**3. The walking exercise intervention in the community older skeletal muscle sarcopenia**

What causes of sarcopenia in community older people? By the age of 70, sarcopenia affects 10–30% of older adults lost muscle mass and this is replaced with fat and fibrous tissue, particularly in people who are physical inactivity, malnutrition, hormones changes, inflammation increased, and aging-related diseases. Sarcopenia is common in older people, but can also earlier in their 40s life without exercise intervention causes skeletal muscle mass and strength begin to decline and accelerate with aging [42]. Exercise training can help lower the risk of aging-related diseases in the older community groups, for example, decreases blood pressure, lower LDL cholesterol levels, developing type 2 diabetes, increase your heart's size and strength, and improve cardiorespiratory fitness. Walking exercise training is a low-intensity aerobic activity that reduces the risk of the older community groups' diseases [43]. If you have another aging-related chronic disease, you should speak with your

### *Combined Ketogenic Diet and Walking Exercise Interventions in Community Older Frailty… DOI: http://dx.doi.org/10.5772/intechopen.101579*

healthcare professional before starting a new exercise program. The difference of intensity of walking exercise performs change arterial system during the exercise stimulus [44]. Moderate walking exercise training models can improve arterial endothelial function in the community group of an older healthy man. General recommendations to promote good overall health, aim to get at least 150 min of moderate-intensity exercise, or 75 min of high-intensity exercise training, or a combination of the two each week for optimal young adult health [45]. However, low-intensity walking exercise training for 15 min at least three times per week and spend 10 min of your lunch break walking exercise. Chronic exercise training that can mimic the effects of exercise is associated with lower blood pressure response in older men [46]. Starting a new walking exercise routine can be challenging in the community older groups. However, having real objectives can help you maintain a fitness program in the long term [47]. Simply it is important to warm up before you start your walking exercise like arm swings, leg kicks, and walking lunges doing so can help to prevent injuries and improve your flexibility and reduce soreness [48]. Alternatively, walking exercise training in the older community groups warm up by doing easy movements of the walking exercise training you are planning to do. For example, warm-up before you walking exercise. Walking exercise training interventional improvements oxygen consumption between 15 and 29% in older adults lasting between 6 and 12 months [49]. A significant improvement in aerobic capacity was also shown following exercise training of shorter duration almost 9–12 weeks in older people (**Figure 2**). A time course, intensity, and adaptation in maximal aerobic capacity with walking exercise training are different in older compared with younger people and suggest improvements in both cardiac function and peripheral muscles oxygen extraction [50]. During exercise training, oxygen consumption in older people is higher than in people. The successful elderly walking exercise interventions regimens. The successful elderly walking exercise regimens are a limited effect on arterial structural remodeling [51, 52]. Walking exercise has major implications on endothelial function and endothelium dilation [53]. Therefore, walking exercise significantly improves endothelial flow-mediated dilation function. Other reports demonstrated that endothelium dilation is greater in the older man. About 100 days of walking exercise intervention improves endothelium dilation in older healthy men [54]. The greater endothelium dilation in older men who regularly perform aerobic exercise is mediated nitric oxide. The intensity of exercise performed and duration of the exercise stimulus may be changed the arterial system [55]. However, no change in endothelial function is observed for mild- or high-intensity exercise training for 12 weeks in a group of young healthy men. In a healthy older population, a simple walking exercise did not improve endothelial function. Walking exercise interventions of a shorter duration do not alter the endothelial function or arterial stiffness in the older population, for example, 10 days [56]. It is possible that high exercise intensity could diminish oxidative stress. Based on this study regimen, it is reasonable to suggest that at least 90 days of exercise training is necessary to stimulate improvements in the elderly endothelial function [57]. A daily brisk walking exercise intervention for 120 days was associated with significantly improved arterial compliance in the older community groups [58]. Regular exercise intervention training is independent of baseline compliance body composition and oxygen capacity [59]. There are many different types of walking exercise training to choose from interventions. Find a new regiment nice for you and be sure to vary them occasionally in the community older groups, for example walking speed over 4 m walking distance in m/s. The goal is to start to help prevent injuries slowly to build up your fitness level and let your body rest from time to time [60]. Keeping track of your walking exercise training progress in the community older groups or taking a virtual group class are examples of actionable steps that can help you stay motivated and achieve your

goals. From an early treatise collection, authors also describe how an exercising old man was cured of aging-related diseases when he was completed from consuming a ketogenic diet [61]. Neither walking exercise intervention nor the ketogenic diet intervention is able to cure aging but work due to their ability to suppress age-related diseases. This session describes how alterations in the walking exercise intervention and ketogenic diet intervention played a role in anti-aging management. Forced the elderly walking exercise regimen during 120 days timelines in the community older groups (**Figure 4**). This timeline details the important events of each phase of the elderly walking exercise regimen during each day of the study. The pre-exercise phase during 50–60 days. This stage is the preacclimation phase involves the older men's experimenter handling and baseline locomotor activity.

**Stage 1:** The older human experimenter handling, 2–5 min/day, 25 days. **Stage 2:** The baseline locomotor activity, 60 min/day, 35 days.

During the acclimation phase (60–90 days) all older humans undergo 10 days of acclimation walking exercise training.

**Stage 1 of acclimation phase:** 5–10 min/day, 10 days, 5–7 m/min, 5–10 min, by 3 days of rest.

**Stage 2 of acclimation phase:** 5–10 min/day, 20 days, 8–10 m/min, 5–10 min, by 3 days of rest.

During the walking exercise training phase (90–120 days), one round of walking exercise training needs 12 consecutive days. A minimum of two rounds of walking exercise training followed by a 6 days rest period is required during the walking exercise training phase (24 days). Furthermore, this regimen can be modified to include multiple rounds of walking exercise training in this phase. Bodyweight measurements can be made throughout all phases of the study a before and after each phase of this walking exercise training regimen. Assigned nonexercise and walking exercise training sessions scores after all acclimation

#### **Figure 4.**

*The successful elderly walking exercise regimens in the community older sarcopenia disease groups. This elderly walking exercise is an easy-to-follow program. This program can be adjusted to your fitness level and made as challenging as you want. One round of walking exercise training will only take you 12 days, and one day will only take you 30 min to complete. It does not require equipment.*

*Combined Ketogenic Diet and Walking Exercise Interventions in Community Older Frailty… DOI: http://dx.doi.org/10.5772/intechopen.101579*

and walking exercise training phase scores, and range from 1 to 4, with 4 being the highest possible score. Briefly,


Finally, a training score of 1: The older human walking exercise are noncompliant and fail to complete an exercise session.
