Consequence of acute lack of exercise: detraining and overall decrease in functional capacity
Authors:
J. Novák
Authors place of work:
Vedoucí: doc. MUDr. Aleš Kroužecký, Ph. D.
; Ústav sportovní medicíny a aktivního zdraví LF UK, Plzeň
Published in the journal:
Prakt. Lék. 2021; 101(5): 251-257
Category:
Reviews
Summary
Almost everyone will experience a short-term lack of physical activity during their lifetime. In athletes who train regularly, the reason is most often an acute illness or injury. In the untrained population, restrictions on physical activity at any age are most often linked to health problems, but may also be related to anti-pandemic measures, as we have recently seen in the global fight against the COVID-19 pandemic. As "detraining" we mean a condition that occurs with such an extraordinary reducing of physical activity. It is manifested mainly by a decrease or loss of adaptive abilities, achieved by previous training or previous normal daily physical activity. In athletes there is a decrease in performance, in average fit people there is a weakening of the state of health, which requires convalescence. For people who have previously suffered from health problems, "detraining" can lead to loss of independence and deepening of their frailty to complete dependence on the environment. In the prevention of these negative consequences, it is necessary to reduce the period of restriction of movement to a minimum, ensure sufficient protein in the diet, minimize time spent in bed or sedentary and use online instruction on how to exercise at home. Otherwise, only a few weeks without optimal movement leads to a very significant reduction in physical condition, manifested in particular by a very significant decrease of adaptations earned from training especialy of cardiorespiratory capacity.
Keywords:
VO2max – COVID-19 – acute lack of exercise – detraining – bed-rest – cardiorespiratory capacity
Zdroje
1. Admi H, Shadmi E, Baruch H, et al. From research to reality: minimizing the effects of hospitalization on older adults. Rambam Maimonides Med J 2015; 6(2): e0017.
2. Amini H, Isanejad A, Chamani N, et al. Physical activity during COVID-19 pandemic in the Iranian population: A brief report. Heliyon 2020: e05411.
3. Amini H, Habibi S, Islamoglu AH, et al. COVID-19 pandemic-induced physical inactivity: the necessity of updating the Global Action Plan on Physical Activity 2018–2030. Environ Health Prev Med 2021; 26(1): 32.
4. Barber-Westin SD, Noyes FR. Scientific basis of rehabilitation after anterior cruciate ligament autogenous reconstruction. In: Noyes FR, Barber-Westin SD. (eds.). Noyes’ Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes. 2nd edition. Philadelphia: Saunders Elsevier 2017.
5. Barkley JE, Lepp A, Glickman E, et al. The acute effects of the COVID-19 pandemic on physical activity and sedentary behavior in university students and employees. Int J Exerc Sci 2020; 13(5): 1326–1339.
6. Boltz M, Resnick B, Capezuti E, et al. Functional decline in hospitalized older adults: can nursing make a difference? Geriatr Nurs 2012; 33: 272–279.
7. Boyd CM, Landefeld CS, Counsell SR, et al. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc 2008; 56: 2171–2179.
8. Colón-Emeric CS, Whitson HE, Pavon J, et al. Functional decline in older adults. Am Fam Physician 2013; 88: 388–394.
9. Conroy SP, Stevens T, Parker SG, et al. A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: ‘interface geriatrics’. Age Ageing 2011; 40: 436–443.
10. Covinsky KE, Palmer RM, Fortinsky RH, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 2003; 51: 451–458.
11. Covinsky KE, Pierluissi E, Johnston CB. Hospitalization–associated disability: She was probably able to ambulate, but I’m not sure. JAMA 2011; 306: 1782–1793.
12. Dirks ML, Wall BT, van de Valk B, et al. One week of bed rest leads to substantial muscle atrophy and induces whole–body insulin resistance in the absence of skeletal muscle lipid accumulation. Diabetes 2016; 65(10): 2862–2875.
13. Dunton GF, Do B, Wang SD. Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health 2020; 20(1): 1351.
14. English KL, Paddon-Jones D. Protecting muscle mass and function in older adults during bed rest. Curr Opin Clin Nutr Metab Care 2010; 13(1): 34–39.
15. Eurydice. Česká republika: Obyvatelstvo: Demografická situace, jazyky a náboženství. 2. 3. 2021.
16. Filley A. 5 ways to reduce muscle loss while injured. Email Newsletters [online]. Dostupné z: https://www.sportsinjurybulletin. com/5-ways-to-reduce-muscle-loss-while-injured/ [cit. 2021–04–10].
