Risk of Falls in Healthy Older Adults: Benefits of High-Intensity Interval Training Using Lower Body Suspension Exercises

in Journal of Aging and Physical Activity
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The objective of this study was to compare the effects of high-intensity interval training (HIIT) and moderate-intensity interval training (MIIT) programs, both with a suspension training system, on several fall risk factors in healthy older adults. A total of 82 participants (68.23 ± 2.97 years) were randomized to HIIT (n = 28), MIIT (n = 27), or control (n = 27) groups. Balance confidence (Activities-specific Balance Confidence Scale), fear of falling (Falls Efficacy Scale—International), dynamic balance (Timed Up and Go test), and gait analysis (OptoGait optical detection system) were assessed. Statistical analysis showed improvements after the intervention in the HIIT group compared with the MIIT and control groups regarding the fear of falling (p < .05 and p < .01, respectively), gait (both ps < .05), and dynamic balance (p < .05 and p < .01, respectively), whereas both HIIT and MIIT groups improved balance confidence compared with the control group (p < .01 and p < .05, respectively). We can conclude that HIIT has significant beneficial effects of fall risk in older adults.

Jiménez-García, Hita-Contreras, Fábrega-Cuadros, Aibar-Almazán, Cruz-Díaz, and Martínez-Amat are with the Dept. of Health Sciences, Faculty of Health Sciences, University of Jaén, Jaén, Spain. de la Torre-Cruz is with the Dept. of Psychology, University of Jaén, Jaén, Spain.

Address author correspondence to Antonio Martínez-Amat at amamat@ujaen.es.
  • American Geriatrics Society and British Geriatrics Society. (2011). Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society, 59, 148–157. PubMed ID: 21226685 doi:10.1111/j.1532-5415.2010.03234.x

    • Search Google Scholar
    • Export Citation
  • Bartlett, J.D., Close, G.L., MacLaren, D.P., Gregson, W., Drust, B., & Morton, J.P. (2011). High-intensity interval running is perceived to be more enjoyable than moderate-intensity continuous exercise: Implications for exercise adherence. Journal of Sports Sciences, 29, 547–553. PubMed ID: 21360405 doi:10.1080/02640414.2010.545427

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bell, K.E., Séguin, C., Parise, G., Baker, S.K., & Phillips, S.M. (2015). Day-to-day changes in muscle protein synthesis in recovery from resistance, aerobic, and high-intensity interval exercise in older men. The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 70, 1024–1029. PubMed ID: 25650305 doi:10.1093/gerona/glu313

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Blank, W.A., Freiberger, E., Siegrist, M., Landendoerfer, P., Linde, K., Schuster, T., … Halle, M. (2011). An interdisciplinary intervention to prevent falls in community-dwelling elderly persons: Protocol of a cluster-randomized trial [PreFalls]. BMC Geriatrics, 11, 7. PubMed ID: 21329525 doi:10.1186/1471-2318-11-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bruseghini, P., Calabria, E., Tam, E., Milanese, C., Oliboni, E., Pezzato, A., … Capelli, C. (2015). Effects of eight weeks of aerobic interval training and of isoinertial resistance training on risk factors of cardiometabolic diseases and exercise capacity in healthy elderly subjects. Oncotarget, 6, 16998. PubMed ID: 26046575 doi:10.18632/oncotarget.4031

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Campa, F., Silva, A.M., & Toselli, S. (2018). Changes in phase angle and handgrip strength induced by suspension training in older women. International Journal of Sports Medicine, 39, 442–449. PubMed ID: 29684926 doi:10.1055/a-0574-3166

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chang, H.T., Chen, H.C., & Chou, P. (2016). Factors associated with fear of falling among community-dwelling older adults in the Shih-Pai study in Taiwan. PLoS ONE, 11, 0150612. PubMed ID: 26933882 doi:10.1371/journal.pone.0150612

    • Search Google Scholar
    • Export Citation
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.

