Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial

Abstract Background and aims This study evaluated whether stored iron determines the adaptive response induced by Nordic walking (NW) training combined with 10 hours’ time-restricted eating (TRE) in older adults. Trial design and methods Twenty-four participants underwent 12-week NW training support...

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Main Authors: Jakub Antoni Kortas, Joanna Reczkowicz, Ulana Juhas, Ewa Ziemann, Aleksandra Świątczak, Katarzyna Prusik, Szczepan Olszewski, Nakisa Soltani, Ewa Rodziewicz-Flis, Damian Flis, Małgorzata Żychowska, Grażyna Gałęzowska, Jędrzej Antosiewicz
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-04876-8
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author Jakub Antoni Kortas
Joanna Reczkowicz
Ulana Juhas
Ewa Ziemann
Aleksandra Świątczak
Katarzyna Prusik
Szczepan Olszewski
Nakisa Soltani
Ewa Rodziewicz-Flis
Damian Flis
Małgorzata Żychowska
Grażyna Gałęzowska
Jędrzej Antosiewicz
author_facet Jakub Antoni Kortas
Joanna Reczkowicz
Ulana Juhas
Ewa Ziemann
Aleksandra Świątczak
Katarzyna Prusik
Szczepan Olszewski
Nakisa Soltani
Ewa Rodziewicz-Flis
Damian Flis
Małgorzata Żychowska
Grażyna Gałęzowska
Jędrzej Antosiewicz
author_sort Jakub Antoni Kortas
collection DOAJ
description Abstract Background and aims This study evaluated whether stored iron determines the adaptive response induced by Nordic walking (NW) training combined with 10 hours’ time-restricted eating (TRE) in older adults. Trial design and methods Twenty-four participants underwent 12-week NW training supported by 10 h of TRE. The group was divided due to baseline ferritin concentration low < 75 ng/ml (LF) and high level ≥ 75 ng/ml (HF). Body composition, physical fitness and blood collection were assessed at baseline and post-intervention. Results NW + TRE induced a statistically significant decrease in ferritin levels in all participants (p = 0.01). Additionally, statistically significant intergroup differences in the LF vs. HF in the reduction of serum ferritin levels (p = 0.04) were observed. The procedure NW + TRE diminished HbA1c levels (p < 0.01) and glucose in all participants (p = 0.05). The range of HbA1c drop was more pronounced among those participants who experienced a greater decrease in the stored iron (p = 0.04, $$ {\eta }_{p}^{2}$$ =0.17, F=4.59). Greater changes in body weight and percent of body fat were recorded in the HF group (for both p<0.01). Conclusion Body iron stores determine the effects of a 12-week NW + TRE intervention on serum ferritin. The changes in HbA1c are more pronounced in subjects with a higher decrease in serum ferritin. Trial registration All experimental protocols were approved by the Bioethical Committee of the Regional Medical Society in Gdansk, Poland (NKBBN/330/2021) according to the Declaration of Helsinki. We confirm that all methods were carried out in accordance with relevant guidelines and regulations. The trial was registered as a clinical trial (NCT05229835, date of first registration: 14/01/2022, direct link: https://classic.clinicaltrials.gov/ct2/show/NCT05229835 ). Informed consent was obtained from all subjects.
