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Team-sport training as a worthy alternative to fitness training for sedentary women with lifestyle diseases in a community health centre

Teamsporttraining als ebenbürtige Alternative zum Fitnesstraining für Frauen mit sitzender Lebensweise und Zivilisationskrankheiten in der Umgebung eines Gemeindegesundheitszentrums

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Abstract

This study aimed to examine the health effects of fitness training and team-sport training in a pragmatic community health centre set-up for women with lifestyle diseases. The methods included training intensity evaluations and measurements of VO2max, blood pressure, body composition and exercise performance. In all, 40 women in the fitness training group (FG) and 34 women in the team-sport training group (TG) completed a test before they were offered 12–16 weeks of twice-weekly training sessions lasting 60–90 min and after. Mean heart rate during training was not significantly different (P = 0.569) between FG (72.7 ± 4.2%HRmax) and TG (71.4 ± 6.8%HRmax). TG achieved improvements in aerobic fitness of 0.9 ± 2.0 mlO2·kg·min−1 (P = 0.034) and in resting heart rate of 3.7 ± 9.1 bpm (P = 0.026), as well as in sit-to-stand performance (STS: 3.5 ± 3.3 stands · 30 s−1; P = 0.003) and 6‑min walking test performance (6MWT: 53 ± 29 m; P < 0.001), while fat percentage was reduced by 0.6 ± 1.6% (P = 0.038). FG achieved within-group improvements (P < 0.001) in STS performance (3.1 ± 2.8 stands · 30 s−1) and 6MWT performance (41 ± 47 m), with fat percentage reduced by 0.9 ± 1.7% (P = 0.003). Overall, the study revealed no significant between-group differences in training effects. However, there was a between-group difference in training attendance (P = 0.001), with the fitness group having the highest attendance (1.5 ± 0.4 vs. 1.1 ± 0.5 per week). In conclusion, small-sided team-sport training and fitness training conducted in a pragmatic set-up induce similar positive health effects for women with lifestyle diseases. Team-sport training is considered a feasible and worthy alternative to fitness training for sedentary women in community health centres.

Zusammenfassung

Ziel dieser Studie war es, die gesundheitlichen Effekte von Fitnesstraining und Teamsporttraining bei Frauen mit Zivilisationskrankheiten in der pragmatischen Umgebung eines Gemeindegesundheitszentrums zu untersuchen. Beurteilt wurden Trainingsintensität, maximale Sauerstoffaufnahme (VO2max), Blutdruck, Körperzusammensetzung und Übungsleistung. Insgesamt 40 Frauen in der Fitnesstrainingsgruppe (FG) und 34 Frauen in der Teamsporttrainingsgruppe (TG) absolvierten Tests, bevor sie an einem 12- bis 16-wöchigen Trainingsprogramm mit wöchentlich 2 Trainingseinheiten von 60 bis 90 min Dauer teilnahmen und danach. Die mittlere Herzfrequenz während des Trainings unterschied sich zwischen FG (72,7 ± 4,2 % HRmax) und TG (71,4 ± 6,8 % HRmax) nicht signifikant (P = 0,569). Die TG erzielte eine Verbesserung der aeroben Fitness von 0,9 ± 2,0 ml O2·kg−1·min−1 (P = 0,034) und der Ruheherzfrequenz von 3,7 ± 9,1 bpm (P = 0,026) sowie Verbesserungen im Sit-to-stand-Test (STS; 3,5 ± 3,3 Wiederholungen · 30 s−1; P = 0,003) und im 6 min-Gehtest (6MWT; 53 ± 29 m; P < 0,001); ihr Körperfettanteil war um 0,6 ± 1,6 % (P = 0,038) reduziert. Die FG erzielte innerhalb der Gruppe Verbesserungen (P < 0,001) in der STS-Leistung (3,1 ± 2,8 Wiederholungen · 30 s−1) und in der 6MWT-Leistung (41 ± 47 m); ihr Körperfettanteil reduzierte sich um 0,9 ± 1,7 % (P = 0,003). Insgesamt zeigte die Studie zwischen den Gruppen keine signifikanten Unterschiede hinsichtlich der Trainingseffekte. Zwischen den Gruppen bestand jedoch ein Unterschied hinsichtlich der Trainingsteilnahme (P = 0,001); die Fitnessgruppe hatte die höhere Anwesenheitsrate (1,5 ± 0,4 vs. 1,1 ± 0,5 pro Woche) zu verzeichnen. Daraus lässt sich schließen, dass Teamsporttraining und Fitnesstraining in kleinen Gruppen in pragmatischer Umgebung bei Frauen mit Zivilisationskrankheiten ähnlich positive gesundheitliche Effekte haben. Teamsporttraining in Gemeindegesundheitszentren ist für Frauen mit sitzender Lebensweise als praktikable und ebenbürtige Alternative zum Fitnesstraining anzusehen.

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Authors and Affiliations

  1. Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, M-3450, Odense, Denmark

    Trine Kjeldgaard Møller, Peter Krustrup & Morten Bredsgaard Randers

  2. Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark

    Tina-Thea Nielsen, Ida Lundager & Rene Andersen

  3. University College Copenhagen, Copenhagen, Denmark

    Tina-Thea Nielsen

  4. Sport and Health Sciences, University of Exeter, Exeter, UK

    Peter Krustrup

  5. Shanghai University of Sport, Shanghai, China

    Peter Krustrup

  6. School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway

    Morten Bredsgaard Randers

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  1. Trine Kjeldgaard Møller
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  2. Tina-Thea Nielsen
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  3. Ida Lundager
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Correspondence to Morten Bredsgaard Randers.

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T.K. Møller, T.-T. Nielsen, I. Lundager, R. Andersen, P. Krustrup and M.B. Randers declare that they have no competing interests.

For this article no studies with human participants or animals were performed by any of the authors. All studies performed were in accordance with the ethical standards indicated in each case.

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Møller, T.K., Nielsen, TT., Lundager, I. et al. Team-sport training as a worthy alternative to fitness training for sedentary women with lifestyle diseases in a community health centre. Ger J Exerc Sport Res 50, 136–145 (2020). https://doi.org/10.1007/s12662-019-00629-7

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