Effects of Olympic Combat Sports on Older Adults' Health Status: A Systematic Review

Pablo Valdés-Badilla, Tomás Herrera-Valenzuela, Rodrigo Ramirez-Campillo, Esteban Aedo-Muñoz, Eduardo Báez-San Martín, Alex Ojeda-Aravena, Braulio Henrique Magnani Branco, Pablo Valdés-Badilla, Tomás Herrera-Valenzuela, Rodrigo Ramirez-Campillo, Esteban Aedo-Muñoz, Eduardo Báez-San Martín, Alex Ojeda-Aravena, Braulio Henrique Magnani Branco

Abstract

The aim of this systematic review was to analyse the studies centered on the effects of Olympic combat sports (OCS [i.e., boxing, fencing, judo, karate, taekwondo, wrestling]) on older adults' physical-functional, physiological, and psychoemotional health status. The review comprised randomised-controlled trials with OCS interventions, including older adults (≥60 years), and measures of physical-functional, physiological, and/or psychoemotional health. The studies were searched through SCOPUS, PubMed/MEDLINE, Web of Science, PsycINFO, and EBSCO databases until 5 January 2021. The PRISMA-P and TESTEX scales were used to assess the quality of the selected studies. The protocol was registered in PROSPERO (code: CRD42020204034). Twelve OCS intervention studies were found (scored ≥ 60% for methodological quality), comprising 392 females and 343 males (mean age: 69.6 years), participating in boxing, judo, karate, and taekwondo. The qualitative analysis revealed that compared to controls, OCS training improved muscle strength, cardiorespiratory capacity, agility, balance, movement, attention, memory, mental health, anxiety, and stress tolerance. Meta-analysis was available only for the chair stand test, and an improvement was noted after OCS training compared to control. In conclusion, OCS interventions improves older adults' physical-functional, physiological, and psychoemotional health. Our systematic review confirms that OCS training has high adherence (greater than 80%) in older adults.

Keywords: aging; elderly; exercise; martial arts; physical activity.

Conflict of interest statement

P.V.-B., T.H.-V., R.R.-C., E.A.-M., E.B.-S.M., A.O.-A., and B.H.M.B. declare that they have no conflicts of interest relevant to the content of this review.

Figures

Figure 1
Figure 1
Flowchart of the review process#. #Based on the PRISMA-P recommendations [25].

