Intermittent walking training improves thyroid function and cardiometabolic risk factors in postmenopausal women
Wissal Abassi, Nejmeddine Ouerghi, Nidhal Jebabli, Wissem Dhahbi, Nadhir Hammami, Noomen Guelmami, Anissa Bouassida, Moncef Feki, Katja Weiss, Thomas Rosemann, Ismail Dergaa, Beat Knechtle
Abstract
Objective This study aimed to investigate the impact of a 10-week moderate intermittent walking training (MIWT) program on thyroid hormone levels and key cardiometabolic markers in obese postmenopausal women.Methods Thirty-six obese postmenopausal women (body mass index ≥ 30 kg.m−2, aged 50–60 years) were randomized to either the MIWT group (n = 18) or the control group (CG; n = 18). Participants performed the MIWT program for four sessions per week (five repetitions of the 6-min walking test [6MWT] at 60–80% of the distance covered in the 6-min walking test [6MWD], interspersed by 6 min of active recovery between repetitions). Body composition, thyroid hormones (thyroid stimulating hormone [TSH] and thyroxine-free [FT4]), lipid profile (triglycerides [TRG], total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C] and low-density lipoprotein cholesterol [LDL-C]), blood pressure and aerobic fitness (6MWT) were determined before and after the MIWT.Results The MIWT resulted in significant reductions in body composition (p < 0.05), TSH (−5.29%, p = 0.019, d = 0.16), FT4 (−1.84%, p = 0.032, d = 0.28), TRG (−7.29%, p = 0.003, d = 0.27), TC (−4.98%, p = 0.003, d = 0.31), LDL-C (−10.08%, p = 0.003, d = 0.51) and SBP (−2.57%, p = 0.035, d = 0.66), and significant increases in HDL-C (13.36%, p = 0.020, d = 0.52) and 6MWD (2.81%, p = 0.031, d = 0.51).Conclusions A 10-week MIWT program modestly improved thyroid hormones, cardiometabolic risk and functional capacity in obese postmenopausal women without adverse effects. MIWT is an accessible and low-impact intervention suitable for integration into routine clinical practice to prevent and manage thyroid-related and cardiometabolic disorders in this high-risk population.