17. Fortinsky RH, Covinsky KE, Palmer RM, et al. Effects of functional status changes before and during hospitalization on nursing home admission of older adults. J Gerontol A Biol Sci Med Sci 1999; 54: M521–M526.
18. Gill TM, Allore HG, Holford TR, et al. Hospitalization, restricted activity, and the development of disability among older persons. JAMA 2004; 292: 2115–2124.
19. Gill TM, Gahbauer EA, Han L, et al. Trajectories of disability in the last year of life. N Engl J Med 2010; 362: 1173–1180.
20. Glover EI, Phillips SM, Oates BR, et al. Immobilization induces anabolic resistance in human myofibrillar protein synthesis with low and high dose amino acid infusion. J Physiol 2008; 586(24): 6049–6061.
21. Grosset J-F, Onambele‐Pearson G. Effect of foot and ankle immobilization on leg and thigh muscles’ volume and morphology: a case study using magnetic resonance imaging. Anat Rec (Hoboken) 2008; 291(12): 1673–1683.
22. Hansen FR, Poulsen H, Sørensen KH. A model of regular geriatric follow-up by home visits to selected patients discharged from a geriatric ward: a randomized controlled trial. Aging (Milano) 1995; 7: 202–206.
23. He W, Goodkind D, Kowal P. World’s older population grows dramatically. National Institutes of Health, 28. 3. 2016 [online]. Dostupné z: https://www.nih.gov/news-events/ news-releases/worlds-older-population-grows-dramatically [cit. 2021-04-10].
24. ÚZIS. Hospitalizovaní v nemocnicích ČR 2018 [online]. Dostupné z: https://www.uzis.cz/res/f/008313/hospit2018.pdf [cit. 2021-04- 10].
25. Chaloupka V, Elbl L. Rehabilitace po infarktu myokardu. Kardiol Rev Int Med 2005; 7(1): 5–9.
26. Chaloupka V, J. Siegelová L. Špinarová H, a kol. Doporučení pro rehabilitaci u nemocných s kardiovaskulárním onemocněním. Cor Vasa 2006; 48(7–8): K127–K145.
27. iDnes.cz. Sedíte hodně u počítače nebo v kanceláři? Cvičení pro sedavá zaměstnání zdarma. 22. 3. 2021.
28. ISPV. Jak rozdýchat plíce po COVID-19: Návod k cvičení a rehabilitaci. 4. 3. 2021. [online]. Dostupné z: https://socialnipolitika. eu/2021/03/jak-rozdychat-plice-po-COVID-19-navod-k-cvicenia- rehabilitaci/ [cit. 2021–04–10].
29. Johnston APW, Burke DG, MacNeil LG, et al. Effect of creatine supplementation during cast–induced immobilization on the preservation of muscle mass, strength, and endurance. J Strength Cond Res 2009; 23(1): 116–120.
30. King BD. Functional decline in hospitalized elders. Medsurg Nurs 2006; 15: 265–272.
31. Lakhan P, Jones M, Wilson A, et al. A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals. J Am Geriatr Soc 2011; 59: 2001–2008.
32. Margitić S, Inouye S, Thomas JL, et al. Hospital Outcomes Project for the Elderly (HOPE): rationale and design for a prospective pooled analysis. J Am Geriatr Soc 1993; 41: 258–267.
33. Martinez EZ, Silva FM, Morigi TZ, et al. Physical activity in periods of social distancing due to COVID-19: a cross-sectional survey. Cien Saude Colet 2020; 25: 4157–4168.
34. McGavock JM, Hastings JL, Snell PG, et al. A forty-year follow-up of the Dallas Bed Rest and Training Study: the effect of age on the cardiovascular response to exercise in men. J Gerontol A Biol Sci Med Sci 2009; 64: 293–299.
35. McGuire DK, Levine BD, Williamson JW, et al. A 30-year follow- up of the Dallas Bedrest and Training Study: I. Effect of age on the cardiovascular response to exercise. Circulation 2001; 104: 1350–1357.
36. McGuire DK, Levine BD, Williamson JW, et al. A 30-year follow- up of the Dallas Bedrest and Training Study: II. Effect of age on cardiovascular adaptation to exercise training. Circulation 2001; 104: 1358–1366.
37. McVey L, Becker P, Saltz CC, et al. Effect of a geriatric consultation team on functional status of elderly hospitalized patients. A randomized, controlled clinical trial. Ann Intern Med 1989; 110: 79–84.
38. Mitchell JH, Levine BD, McGuire DK. The Dallas bed rest and training study. Revisited after 50 Years. Circulation 2019; 140(16): 1293–1295.