  • Cruz-Díaz, D., Martínez-Amat, A., Manuel, J., Casuso, R.A., de Guevara, N.M.L., & Hita-Contreras, F. (2015). Effects of a six-week Pilates intervention on balance and fear of falling in women aged over 65 with chronic low-back pain: A randomized controlled trial. Maturitas, 82, 371–376. PubMed ID: 26277254 doi:10.1016/j.maturitas.2015.07.022

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cruz-Jentoft, A.J., Baeyens, J.P., Bauer, J.M., Boirie, Y., Cederholm, T., Landi, F., … European Working Group on Sarcopenia in Older People. (2010). Sarcopenia: European consensus on definition and diagnosis: Report of the European working group on Sarcopenia in older people. Age and Ageing, 39, 412–423. PubMed ID: 20392703 doi:10.1093/ageing/afq034

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ellingsen, Ø., Halle, M., Conraads, V., Støylen, A., Dalen, H., Delagardelle, C., … SMARTEX Heart Failure Study (Study of Myocardial Recovery After Exercise Training in Heart Failure) Group. (2017). High-intensity interval training in patients with heart failure with reduced ejection fraction clinical perspective. Circulation, 135, 839–849. PubMed ID: 28082387 doi:10.1161/CIRCULATIONAHA.117.029145

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gaedtke, A., & Morat, T. (2015). TRX Suspension Training: A new functional training approach for older adults—Development, training control and feasibility. International Journal Exercise Science, 8(3), 224–233. PubMed ID: 27182415

    • Search Google Scholar
    • Export Citation
  • García-Pinillos, F., Laredo-Aguilera, J.A., Muñoz-Jiménez, M., & Latorre-Román, P.A. (2017). Effects of 12-week concurrent high-intensity interval strength and endurance training programme on physical performance in healthy older people. Journal of Strength and Conditioning Research. PubMed ID: 28301438 doi:10.1519/JSC.0000000000001895

    • Search Google Scholar
    • Export Citation
  • Gillespie, L.D., Robertson, M.C., Gillespie, W.J., Sherrington, C., Gates, S., Clemson, L.M., & Lamb, S.E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database Systematic Review, 9, CD007146. PubMed ID: 22972103 doi:10.1002/14651858.CD007146.pub3

    • Search Google Scholar
    • Export Citation
  • Globas, C., Becker, C., Cerny, J., Lam, J.M., Lindemann, U., Forrester, L.W., … Luft, A.R. (2012). Chronic stroke survivors benefit from high-intensity aerobic treadmill exercise: A randomized control trial. Neurorehabilitation & Neural Repair, 26, 85–95. PubMed ID: 21885867 doi:10.1177/1545968311418675

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Granacher, U., Muehlbaue, T., Zahner, L., Gollhofer, A., & Kressig, R.W. (2011). Comparison of traditional and recent approaches in the promotion of balance and strength in older adults. Sports Medicine, 41, 377–400. PubMed ID: 21510715 doi:10.2165/11539920-000000000-00000

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jabbour, G., Iancu, H.D., Mauriège, P., Joanisse, D.R., & Martin, L.J. (2017). High-intensity interval training improves performance in young and older individuals by increasing mechanical efficiency. Physiological Reports, 5, e13232. PubMed ID: 28381445 doi:10.14814/phy2.13232

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jørstad, E.C., Hauer, K., Becker, C., Lamb, S.E., & ProFaNE Group. (2005). Measuring the psychological outcomes of falling: A systematic review. Journal of the American Geriatrics Society, 53, 501–510. PubMed ID: 15743297 doi:10.1111/j.1532-5415.2005.53172.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kannus, P., Sievänen, H., Palvanen, M., Järvinen, T., & Parkkari, J. (2005). Prevention of falls and consequent injuries in elderly people. The Lancet, 366, 1885–1893. PubMed ID: 16310556 doi:10.1016/S0140-6736(05)67604-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kessler, H.S., Sisson, S.B., & Short, K.R. (2012). The potential for high-intensity interval training to reduce cardiometabolic disease risk. Sports Medicine, 42, 489–509. PubMed ID: 22587821 doi:10.2165/11630910-000000000-00000

