METHODS: This controlled trial recruited 58 community-dwelling older adults and randomized them into exercise group (EX) and control group (CON). EX received 8-week supervised moderate intensity cycling training 3x/week. C-miR expression (c-miR-21, c-miR-126, c-miR-146a, c-miR-222), physical fitness (body composition, cardiorespiratory fitness, muscular fitness) and physical activity level (PAL, measured as in daily step counts) were evaluated at baseline, post-training, and post-16-week follow-up. The mediating effect of miRNA expression onto exercise-induced physical fitness change was determined by causal mediation analysis (CMA).
RESULTS: Exercise significantly improved body fat and cardiorespiratory fitness in older people while maintaining muscle mass and strength, and augmented expression of c-miR-126, c-miR-146a, and c-miR-222 for up to 16 weeks post-training. Notably, older people in EX had substantially higher daily step counts than CON throughout the study even after the active training period. However, CMA revealed no significant indirect effect but a potential mediating effect of c-miR-21, but not the rest, onto the body composition, cardiorespiratory fitness, and lower limb strength.
CONCLUSIONS: An eight-week supervised MICT program promoted a higher level of physical activity up to 16 weeks post-training, which induces better cardiorespiratory fitness and resists decline in muscular measures. C-miRNA, especially c-miR-21, potentially mediates the training effect upon fitness.
方法:这项对照试验招募了58名社区居住的老年人,并将他们随机分为运动组(EX)和对照组(CON)。EX接受了为期8周的有监督的中等强度自行车训练,每周3次。C-miR表达(c-miR-21,c-miR-126,c-miR-146a,c-miR-222),身体健康(身体成分,心肺健康,肌肉健康)和身体活动水平(PAL,以每日步数测量)在基线评估,培训后,以及16周后的随访。通过因果中介分析(CMA)确定miRNA表达对运动引起的身体健康变化的中介作用。
结果:运动显著改善了老年人的体脂和心肺健康,同时保持了肌肉质量和力量,和c-miR-126,c-miR-146a的表达增强,和c-miR-222训练后长达16周。值得注意的是,在整个研究过程中,即使在积极的训练期后,EX组的老年人的每日步数也明显高于CON.然而,CMA显示c-miR-21没有显著的间接作用,但潜在的介导作用,身体成分上,心肺健康,和下肢力量。
结论:一项为期八周的MICT计划在训练后16周内促进了更高水平的体育锻炼,这会导致更好的心肺健康,并抵抗肌肉措施的下降。C-miRNA,特别是c-miR-21,可能介导健身训练效果。