References

    1. Yerrakalva D., Yerrakalva D., Hajna S., Griffin S. Effects of Mobile Health App Interventions on Sedentary Time, Physical Activity, and Fitness in Older Adults: Systematic Review and Meta-Analysis. J. Med. Internet Res. 2019;21:e14343. doi: 10.2196/14343.
    1. Chang Y.-K., Pan C.-Y., Chen F.-T., Tsai C.-L., Huang C.-C. Effect of Resistance-Exercise Training on Cognitive Function in Healthy Older Adults: A Review. J. Aging Phys. Act. 2012;20:497–517. doi: 10.1123/japa.20.4.497.
    1. Fragala M.S., Cadore E.L., Dorgo S., Izquierdo M., Kraemer W.J., Peterson M.D., Ryan E.D. Resistance Training for Older Adults. J. Strength Cond. Res. 2019;33:2019–2052. doi: 10.1519/JSC.0000000000003230.
    1. Grande G.H.D., Oliveira C.B., Morelhão P.K., Sherrington C., Tiedemann A., Pinto R.Z., Franco M.R. Interventions Promoting Physical Activity Among Older Adults: A Systematic Review and Meta-Analysis. Gerontologist. 2020;60:e583–e599. doi: 10.1093/geront/gnz167.
    1. Zubala A., MacGillivray S., Frost H., Kroll T., Skelton D.A., Gavine A., Gray N.M., Toma M., Morris J. Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews. PLoS ONE. 2017;12:e0180902. doi: 10.1371/journal.pone.0180902.
    1. Valdés-Badilla P.A., Gutiérrez-García C., Pérez-Gutiérrez M., Vargas-Vitoria R., López-Fuenzalida A. Effects of Physical Activity Governmental Programs on Health Status in Independent Older Adults: A Systematic Review. J. Aging Phys. Act. 2019;27:265–275. doi: 10.1123/japa.2017-0396.
    1. He W.G., Kowal P. USS Census Bureau, International Population Reports, P95/16-1, An Aging World: 2015 Washington, DC, USA. [(accessed on 15 November 2020)]; Available online: .
    1. Garber C.E., Blissmer B., Deschenes M.R., Franklin B.A., Lamonte M.J., Lee I.-M., Nieman D.C., Swain D.P. 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;43:1334–1359. doi: 10.1249/MSS.0b013e318213fefb.
    1. Reis R.S., Salvo D., Ogilvie D., Lambert E., Goenka S., Brownson R.C. Scaling up physical activity interventions worldwide: Stepping up to larger and smarter approaches to get people moving. Lancet. 2016;388:1337–1348. doi: 10.1016/S0140-6736(16)30728-0.
    1. Galloza J., Castillo B., Micheo W. Benefits of Exercise in the Older Population. Phys. Med. Rehabil. Clin. North Am. 2017;28:659–669. doi: 10.1016/j.pmr.2017.06.001.
    1. Witard O.C., McGlory C., Hamilton D., Phillips S. Growing older with health and vitality: A nexus of physical activity, exercise and nutrition. Biogerontology. 2016;17:529–546. doi: 10.1007/s10522-016-9637-9.
    1. Izquierdo M., Casas-Herrero A., Zambom-Ferraresi F., Martínez-Velilla N., Alonso-Bouzón C., Rodríguez-Mañas L. VIVIFRAIL, Multi-Component Physical Exercise Program. VIVIFRAIL. Practical Guide for the Prescription of a Multi-Component Physical Training Program for the Prevention of Frailty and falls in People over 70 Years of Age. Mikel Izquierdo; Navarra, Spain: 2017. (s.l.: Erasmus+ Programme of the European Union)
    1. Bull F.C., Al-Ansari S.S., Biddle S., Borodulin K., Buman M.P., Cardon G., Carty C., Chaput J.-P., Chastin S., Chou R., et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br. J. Sports Med. 2020;54:1451–1462. doi: 10.1136/bjsports-2020-102955.
    1. Ramirez-Campillo R., Alvarez C., Garcìa-Hermoso A., Celis-Morales C., Ramirez-Velez R., Gentil P., Izquierdo M. High-speed resistance training in elderly women: Effects of cluster training sets on functional performance and quality of life. Exp. Gerontol. 2018;110:216–222. doi: 10.1016/j.exger.2018.06.014.
    1. Martínez-Velilla N., Casas-Herrero A., Zambom-Ferraresi F., De Asteasu M.L.S., Lucia A., Galbete A., García-Baztán A., Alonso-Renedo J., González-Glaría B., Gonzalo-Lázaro M., et al. Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization. JAMA Intern. Med. 2019;179:28–36. doi: 10.1001/jamainternmed.2018.4869.
    1. Gayman A.M., Fraser-Thomas J., Dionigi R.A., Horton S., Baker J. Is sport good for older adults? A systematic review of psychosocial outcomes of older adults’ sport participation. Int. Rev. Sport Exerc. Psychol. 2016;10:164–185. doi: 10.1080/1750984X.2016.1199046.
    1. Herrera-Valenzuela T., Chile U.D.S.D., Castillo-Fuentes B., Cuadra-Aguilar D., Zubieta-Planella B., Valdés-Badilla P., Cofre-Bolados C., Del Maule U.C. Artes marciales y deportes de combate: Una alternativa para mejorar la salud. Hacia la Promoción de la Salud. 2019;24:11–13. doi: 10.17151/hpsal.2019.24.1.2.
