Biopsychosocial Effects of a Conventional Exercise Program and Culturally Relevant Activities in Older Women From Mozambique

Click name to view affiliation

Timóteo Daca Research Group of Physical Activity and Health, Faculty of Physical Education and Sport, Pedagogical University of Maputo, Maputo, Mozambique

Search for other papers by Timóteo Daca in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-7914-4984 *
,
Antônio Prista Research Group of Physical Activity and Health, Faculty of Physical Education and Sport, Pedagogical University of Maputo, Maputo, Mozambique

Search for other papers by Antônio Prista in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-3652-7205
,
Paulo Farinatti Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sport, University of Rio de Janeiro State, Rio de Janeiro, Brazil

Search for other papers by Paulo Farinatti in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-2463-1280
,
Matheus Maia Pacheco Faculty of Sport, CIFI2D, University of Porto, Porto, Portugal

Search for other papers by Matheus Maia Pacheco in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-9822-981X
,
Ricardo Drews Faculty of Physical Education and Physiotherapy, Federal University of Uberlândia, Uberlandia, Brazil

Search for other papers by Ricardo Drews in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-3121-0134
,
Taru Manyanga Division of Medical Sciences, University of Northern British Columbia, Prince George, BC, Canada

Search for other papers by Taru Manyanga in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0001-5461-5981
,
Albertino Damasceno Faculty of Medicine, Eduardo Mondlane University of Mozambique, Maputo, Mozambique

Search for other papers by Albertino Damasceno in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-5547-0224
, and
Go Tani School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil

Search for other papers by Go Tani in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-6517-5472
Restricted access

Aim: This randomized controlled trial compared the effects of a Conventional Exercise Program (CEP) and Culturally Relevant Activities (CRA) on body mass, cardiovascular risk, functional fitness (strength, flexibility, cardiorespiratory fitness, and agility), self-efficacy, and self-esteem in older women dwelling in Mozambique. Methods: Fifty-seven women (67 [7] y) underwent 60-minute sessions of CEP (n = 28) or CRA (n = 29) performed 3 days per week for 12 weeks. CRA included Mozambican traditional dances and games (intensity corresponding to scores 3–4 of BORG-CR10 scale), and CEP included 20-minute stationary cycling (65%–75% heart rate reserve) and a resistance training circuit (8 exercises, 15-repetition maximum). Results: CEP and CRA (P < .05) showed increased percent fat (3.4% and 5.3%), waist circumference (3.3% and 5.8%), and cardiorespiratory fitness (14.4% and 9.4%), and decreased triglycerides (−20.0% and −77.8%). In CEP (P < .05), body mass (2.9%), body mass index (3.2%), and high-density lipoprotein (10.0%) increased, while glycemia (−4.8%) and total cholesterol (−9.8%) decreased. Blood pressure slightly increased in CEP (6.2%, P > .05) and CRA (4.3%, P < .05). Self-efficacy and self-esteem increased to similar levels in both groups (15%, P < .05). Conclusions: CEP and CRA were capable to improve biopsychosocial health-related variables in Mozambican older women. Culturally referenced PA interventions should be considered as an alternative in African countries.

Supplementary Materials

    • Supplementary Table S1 (PDF 339 KB)
    • Supplementary Table S2 (PDF 423 KB)
  • Collapse
  • Expand
  • 1.

    Choi M, Lee M, Lee MJ, Jung D. Physical activity, quality of life and successful ageing among community-dwelling older adults. Int Nurs Rev. 2017;64(3):396404. PubMed ID: 28837231 doi:10.1111/inr.12397

    • Search Google Scholar
    • Export Citation
  • 2.

    Marquez DX, Aguiñaga S, Vásquez PM, Conroy DE, Erickson KI, Hillman C. A systematic review of physical activity and quality of life and well-being. Int Nurs Rev. 2020;10(5):10981099. doi:10.1093/tbm/ibz198

    • Search Google Scholar
    • Export Citation
  • 3.

    Borbón-Castro NA, Castro-Zamora AA, Cruz-Castruita RM, Banda-Sauceda NC, De La Cruz-Ortega MF. The effects of a multidimensional exercise program on health behavior and biopsychological factors in Mexican older adults. Front Psychol. 2020;10:2668. PubMed ID: 32038344 doi:10.3389/fpsyg.2019.02668

    • Search Google Scholar
    • Export Citation
  • 4.

