (n=16)		HSEBT group (n=16)		ANOVA (P)^b
	Pre-test	Post-test	Pre-test	Post-test	ANOVA (P)^b
Senior Fitness Test
30-seconds chair stand, reps	10.81±1.97	11.38±2.31	11.38±2.31	16.63±2.53^c ^d	＜0.001
30-seconds arm curl, reps	13.81±2.04	15.63±3.10^e	14.19±4.65	24.50±3.90^f ^g	＜0.001
2-minutes step, reps	174.38±31.88	219.44±15.52	188.88±48.95	234.31±38.56	0.972
Chair sit-and –reach, cm	2.50±15.56	9.09±13.81	6.03±11.82	14.83±12.11	0.611
Back stretch test, cm	-14.66±12.41	-11.73±9.82	-10.56±11.52	-11.06±15.71	0.235
244 cm up & go, sec	9.31±2.95	9.62±1.71	10.23±3.80	9.20±2.09	0.178
Muscle strength
Isometric knee extension, Nm	65.87±11.54	73.83±10.87	68.99±16.46	82.63±12.77	0.110
Isometric knee flexion, Nm	48.81±15.95	53.72±12.22	45.23±10.97	55.36±11.09^h	0.034
Grip strength, kg	23.38±6.80	24.01±6.60	21.90±4.69	23.12±3.13	0.406
K-PASE, score	127.51±80.22	72.16±45.71ⁱ	133.51±42.53	194.26±37.21^j ^k	＜0.001
CES-D	9.60±7.74	12.93±16.48	9.13±10.25	8.69±10.26	0.334

Abbreviations: HSEBT, High-speed elastic band training; K-PASE, Korean version of physical activity scale for elderly; CES-D, Center for epidemiological studies-depression scale.

^a Mean±SD.

^b Two-way analysis of variance.

^c Paired t-test, P＜0.001, compared with pre-test.

^d Independent t-test, P＜0.001, compared with control group.

^e Paired t-test, P=0.012, compared with pre-test.

^f Paired t-test, P＜0.001, compared with pre-test.

^g Independent t-test, P＜0.001, compared with control group.

^h Paired t-test, P＜0.001, compared with pre-test.

ⁱ Paired t-test, P=0.003, compared with pre-test.

^j Paired t-test, P＜0.001, compared with pre-test.

^k Independent t-test, P＜0.001, compared with control group.

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