39. Mudge AM, O’Rourke P, Denaro CP. Timing and risk factors for functional changes associated with medical hospitalization in older patients. J Gerontol A Biol Sci Med Sci 2010; 65: 866–872.
40. Nitz AJ, Dobner JJ. High intensity electrical stimulation effect on thigh musculature during immobilization for knee sprain. A case report. Phys Ther 1987; 67(2): 219–222.
41. Novák J. Význam chůze jako nejpřirozenější pohybové aktivity v životním stylu člověka. Prakt. Lék. 2018; 98(4): 158–165.
42. Novák J. Kalendářní věk a zdatnostní věk (fitness age). Prakt. Lék. 2019; 99(3): 95–101.
43. Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States. United States Census Bureau; 2014. Current Population Reports [online]. Dostupné z: https:// www.census.gov/prod/2014pubs/p25-1140.pdf [cit. 2021-04-10].
44. United Nations. Department of Economic and Social Affairs. Percentage of the world population over 65, 1950–2050. UN World Population Prospect 2008.
45. Quintero KJ, Resende A, Leite GSF, Lancha AH Jr. An overview of nutritional strategies for recovery process in sports-related muscle injuries. Nutrire 2018; 43: 27 [online]. Dostupné z: https:// link.springer.com/content/pdf/10.1186/s41110-018-0084-z.pdf [cit. 2021-04-10].
46. Ried-Larsen M, Aarts HM, Joyner MJ. Effects of strict prolonged bed rest on cardiorespiratory fitness: systematic review and meta-analysis. J Appl Physiol 2017; 123(4): 790–799.
47. Rozzini R, Sabatini T, Cassinadri A, et al. Relationship between functional loss before hospital admission and mortality in elderly persons with medical illness. J Gerontol A Biol Sci Med Sci 2005; 60: 1180–1183.
48. Saltin B, Blomqvist G, Mitchell JH, et al. Response to exercise after bed rest and after training. Circulation 1968; (5 Suppl) VII: 1–78.
49. Sleiman I, Rozzini R, Barbisoni P, et al. Functional trajectories during hospitalization: a prognostic sign for elderly patients. J Gerontol A Biol Sci Med Sci 2009; 64: 659–663.
50. Stuck AE, Walthert JM, Nikolaus T, et al. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med 1999; 48: 445–469.
51. Tison GH, Avram R, Kuhar P, et al. Worldwide effect of COVID-19 on physical activity: a descriptive study. Ann Intern Med 2020; 173(9): 767–770.
52. Theis N, Campbell N, De Leeuw J, et al. The effects of COVID-19 restrictions on physical activity and mental health of children and young adults with physical and/or intellectual disabilities. Disabil Health J 2021; 1: 101064.
53. United Nations. Department of Economic and Social Affairs. Population Division: World Population Ageing 2013. New York: United Nations, 2013 [online]. Dostupné z: http://tinyurl.com/ mx5cyyp [cit. 2021-04-10].
54. Valenzuela PL, de Melo Aroeira AE, Torrella JR, et al. The effect of high-frequency neuromuscular electrical stimulation training on skeletal muscle properties in mice. Arc Biol Sci 2017; 69(3): 391–397.
55. Wall BT, Morton JP, van Loon LJC. Strategies to maintain skeletal muscle mass in the injured athlete: nutritional considerations and exercise mimetics. Eur J Sport Sci 2015; 15(1): 53–62.
56. Wall BT, Snijders T, Senden JMG, et al. Disuse impairs the muscle protein synthetic response to protein ingestion in healthy men. J Clin Endocrinol Metab 2013; 98(12): 4872– 4881.
57. Wall BT, van Loon LJ. Nutritional strategies to attenuate muscle disuse atrophy. Nutr Rev 2013; 71(4): 195–208.
58. Warshaw GA, Moore JT, Friedman SW, et al. Functional disability in the hospitalized elderly. JAMA 1982; 248(7): 847–850.
59. WHO. WHO Director-General’s opening remarks at the media briefing on COVID-19. 11. 3. 2020 [online]. Dostupné z: https:// www.who.int/director-general/speeches/detail/who-directorgeneral- s-opening-remarks-at-the-media-briefing-on-COVID- 19-11-march-2020 [cit. 2021-04-10].
60. Zisberg A, Shadmi E, Sinoff G, et al. Low mobility during hospitalization and functional decline in older adults. J Am Geriatr Soc 2011; 59(2): 266–273.
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