Proficiency in pole handling during Nordic walking influences exercise effectiveness in middle-aged and older adults

PLoS One. 2018 Nov 27;13(11):e0208070. doi: 10.1371/journal.pone.0208070. eCollection 2018.

Abstract

Nordic walking (NW) is a total body version of walking increasingly used as a health-promoting activity by middle-aged and older adults. The present study examined the relationship between force exerted through the pole and physiological response during NW. In this non-randomized exercise trial, 17 participants comprising 8 middle-aged and older recreationally trained Nordic walkers (NWrec: 63.7 ± 8.1 years) and 9 experienced NW instructors (NWinstr: 57.5 ± 7.8 years) underwent outdoor ordinary walking (OW) and NW bouts as fast as possible for 12 minutes. Walking distance, speed, heart rate (HR), energy expenditure (METs and J/kg/m) and upper and lower limb muscle activities using surface electromyogram (EMG) were assessed. A pole with a built-in load cell measured force applied to the pole with peak pole force, pole contact time, % of pole contact time with respect to the gait cycle, and pole impulse derived. We conducted two-way analysis of covariance adjusted for age and BMI. There was a significant group and walking type interaction for walking distance and speed (P = 0.04), METs (P < 0.01), and HR (P = 0.04) with higher values in the NWinstr group during NW than OW. As expected, upper limb EMG activities increased (P < 0.01) with NW in both groups. All pole force measures were significantly higher in NWinstr than NWrec (P ≤ 0.01). Change in walking distance and speed were correlated with pole peak force (r = 0.67, P < 0.01) and pole impulse (r = 0.63, P = 0.01). Similarly, change in METs was associated with peak pole force (r = 0.66, P < 0.01) and pole impulse (r = 0.56, P = 0.02). These results indicate that planting the pole on the ground more forcefully and for longer periods to derive a driving force in NW enhances the effectiveness of the exercise and potentially the health-derived benefits.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Electromyography
  • Energy Metabolism
  • Female
  • Heart Rate
  • Humans
  • Lower Extremity / physiology
  • Male
  • Middle Aged
  • Motor Skills / physiology*
  • Muscle, Skeletal / physiology
  • Oxygen Consumption
  • Practice, Psychological
  • Professional Competence
  • Upper Extremity / physiology
  • Walking / physiology*

Associated data

  • figshare/10.6084/m9.figshare.7269281

Grants and funding

This work was supported by Japan Society for the Promotion of Science program for KAKENHI (Grant-in-Aid for Scientific Research), grant number: JP16K0174 and Fostering Globally Talented Researchers, grant number: G2802 (https://www.jsps.go.jp/english/index.html). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.