    American College of Sports Medicine Position Stand (ACSM). Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):13341359. doi:10.1249/MSS.0b013e318213fefb

    • Search Google Scholar
    • Export Citation
  • 5.

    Perissiou M, Bailey TG, Windsor M. Effects of exercise intensity and cardiorespiratory fitness on the acute response of arterial stiffness to exercise in older adults. Eur J Appl Physiol. 2018;118(1):16731688. doi:10.1007/s00421-018-3900-5

    • Search Google Scholar
    • Export Citation
  • 6.

    Fan JX, Kowaleski-Jones L, Wen M. Walking or dancing: patterns of physical activity by cross-sectional age among US women. J Aging Health. 2013;25(7):11821203. PubMed ID: 23867628 doi:10.1177/0898264313495561

    • Search Google Scholar
    • Export Citation
  • 7.

    Esmail A, Vrinceanu T, Lussier M, Predovan D, Berryman N, Houle J. Effects of dance/movement training vs. aerobic exercise training on cognition, physical fitness and quality of life in older adults: a randomized controlled trial. J Bodyw Mov Ther. 2019;24(1):212220. PubMed ID: 31987547 doi:10.1016/j.jbmt.2019.05.004

    • Search Google Scholar
    • Export Citation
  • 8.

    Moreira NB, Rodacki ALF, Costa SN, Pitta A, Bento PCB. Perceptive-cognitive and physical function in prefrail older adults: exergaming versus traditional multicomponent training. Rejuvenation Res. 2021;24(1):2836. PubMed ID: 32443963 doi:10.1089/rej.2020.2302

    • Search Google Scholar
    • Export Citation
  • 9.

    Torre MM, Langeard A, Hugues N, Laurin J, Temprado JJ. Comparison of three physical-cognitive training programs in healthy older adults: a study protocol for a monocentric randomized trial. Brain Sci. 2020;11(1):66. doi:10.3390/brainsci11010066

    • Search Google Scholar
    • Export Citation
  • 10.

    Cleland V, Cocker F, Canary J, et al. Social-ecological predictors of physical activity patterns: a longitudinal study of women from socioeconomically disadvantaged areas. Prev Med. 2020;132(4):105995. doi:10.1016/j.ypmed.2020.105995

    • Search Google Scholar
    • Export Citation
  • 11.

    Meng X, Li G, Zhang G, et al. Effects of dance intervention on frailty among older adults. Arch Gerontol Geriatr. 2020;88:104001. doi:10.1016/j.archger.2019.104001

    • Search Google Scholar
    • Export Citation
  • 12.

    Wang XQ, Li L, Zou L, Chen KW, Liu J. Traditional Chinese exercise for chronic diseases. Evid Based Complement Alternat Med. 2022;25:9842104. doi:10.1155/2022/9842104

    • Search Google Scholar
    • Export Citation
  • 13.

    Jeffery RW, Wing RR, Sherwood NE, Tate DF. Physical activity and weight loss: does prescribing higher physical activity goals improve outcome? Am J Clin Nutr. 2003;78(4):684689. PubMed ID: 14522725 doi:10.1093/ajcn/78.4.684

    • Search Google Scholar
    • Export Citation
  • 14.

    Machado CLF, Botton CE, Brusco CM, Pfeifer LO, Cadore EL, Pinto RS. Acute and chronic effects of muscle power training on blood pressure in elderly patients with type 2 diabetes mellitus. Clin Exp Hypertens. 2020;42(2):153159. PubMed ID: 30870040 doi:10.1080/10641963.2019.1590386

    • Search Google Scholar
    • Export Citation
  • 15.

    Welch WA, Strath SJ, Brondino M, Walker R, Swartz AM. Duration-response of light-intensity physical activity and glucose dynamics in older adults. J Phys Act Health. 2019;16(1):3742. PubMed ID: 30526273 doi:10.1123/jpah.2017-0557

    • Search Google Scholar
    • Export Citation
  • 16.

    Brezinova M, Cajka T, Oseeva M, et al. Exercise training induces insulin-sensitizing PAHSAs in adipose tissue of elderly women. Biochim Biophys Acta Mol Cell Biol Lipids. 2020;1865(2):158576. PubMed ID: 31740387 doi:10.1016/j.bbalip.2019.158576

    • Search Google Scholar
    • Export Citation
  • 17.

