Communication Dans Un Congrès Année : 2018

DOES A BRISK WALKING PROGRAM IN POSTMENOPAUSAL WOMEN GENERATE SOCIAL HEALTH INEQUITIES?

Résumé

Reducing health inequalities is a major public health issue (WHO 2000). In France, the difference in life expectancy at age 35 is 7.5 years for men and 4 years for women between graduates of higher education and non-graduates (INSEE, 2016). Follow-up of an aerobic training program is a factor of health improvement in moderately obese postmenopausal women. Indeed, preferences for sport are part of the dispositions that constitute the habitus (Bourdieu, 1984). However, is this type of program more effective for the highest social classes women? Will it not increase social inequalities in health ? The aim of this study is to evaluate the impact of a brisk walking program on physical cardiorespiratory fitness (CRF), body composition, perceived health, and adherence to the program of women, once social classes and educational levels are considered. Methods: 168 sedentary and overweight-to-obese (mean body mass index, BMI = 30± 4 kg/m2) postmenopausal women (60±5 yr-old) were subjected to a 4-month endurance-training program (3 sessions of 45 min walking/week at 60 % of their heart rate reserve). Following measurements were performed before and after the 4-month walking program: . CRF assessed by the 2-km walking test (Roussel et al., 2009; Garnier et al., 2013), . Body weight, height (BMI calculated) and waist circumference measured using standardized procedures (Roussel et al., 2009; Garnier et al., 2013), . Fat mass and fat-free mass determined by bioelectrical impedance (Roussel et al., 2009; Garnier et al., 2013) . Perceived health estimated by a visual analogue scale (six questions) (Garnier et al., 2013) . Subjects’ assiduity registered in an exercise logbook (Garnier et al., APRM 2015) Results: Four months later, the decrease in body weight, BMI, fat mass, as well as the increase in CRF (p<.001) were not significantly different once social classes and educational levels were considered. However women with the highest education level showed the greatest reduction in waist circumference. Changes in perceived health (p<.01) and adherence to the program did not differ. Discussion: It seems that our program does not increase health inequalities probably as brisk walking is also considered the most common feasible form of aerobic exercise for middle-aged women because of its safety (low risk of injuries), popularity (low cost) and accessibility to all publics and because the place of walking training was close to the subjects’ residency.

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Dates et versions

hal-04956030 , version 1 (19-02-2025)

Identifiants

  • HAL Id : hal-04956030 , version 1

Citer

Sophie Garnier, S Joffroy, B Thon, I Herbet, G Auneau, et al.. DOES A BRISK WALKING PROGRAM IN POSTMENOPAUSAL WOMEN GENERATE SOCIAL HEALTH INEQUITIES?. 23rd Annual Congress of the EUROPEAN COLLEGE OF SPORT SCIENCE, ECSS, Jul 2018, Dublin (Ireland), Ireland. CP-SH04 p.714. ⟨hal-04956030⟩
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