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kim, K.H., Lee, K.B., Bae, Y.H., Fong, S.S., & Lee, S.M. (2017). Effects of progressive backward body weight supported treadmill training on gait ability in chronic stroke patients: A randomized controlled trial. Technology and Health Care, 25, 867–876. PubMed ID: 28759977 doi:10.3233/THC-160720

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Knowles, A.M., Herbert, P., Easton, C., Sculthorpe, N., & Grace, F.M. (2015). Impact of low-volume, high-intensity interval training on maximal aerobic capacity, health-related quality of life and motivation to exercise in ageing men. Age, 37, 25. PubMed ID: 25773069 doi:10.1007/s11357-015-9763-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kojima, G., Masud, T., Kendrick, D., Morris, R., Gawler, S., Treml, J., & Iliffe, S. (2015). Does the timed up and go test predict future falls among British community-dwelling older people? Prospective cohort study nested within a randomised controlled trial. BMC Geriatrics, 15, 38. PubMed ID: 25887660 doi:10.1186/s12877-015-0039-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kumar, A., Carpenter, H., Morris, R., Iliffe, S., & Kendrick, D. (2014). Which factors are associated with fear of falling in community-dwelling older people? Age and Ageing, 43, 76–84. PubMed ID: 24100619 doi:10.1093/ageing/aft154

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lomas-Vega, R., Hita-Contreras, F., Mendoza, N., & Martínez-Amat, A. (2012). Cross-cultural adaptation and validation of the falls efficacy scale international in Spanish postmenopausal women. Menopause, 19, 904–908. PubMed ID: 22453199 doi:10.1097/gme.0b013e3182475f6e

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Maillard, F., Rousset, S., Pereira, B., Traore, A., Del Amaze, P.D.P., Boirie, Y., … Boisseau, N. (2016). High-intensity interval training reduces abdominal fat mass in postmenopausal women with type 2 diabetes. Diabetes & Metabolism, 42, 433–441. PubMed ID: 27567125 doi:10.1016/j.diabet.2016.07.031

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mandrup, C.M., Egelund, J., Nyberg, M., Slingsby, M.H.L., Andersen, C.B., Løgstrup, S., … Hellsten, Y. (2017). Effects of high-intensity training on cardiovascular risk factors in premenopausal and postmenopausal women. American Journal of Obstetrics & Gynecology, 216, 384.e1–384.e11. PubMed ID: 28024987 doi:10.1016/j.ajog.2016.12.017

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mejías-Peña, Y., Rodriguez-Miguelez, P., Fernandez-Gonzalo, R., Martínez-Flórez, S., Almar, M., de Paz, J.A., … González-Gallego, J. (2016). Effects of aerobic training on markers of autophagy in the elderly. Age, 38, 33. PubMed ID: 26940016 doi:10.1007/s11357-016-9897-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Montilla-Ibáñez, A., Martínez-Amat, A., Lomas-Vega, R., Cruz-Díaz, D., Torre-Cruz, M.J., Casuso-Pérez, R., & Hita-Contreras, F. (2017). The activities-specific balance confidence scale: Reliability and validity in Spanish patients with vestibular disorders. Disability and Rehabilitation, 39(7), 697–703. PubMed ID: 27008458 doi:10.3109/09638288.2016.1161087

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Moore, D.S., Ellis, R., Kosma, M., Fabre, J.M., McCarter, K.S., & Wood, R.H. (2011). Comparison of the validity of four fall-related psychological measures in a community-based falls risk screening. Research Quarterly for Exercise and Sport, 82, 545–554. PubMed ID: 21957713 doi:10.1080/02701367.2011.10599787

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mortazavi, H., Tabatabaeichehr, M., Golestani, A., Armat, M.R., & Yousefi, M.R. (2018). The effect of tai chi exercise on the risk and fear of falling in older adults: A randomized clinical trial. Materia Socio-Medica, 30, 38. PubMed ID: 29670476 doi:10.5455/msm.2018.30.38-42

