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Biological Research For Nursing
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Effects of an Off-Site Walking Program on Energy Expenditure, Serum Lipids, and Glucose Metabolism in Middle-Aged Women

Fumiko Furukawa, PhD, RN

Keiko Kazuma, PhD, RN

Masako Kawa, MS, RN

Mitsunori Miyashita, MS, RN

Kyohko Niiro, RN

Reizo Kusukawa, MD, PhD

Michiyo Kojima, PhD, RN

The present study aims to identify the effects of systematic walking on exercise energy expenditure (EEE) and blood profiles in middle-aged women. Fifty-two female nurse managers, aged 32 to 57 years (42.0 ± 6.2), were randomly assigned to an intervention group (IG) and a control group (CG) for a 12-week study of the walking program. EEE was measured using a microelectronic device. Blood profiles were assessed before and after the walking program. The mean EEE (kcal/kg/d) in the IG and CG was 4.73 ± 1.02 and 3.88 ± 0.81 (P = 0.01), indicating an increase of 1.17 ± 0.98 and 0.46 ± 0.68 from baseline (P = 0.01), respectively. The mean change in high-density lipoprotein cholesterol in the IG and CG was 1.8 ± 8.3 mg/dL and –2.9 ± 7.0 mg/dL (P = 0.051); that in insulin was –4.5 ± 7.5 µU/dL and –0.6 ± 4.3 µU/dL (P = 0.046), respectively. These results show that systematic walking increases EEE and improves blood profiles.

Key Words: middle-aged women • systematic walking • exercise energy expenditure • HDL-C • insulin • health promotion

Biological Research For Nursing, Vol. 4, No. 3, 181-192 (2003)
DOI: 10.1177/1099800402239623
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