    1. Chen Y.-W., Hunt M.A., Campbell K.L., Peill K., Reid W.D. The effect of Tai Chi on four chronic conditions—cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: A systematic review and meta-analyses. Br. J. Sports Med. 2015;50:397–407. doi: 10.1136/bjsports-2014-094388.
    1. Yu A.P., Tam B.T., Lai C.W., Yu D.S., Woo J., Chung K.-F., Hui S.S.-C., Liu J.Y., Wei G.X., Siu P.M. Revealing the Neural Mechanisms Underlying the Beneficial Effects of Tai Chi: A Neuroimaging Perspective. Am. J. Chin. Med. 2018;46:231–259. doi: 10.1142/S0192415X18500131.
    1. Rios S.O., Marks J., Estevan I., Barnett L.M. Health benefits of hard martial arts in adults: A systematic review. J. Sports Sci. 2017;36:1614–1622. doi: 10.1080/02640414.2017.1406297.
    1. Lee S., Lee T. Analysis on the Amount of Physical Activities of Taekwondo Taegeuk Pumsae Using Accelerometers. J. Converg. Inf. Technol. 2010;5:48–53. doi: 10.4156/jcit.vol5.issue1.6.
    1. Bromley S.J., Drew M.K., Talpey S., McIntosh A.S., Finch C.F. A systematic review of prospective epidemiological research into injury and illness in Olympic combat sport. Br. J. Sports Med. 2018;52:8–16. doi: 10.1136/bjsports-2016-097313.
    1. Peset Mancebo M.F., Ferrer Sapena A., Villamón Herrera M., González Moreno L.M., Toca Herrera J.-L. Aleixandre Benavent, R. Scientific literature analysis of Judo in Web of Science. Arch Budo. 2013;9:81–91. doi: 10.12659/AOB.883883.
    1. Pérez-Gutiérrez M., Valdés-Badilla P., Gutiérrez-García C., Herrera-Valenzuela T. Taekwondo Scientific Production Published on the Web of Science (1988-2016): Collaboration and Topics. Movimento. 2017;23:1325–1340. doi: 10.22456/1982-8918.75386.
    1. Moher D., Shamseer L., Clarke M., Ghersi D., Liberati A., Petticrew M., Shekelle P., Stewart L.A., PRISMA-P Group Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst. Rev. 2015;4:1. doi: 10.1186/2046-4053-4-1.
    1. Smart N., Waldron M., Ismail H., Giallauria F., Vigorito C., Cornelissen V., Dieberg G. Validation of a new tool for the assessment of study quality and reporting in exercise training studies. Int. J. Evidence-Based Health. 2015;13:9–18. doi: 10.1097/XEB.0000000000000020.
    1. Valentine J.C., Pigott T.D., Rothstein H.R. How many studies do you need? A primer on statistical power for meta-analysis. J. Educ. Behav. Stat. 2010;35:215–247. doi: 10.3102/1076998609346961.
    1. García-Hermoso A., Ramírez-Campillo R., Izquierdo M. Is Muscular Fitness Associated with Future Health Benefits in Children and Adolescents? A Systematic Review and Meta-Analysis of Longitudinal Studies. Sports Med. 2019;49:1079–1094. doi: 10.1007/s40279-019-01098-6.
    1. Skrede T., Steene-Johannessen J., Anderssen S.A., Resaland G.K., Ekelund U. The prospective association between objectively measured sedentary time, moderate-to-vigorous physical activity and cardiometabolic risk factors in youth: A systematic review and meta-analysis. Obes. Rev. 2018;20:55–74. doi: 10.1111/obr.12758.
    1. Deeks J.J., Higgins J.P., Altman D.G. Analysing data and undertaking meta-analyses. In: Higgins JP, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Handb. Syst. Rev. Interv. 2019:241–284. doi: 10.1002/9781119536604.ch10.
    1. Kontopantelis E., Springate D.A., Reeves D. A Re-Analysis of the Cochrane Library Data: The Dangers of Unobserved Heterogeneity in Meta-Analyses. PLoS ONE. 2013;8:e69930. doi: 10.1371/journal.pone.0069930.
    1. Hopkins W., Marshall S., Batterham A., Hanin J. Progressive Statistics for Studies in Sports Medicine and Exercise Science. Med. Sci. Sports Exerc. 2009;41:3. doi: 10.1249/MSS.0b013e31818cb278.
    1. Higgins J.P.T., Thompson S.G. Quantifying heterogeneity in a meta-analysis. Stat. Med. 2002;21:1539–1558. doi: 10.1002/sim.1186.
    1. Egger M., Smith G.D., Schneider M., Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–634. doi: 10.1136/bmj.315.7109.629.
    1. Duval S., Tweedie R. Trim and Fill: A Simple Funnel-Plot-Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis. Biometrics. 2000;56:455–463. doi: 10.1111/j.0006-341X.2000.00455.x.
    1. Shi L., Lin L. The trim-and-fill method for publication bias: Practical guidelines and recommendations based on a large database of meta-analyses. Medicine. 2019;98:e15987. doi: 10.1097/MD.0000000000015987.
    1. Cho S.-Y., Roh H.-T. Taekwondo Enhances Cognitive Function as a Result of Increased Neurotrophic Growth Factors in Elderly Women. Int. J. Environ. Res. Public Health. 2019;16:962. doi: 10.3390/ijerph16060962.
