Introduction:
Hiking at moderate altitude is
a p
opular physical outdoor
acti
vity in senior
s (
Burtscher et al., 2001).
Previous studies revealed
that
acute
aerobic
exercise can diminish
postural control
( Donath et al.,
2012)
. It has been additionally observed that exposure to hypoxia le
ads
to alteration
s of
neuromuscular function
(Cymerman et al., 2001
). However,
the effects
of both altitude exposure and
acute exercise on postural control have
not
been investigated
. Thus, the present study aimed at
investigating
acute effects of moderate normobaric hypoxia on static and dynamic balance
performance
before and after
a bout of 40 minutes light walking.
Methods:
Thirty
-six
healthy
seniors (
age: 62 (SD: 4) y; BMI: 25.3 (4.7
) kg/m²
; VO
2
at 85% HR
max
: 30.5
(8.2
) mL/kg
bodyweight
) were examined on three days. The first day was set to evaluat
e the ventilatory threshold
(VT
1
). Therefore, a treadmill exercise test (Pepper protocol) up to 85% of predicted HR
max
was
conducted.
On day two or three, respectively, either a
40-
minute
treadmill
walk under
normobaric
sea level or normobaric
hypoxia
conditions
(2600m)
at VT
1
was randomly performed. Balance
performance (postural sway within 10 seconds) was assessed on a force plate during single limb
-eyes
opened (SLEO) and double limb-
eyes closed (DLEC) stance
before and after walking
. Spatio
-temporal
gait
characteristics were
collected
t wo
times during the walking period (
at
5’and 35’)
employing the
Inclinometer
-based RehaGait device.
Results:
Only t
imes
effects
were found for selected s
patio
-temporal gait parameters (
Cadence: p<0.001,
ηp²=
0
.29; stride time: p=0.007, ηp²=0.28; temporal gait variability: p=0.01, ηp²=0.16
) but
no
significant difference were found by stride length, double support and spatial gait variability. Heart
rate and Borg revealed
a significant chan
ge
over
time (p<0.001, ηp²=
0.42 and p<0.001,
ηp²=
0.46).
A
moderate time x condition effect was only observed for postural sway during single leg standing with
opened eyes (
p=0.04, ηp²=0.11
)
.
Discussion
:
A deterioration of cadence, stride time, temporal ga
it variability was found
. This finding might
be
attributed to fatigue
-induced changes of temporal adjustments of gait patterns. Moderate altitude
did not additionally affect gait. Interestingly, altitude revealed additional deteriorations of postural
sway
during single limb standing. Thus, we assume that severe postural tasks that require central
adjustments might sensitively respond to moderate exposure to altitude.