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mühlberg, W., & Sieber, C. (2004). Sarcopenia and frailty in geriatric patients: Implications for training and prevention. Zeitschrift für Gerontologie und Geriatrie, 37, 2–8. PubMed ID: 19349661 doi:10.1007/s00391-004-0203-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nemoto, K.I., Gen-no, H., Masuki, S., Okazaki, K., & Nose, H. (2007, July). Effects of high-intensity interval walking training on physical fitness and blood pressure in middle-aged and older people. Mayo Clinic Proceedings, 82, 803–811. PubMed ID: 17605959 doi:10.4065/82.7.803

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Okumiya, K., Matsubayashi, K., Nakamura, T., Fujisawa, M., Osaki, Y., Doi, Y., & Ozawa, T. (1998). The timed “up & go” test is a useful predictor of falls in community-dwelling older people. Journal of the American Geriatrics Society, 46, 928–929. PubMed ID: 9670889 doi:10.1111/j.1532-5415.1998.tb02737.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Onambélé-Pearson, G.L., Breen, L., & Stewart, C.E. (2010). Influence of exercise intensity in older persons with unchanged habitual nutritional intake: Skeletal muscle and endocrine adaptations. Age, 32, 139–153. PubMed ID: 20407838 doi:10.1007/s11357-010-9141-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pisciottano, M.V.C., Pinto, S.S., Szejnfeld, V.L., & de Moura Castro, C.H. (2014). The relationship between lean mass, muscle strength and physical ability in independent healthy elderly women from the community. The Journal of Nutrition, Health & Aging, 18, 554–558. PubMed ID: 24886744 doi:10.1007/s12603-013-0414-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39, 142–148. PubMed ID: 1991946 doi:10.1111/j.1532-5415.1991.tb01616.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Powell, L.E., & Myers, A.M. (1995). The activities-specific balance confidence (ABC) scale. The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 50, M28–34. PubMed ID: 7814786 doi:10.1093/gerona/50A.1.M28

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rognmo, Ø., Moholdt, T., Bakken, H., Hole, T., Mølstad, P., Myhr, N.E., … Wisløff, U. (2012). Cardiovascular risk of high-versus moderate-intensity aerobic exercise in coronary heart disease patients. Circulation, 126(21), 1436–1440. PubMed ID: 22879367 doi:10.1161/CIRCULATIONAHA.112.123117

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stutts, W.C. (2002). Physical activity determinants in adults: Perceived benefits, barriers, and self efficacy. AAOHN Journal, 50, 499–507. PubMed ID: 12465206 doi:10.1177/216507990205001106

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tinetti, M.E., & Kumar, C. (2010). The patient who falls: “It’s always a trade-off”. JAMA, 303, 258–266. PubMed ID: 20085954 doi:10.1001/jama.2009.2024

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ullmann, G., Williams, H.G., Hussey, J., Durstine, J.L., & McClenaghan, B.A. (2010). Effects of Feldenkrais exercises on balance, mobility, balance confidence, and gait performance in community-dwelling adults age 65 and older. The Journal of Alternative and Complementary Medicine, 16, 97–105. PubMed ID: 20070145 doi:10.1089/acm.2008.0612

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Viccaro, L.J., Perera, S., & Studenski, S.A. (2011). Is timed up and go better than gait speed in predicting health, function, and falls in older adults? Journal of the American Geriatrics Society, 59, 887–892. PubMed ID: 21410448 doi:10.1111/j.1532-5415.2011.03336.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2007). WHO global report on falls prevention in older age (pp. 1–7). Geneva,Switzerland: Author.

  • Yardley, L., Beyer, N., Hauer, K., Kempen, G., Piot-Ziegler, C., & Todd, C. (2005). Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age and Ageing, 34, 614–619. PubMed ID: 16267188 doi:10.1093/ageing/afi196

    • Crossref
    • Search Google Scholar
    • Export Citation
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