    1. Ciaccioni S., Capranica L., Forte R., Chaabene H., Pesce C., Condello G. Effects of a Judo Training on Functional Fitness, Anthropometric, and Psychological Variables in Old Novice Practitioners. J. Aging Phys. Act. 2019;27:831–842. doi: 10.1123/japa.2018-0341.
    1. Ciaccioni S., Capranica L., Forte R., Pesce C., Condello G. Effects of a 4-month judo program on gait performance in older adults. J. Sports Med. Phys. Fit. 2020;60:685–692. doi: 10.23736/S0022-4707.20.10446-8.
    1. Combs S.A., Diehl M.D., Chrzastowski C., Didrick N., McCoin B., Mox N., Staples W.H., Wayman J. Community-based group exercise for persons with Parkinson disease: A randomized controlled trial. NeuroRehabilitation. 2013;32:117–124. doi: 10.3233/NRE-130828.
    1. Hu J.-P., Guo Y.-H., Wang F., Zhao X.-P., Zhang Q.-H., Song Q.-H. Exercise improves cognitive function in aging patients. Int. J. Clin. Exp. Med. 2014;7:3144–3149.
    1. Jansen P., Dahmen-Zimmer K. Effects of Cognitive, Motor, and Karate Training on Cognitive Functioning and Emotional Well-Being of Elderly People. Front. Psychol. 2012;3:40. doi: 10.3389/fpsyg.2012.00040.
    1. Jansen P., Dahmen-Zimmer K., Kudielka B.M., Schulz A. Effects of Karate Training Versus Mindfulness Training on Emotional Well-Being and Cognitive Performance in Later Life. Res. Aging. 2017;39:1118–1144. doi: 10.1177/0164027516669987.
    1. Lee S.H., Scott S.D., Pekas E.J., Lee S., Lee S.H., Park S.Y. Taekwondo training reduces blood catecholamine levels and arterial stiffness in postmenopausal women with stage-2 hypertension: Randomized clinical trial. Clin. Exp. Hypertens. 2018;41:675–681. doi: 10.1080/10641963.2018.1539093.
    1. Filho B.J.P.L., De Oliveira C.R., Gottlieb M.G.V. Effects of karate-dô training in older adults cognition: Randomized controlled trial. Rev. da Educ. Física/UEM. 2018;30:3030. doi: 10.4025/jphyseduc.v30i1.3030.
    1. Pliske G., Emmermacher P., Weinbeer V., Witte K. Changes in dual-task performance after 5 months of karate and fitness training for older adults to enhance fall prevention. Aging Clin. Exp. Res. 2015;28:1179–1186. doi: 10.1007/s40520-015-0508-z.
    1. Witte K., Emmermacher P., Pliske G. Improvement of Balance and General Physical Fitness in Older Adults by Karate: A Randomized Controlled Trial. Complement. Med. Res. 2017;24:390–393. doi: 10.1159/000479151.
    1. Witte K., Kropf S., Darius S., Emmermacher P., Böckelmann I. Comparing the effectiveness of karate and fitness training on cognitive functioning in older adults—A randomized controlled trial. J. Sport Health Sci. 2016;5:484–490. doi: 10.1016/j.jshs.2015.09.006.
    1. Bu B., Haijun H., Yong L., Chaohui Z., Xiaoyuan Y., Singh M.F. Effects of martial arts on health status: A systematic review. J. Evid. Based Med. 2010;3:205–219. doi: 10.1111/j.1756-5391.2010.01107.x.
    1. Dunsky A., Zach S., Zeev A., Goldbourt U., Shimony T., Goldsmith R., Netz Y. Level of physical activity and anthropometric characteristics in old age—results from a national health survey. Eur. Rev. Aging Phys. Act. 2014;11:149–157. doi: 10.1007/s11556-014-0139-y.
    1. Valdés-Badilla P., Guzmán-Muñoz E., Ramírez-Campillo R., Godoy-Cumillaf A., Concha-Cisternas Y., Ortega-Spuler J., Magnani-Branco B.H. Changes in anthropometric parameters and physical fitness in older adults after participating in a 16-week physical activity program. Rev. Fac. Med. 2020;68:375–382. doi: 10.15446/revfacmed.v68n3.75817.
    1. Huang T., Larsen K.T., Ried-Larsen M., Møller N.C., Andersen L.B. The effects of physical activity and exercise on brain-derived neurotrophic factor in healthy humans: A review. Scand. J. Med. Sci. Sports. 2013;24:1–10. doi: 10.1111/sms.12069.
    1. Zouhal H., Jacob C., Delamarche P., Gratas-Delamarche A. Catecholamines and the Effects of Exercise, Training and Gender. Sports Med. 2008;38:401–423. doi: 10.2165/00007256-200838050-00004.
    1. Kelly M.E., Loughrey D., Lawlor B.A., Robertson I.H., Walsh C., Brennan S. The impact of exercise on the cognitive functioning of healthy older adults: A systematic review and meta-analysis. Ageing Res. Rev. 2014;16:12–31. doi: 10.1016/j.arr.2014.05.002.
    1. Zou L., Huang T., Tsang T., Pan Z., Wang C., Liu Y., Wang H. Hard martial arts for cognitive function across the lifespan: A systematic review. [(accessed on 30 November 2020)];Arch. Budo. 2018 14:41–58. Available online: .
    1. Sparling P.B., Howard B.J., Dunstan D., Owen N. Recommendations for physical activity in older adults. BMJ. 2015;350:h100. doi: 10.1136/bmj.h100.

Source: PubMed

3
Prenumerera