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spelling doaj.art-fb2cb7c1b6d44db89f457d5dd2736a5e2024-03-31T11:34:29ZengBMCBMC Geriatrics1471-23182024-03-0124111110.1186/s12877-024-04876-8Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trialJakub Antoni Kortas0Joanna Reczkowicz1Ulana Juhas2Ewa Ziemann3Aleksandra Świątczak4Katarzyna Prusik5Szczepan Olszewski6Nakisa Soltani7Ewa Rodziewicz-Flis8Damian Flis9Małgorzata Żychowska10Grażyna Gałęzowska11Jędrzej Antosiewicz12Department of Health and Natural Sciences, Gdansk University of Physical Education and SportDepartment of Bioenergetics and Physiology of Exercise, Medical University of GdanskDepartment of Bioenergetics and Physiology of Exercise, Medical University of GdanskDepartment of Athletics, Strength and Conditioning, Poznan University of Physical EducationDepartment of Medical Biology and Genetics, Faculty of Biology, University of GdanskFaculty of Tourism and Recreation, Department of Health Promotion, Gdansk University of Physical Education and SportDepartment of Bioenergetics and Physiology of Exercise, Medical University of GdanskDepartment of Bioenergetics and Physiology of Exercise, Medical University of GdanskDepartment of Physiotherapy, Gdansk University of Physical Education and SportDepartment of Pharmaceutical Pathophysiology, Faculty of Pharmacy, Medical University of GdanskDepartment of Sport, Faculty of Physical Education, Kazimierz Wielki University in BydgoszczDepartment of Bioenergetics and Physiology of Exercise, Medical University of GdanskDepartment of Bioenergetics and Physiology of Exercise, Medical University of GdanskAbstract Background and aims This study evaluated whether stored iron determines the adaptive response induced by Nordic walking (NW) training combined with 10 hours’ time-restricted eating (TRE) in older adults. Trial design and methods Twenty-four participants underwent 12-week NW training supported by 10 h of TRE. The group was divided due to baseline ferritin concentration low < 75 ng/ml (LF) and high level ≥ 75 ng/ml (HF). Body composition, physical fitness and blood collection were assessed at baseline and post-intervention. Results NW + TRE induced a statistically significant decrease in ferritin levels in all participants (p = 0.01). Additionally, statistically significant intergroup differences in the LF vs. HF in the reduction of serum ferritin levels (p = 0.04) were observed. The procedure NW + TRE diminished HbA1c levels (p < 0.01) and glucose in all participants (p = 0.05). The range of HbA1c drop was more pronounced among those participants who experienced a greater decrease in the stored iron (p = 0.04, $$ {\eta }_{p}^{2}$$ =0.17, F=4.59). Greater changes in body weight and percent of body fat were recorded in the HF group (for both p<0.01). Conclusion Body iron stores determine the effects of a 12-week NW + TRE intervention on serum ferritin. The changes in HbA1c are more pronounced in subjects with a higher decrease in serum ferritin. Trial registration All experimental protocols were approved by the Bioethical Committee of the Regional Medical Society in Gdansk, Poland (NKBBN/330/2021) according to the Declaration of Helsinki. We confirm that all methods were carried out in accordance with relevant guidelines and regulations. The trial was registered as a clinical trial (NCT05229835, date of first registration: 14/01/2022, direct link: https://classic.clinicaltrials.gov/ct2/show/NCT05229835 ). Informed consent was obtained from all subjects.https://doi.org/10.1186/s12877-024-04876-8FerritinHbA1cSoluble transferrin receptorBody ironSerum glucose
spellingShingle Jakub Antoni Kortas
Joanna Reczkowicz
Ulana Juhas
Ewa Ziemann
Aleksandra Świątczak
Katarzyna Prusik
Szczepan Olszewski
Nakisa Soltani
Ewa Rodziewicz-Flis
Damian Flis
Małgorzata Żychowska
Grażyna Gałęzowska
Jędrzej Antosiewicz
Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial
BMC Geriatrics
Ferritin
HbA1c
Soluble transferrin receptor
Body iron
Serum glucose
title Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial
title_full Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial
title_fullStr Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial
title_full_unstemmed Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial
title_short Iron status determined changes in health measures induced by nordic walking with time-restricted eating in older adults– a randomised trial
title_sort iron status determined changes in health measures induced by nordic walking with time restricted eating in older adults a randomised trial
topic Ferritin
HbA1c
Soluble transferrin receptor
Body iron
Serum glucose
url https://doi.org/10.1186/s12877-024-04876-8
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