    Daly RM, Gianoudis J, Kersh ME, et al. Effects of a 12-month supervised, community-based, multimodal exercise program followed by a 6-month research-to-practice transition on bone mineral density, trabecular microarchitecture, and physical function in older adults: a randomized controlled trial. J Bone Miner Res. 2020;35(3):419429. PubMed ID: 31498937 doi:10.1002/jbmr.3865

    • Search Google Scholar
    • Export Citation
  • 18.

    Mateus A, Rebelo J, Silva AG. Effects of a multimodal exercise program plus neural gliding on postural control, pain, and flexibility of institutionalized older adults: a randomized, parallel, and double-blind study. J Geriatr Phys Ther. 2020;43(1):311. PubMed ID: 31569173 doi:10.1519/JPT.0000000000000249

    • Search Google Scholar
    • Export Citation
  • 19.

    Arkkukangas M, Cederbom S, Tonkonogi M, Umb Carlsson Õ. Older adults’ experiences with mHealth for fall prevention exercise: usability and promotion of behavior change strategies. Physiother Theory Pract. 2021;37(12):13461352. PubMed ID: 31910707 doi:10.1080/09593985.2020.1712753

    • Search Google Scholar
    • Export Citation
  • 20.

    Miranda CS, Oliveira TP, Gouvêa JXM, Perez DB, Marques AP, Piemonte MEP. Balance training in virtual reality promotes performance improvement but not transfer to postural control in people with chronic stroke. Games Health J. 2019;8(4):294300. PubMed ID: 31009243 doi:10.1089/g4h.2018.0075

    • Search Google Scholar
    • Export Citation
  • 21.

    Koo M, Chen HP, Yeh YC. Coloring activities for anxiety reduction and mood improvement in taiwanese community-dwelling older adults: a randomized controlled study. Evid Based Complement Alternat Med. 2020;21:6964737. doi:10.1155/2020/6964737

    • Search Google Scholar
    • Export Citation
  • 22.

    Levy SS, Thralls KJ, Goble DJ, Krippes TB. Effects of a community-based exercise program on older adults’ physical function, activities of daily living, and exercise self-efficacy: feeling fit club. J Appl Gerontol. 2020;39(1):4049. PubMed ID: 29504440 doi:10.1177/0733464818760237

    • Search Google Scholar
    • Export Citation
  • 23.

    Opdenacker J, Delecluse C, Boen F. The longitudinal effects of a lifestyle physical activity intervention and a structured exercise intervention on physical self-perceptions and self-esteem in older adults. J Sport Exerc Psychol. 2009;31(6):743760. PubMed ID: 20384010 doi:10.1123/jsep.31.6.743

    • Search Google Scholar
    • Export Citation
  • 24.

    Legrand F, Silete G, Schiffler F. Internalized media-promoted body ideals only marginally moderate the effects of exercise on self-esteem, body image satisfaction, and physical self-perceptions. Res Q Exerc Sport. 2020;91(4):713719. PubMed ID: 32023185 doi:10.1080/02701367.2019.1706713

    • Search Google Scholar
    • Export Citation
  • 25.

    Mangona L, Daca T, Tchonga F, et al. Effect of different types of exercise in HIV+ Mozambican women using antiretroviral therapy. Open AIDS J. 2015;9(1):8995. doi:10.2174/1874613601509010089

    • Search Google Scholar
    • Export Citation
  • 26.

    Komatsu H, Malapit HJL, Theis S. Does women’s time in domestic work and agriculture affect women’s and children’s dietary diversity? Evidence from Bangladesh, Nepal, Cambodia, Ghana, and Mozambique. Food Policy. 2018;79:256270. doi:10.1016/j.foodpol.2018.07.002

    • Search Google Scholar
    • Export Citation
  • 27.

    Daca T, Prista A, Tchonga F, Farrinatti P, Tani G. Actividade física de mulheres idosas da zona urbana em Moçambique. Rev Moc Cien Sau. 2016;3(1):3038.

    • Search Google Scholar
    • Export Citation
  • 28.

    Daca T, Prista A, Tchonga F, et al. Physical activity measured by accelerometry in Mozambican older adult women attending a regular exercise program. J Aging Phys Act. 2021;29(1):116120. PubMed ID: 32723929 doi:10.1123/japa.2019-0182

    • Search Google Scholar
    • Export Citation
  • 29.

    UNHDP. Indices and Indicators: 2018 Statistical Update Briefing note for countries on the 2018 Statistical Update. Briefing Note for Countries on the 2018 Statistical Update. Accessed May 8, 2021. http://hdr.undp.org/sites/default/files/Country-Profiles/MOZ.pdf2018

    • Search Google Scholar
    • Export Citation
  • 30.

