Comparing the Effects of Eight Weeks of Combined Training (Endurance and Resistance) in Different Orders on Inflammatory Factors and Adipokines Among Elderly Females

Background: Aging is a process in which the body’s physiological capacity continuously decreases after the age of 30. However, interventions such as physical activity can play an important role in the prevention of aging. Objectives: The purpose of this study was to compare the effects of eight weeks of combined training (endurance and resistance) in different orders on inflammatory factors and adipokines among elderly females. Patients and Methods: The design of this study was quasi-experimental. Forty healthy females were selected purposely and randomly assigned to one of four groups including strength after endurance training (E + S, n = 9), strength prior to endurance training (S + E, n = 10), circulation combined (CI, n = 12), and control (n = 9) groups. The training program was performed for eight weeks, three times per week. Within-group differences were analyzed using a paired samples t-test and between-group differences were analyzed using one-way analysis of variance (ANOVA). Results: The data analysis showed that the between group comparison did not influence the adaptive response of tumor necrosis factor (TNF)-α (P = 0.80), high sensitivity-C reactive protein (hs-CRP) (P = 0.55), adiponectin (P = 0.33), chemerin (P = 0.56), omentin (P = 0.51), leptin (P = 0.10) and vaspin (P = 0.70) levels, yet the within group comparison showed a significant difference in the chemerin concentration in the E+S group (P = 0.03). Conclusions: The results indicated that three different combined trainings (strength and endurance) had no positive effect on inflammatory factors and adipokines among aged females. However, the different combined trainings, independent of order, were effective training methods in reducing body fat and body mass index (BMI) in aged females.