    Thompson PD, Arena R, Riebe D, Pescatello LS, American College of Sports Medicine. ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013;12(4):215217. PubMed ID: 23851406 doi:10.1249/JSR.0b013e31829a68cf

    • Search Google Scholar
    • Export Citation
  • 31.

    American Diabetes Association (ADA). Hospital admission guidelines for diabetes mellitus. Diabetes Care J. 1996;19(suppl 1):S37. doi:10.2337/diacare.19.1.s1

    • Search Google Scholar
    • Export Citation
  • 32.

    World Health Organization. WHO STEPS Surveillance Manual: The WHO STEPwise Approach to Chronic Disease Risk Factor Surveillance (No. WHO/NMH/CHP/SIP/05.02). Published 2005. Accessed October 4, 2013. https://apps.who.int/iris/handle/10665/43376

    • Search Google Scholar
    • Export Citation
  • 33.

    WHO. World Health Organization-international society of hypertension guidelines for the management of hypertension. Clin Exp Hypertens. 1999;21(5–6):10091060.

    • Search Google Scholar
    • Export Citation
  • 34.

    Rikli RE, Jones CJ. Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act. 1999;7(2):129161. doi:10.1123/japa.7.2.129

    • Search Google Scholar
    • Export Citation
  • 35.

    McAuley E, Gill D. Reliability and validity of the physical self-efficacy scale in a competitive sport setting. J Sports Psyc. 1983;5(4):410418. doi:10.1123/jsp.5.4.410

    • Search Google Scholar
    • Export Citation
  • 36.

    Safons MP. Contribuições da atividade física para a melhoria da auto-imagem e autoestima de idosos. Revista Digital Lecturas: Educación Física y Deportes, Buenos Aires. 2005;5(22):2000.

    • Search Google Scholar
    • Export Citation
  • 37.

    Stiggelbout M, Hopman-Rock M, Tak E, Lechner L, van Mechelen W. Dropout from exercise programs for seniors: a prospective cohort study. J Aging Phys Act. 2005;13(4):406421. PubMed ID: 16301753

    • Search Google Scholar
    • Export Citation
  • 38.

    Yen HY, Li C. Correction: determinants of physical activity: a path model based on an ecological model of active living. PLoS One. 2019;14(9):e0222625. doi:10.1371/journal.pone.0222625

    • Search Google Scholar
    • Export Citation
  • 39.

    Rivera-Torres S, Fahey TD, Rivera MA. Adherence to exercise programs in older adults: informative report. Gerontol Geriatr Med. 2019;5:2333721418823604. doi:10.1177/2333721418823604

    • Search Google Scholar
    • Export Citation
  • 40.

    Lak A, Rashidghalam P, Myint PK. Comprehensive 5P framework for active aging using the ecological approach: an iterative systematic review. BMC Public Health. 2020;20(1):122. doi:10.1186/s12889-019-8136-8

    • Search Google Scholar
    • Export Citation
  • 41.

    Brady SS, Brubaker L, Fok CS, et al. Development of conceptual models to guide public health research, practice, and policy: synthesizing traditional and contemporary paradigms. Health Promot Pract. 2020;21(4):510524. PubMed ID: 31910039 doi:10.1177/1524839919890869

    • Search Google Scholar
    • Export Citation
  • 42.

    Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27(1):297322. doi:10.1146/annurev.publhealth.27.021405.102100

    • Search Google Scholar
    • Export Citation
  • 43.

    Chang YK, Labban JD, Gapin JI, Etnier JL. The effects of acute exercise on cognitive performance: a meta-analysis. Brain Res. 2012;1453:87101. doi:10.1016/j.brainres.2012.02.068

    • Search Google Scholar
    • Export Citation
  • 44.

    Iwasaka C, Sakamoto M, Mitsutake T, Horikawa E. Effects of a water-based exercise program on disability prevention in older Japanese adults. Geriatr Gerontol Int. 2019;19(12):12821288. PubMed ID: 31652019 doi:10.1111/ggi.13801

    • Search Google Scholar
    • Export Citation
  • 45.

    Kang SJ. Trekking exercise promotes cardiovascular health and fitness benefits in older obese women. J Exerc Rehabil. 2014;10(4):225229. PubMed ID: 25210697 doi:10.12965/jer.140136

    • Search Google Scholar
    • Export Citation
  • 46.

    Kusmaedi N, Hidayat Y, Alba HF. Impact of cycling on mental health and self-esteem in the elderly. J Halam Olahr Nus. 2022;5(1):204216. doi:10.31951/hon.v5il.7056

    • Search Google Scholar
    • Export Citation
  • 47.

    Ismail NA, Hashim HA, Yusof HA. Physical activity and exergames among older adults: a scoping review. Games Health J. 2022;11(1):117. doi:10.1089/g4h.2021.0104

    • Search Google Scholar
    • Export Citation
  • 48.

    Welford P, Östh J, Hoy S, Diwan V, Hallgren M. Effects of yoga and aerobic exercise on wellbeing in physically inactive older adults: randomized controlled trial (FitForAge). Complement Ther Med. 2022;66:102815. PubMed ID: 35143970 doi:10.1016/j.ctim.2022.102815

    • Search Google Scholar
    • Export Citation
  • 49.

    Taaffe DR, Pruitt L, Pyka G, Guido D, Marcus R. Comparative effects of high- and low-intensity resistance training on thigh muscle strength, fiber area, and tissue composition in elderly women. Clin Physiol. 2006;16(4):381392. doi:10.1111/j.1475-097X.1996.tb00727.x

    • Search Google Scholar
    • Export Citation
  • 50.

    Pal CP, Agarwal V, Srivastav R, Gupta M, Singh S. Physiological adaptations of skeletal muscle and bone to resistance training and its applications in orthopedics: a review. J Bone Joint Dis. 2023;38(1):310. doi:10.4103/jbjd.jbjd_9_23

    • Search Google Scholar
    • Export Citation
  • 51.

    Sharma V, Mehdi MM. Oxidative stress, inflammation and hormesis: the role of dietary and lifestyle modifications on aging. Neurochem Int. 2023;164:105490. doi:10.1016/j.neuint.2023.105490

    • Search Google Scholar
    • Export Citation
  • 52.

    Pachocka L, Chmielewski T, Stolarska I. Effect of selected lifestyle factors on the nutrition state of elderly people with metabolic syndrome. Rocz Panstw Zakl Hig. 2022;73(1):3949. PubMed ID: 35322957 doi:10.32394/rpzh.2022.0202

    • Search Google Scholar
    • Export Citation
  • 53.

    Hubner S, Boron JB, Koehler K. The effects of exercise on appetite in older adults: a systematic review and meta-analysis. Front Nutr. 2021;8:734267. doi:10.3389/fnut.2021.734267

    • Search Google Scholar
    • Export Citation
  • 54.

    Bischoff-Ferrari HA, Freystätter G, Vellas B, Dawson-Hughes B, Kressig RW, Kanis JA. Efeitos da vitamina dos ácidos graxos ômega-3 e uma força caseira simples programa de exercícios na prevenção de quedas: o ensaio clínico randomizado do-health. Am J Clin Nutr. 2022;115(5):13111321. PubMed ID: 35136915 doi:10.1093/ajcn/nqac022

    • Search Google Scholar
    • Export Citation
  • 55.

    Vrinceanu T, Esmail A, Berryman N, Predovan D, Vu TTM, Villalpando JM. Dance your stress away: comparing the effect of dance/movement training to aerobic exercise training on the cortisol awakening response in healthy older adults. Stress. 2019;22(6):687695. PubMed ID: 31124397 doi:10.1080/10253890.2019.1617690

    • Search Google Scholar
    • Export Citation
  • 56.

    Chen W, Zhang Z, Giordani B, Larson JL. Technology-enhanced 4active intervention impacting psychological well-being and physical activity among older adults: a pilot study. Int J Environ Res Public Health. 2022;19(1):556. PubMed ID: 35010813 doi:10.3390/ijerph19010556

    • Search Google Scholar
    • Export Citation
  • 57.

    Wong A, Figueroa A, Sanchez-Gonzalez MA, Son WM, Chernykh O, Park SY. Effectiveness of tai chi on cardiac autonomic function and symptomatology in women with fibromyalgia: a randomized controlled trial. J Aging Phys Act. 2018;26(2):214221. PubMed ID: 28657825 doi:10.1123/japa.2017-0038

    • Search Google Scholar
    • Export Citation
  • 58.

    Francisco A, Sugahara G, Fisker P. Growing old in Mozambique: dynamics of well-being and poverty. Life. 2013; 200:90. https://www.iese.ac.mz/lib/IESE_DynPov.pdf

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 1081 1082 74
PDF Downloads 839 839 44