scholarly journals Development and Evaluation of a Classified and Tailored Community-Based Exercise Program According to the Mobility Level of People with Stroke Using the Knowledge to Action Framework

2020 ◽  
Vol 17 (24) ◽  
pp. 9364
Author(s):  
Minyoung Lee ◽  
Seon-Deok Eun ◽  
Tae Hyun Cho ◽  
Young-Il Shin ◽  
Jiyeon Song ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Composition ◽  
Lipid Profile ◽  
Exercise Program ◽  
Classification Model ◽  
Psychological Function ◽  
Community Based ◽  
Knowledge To Action ◽  
Ventilatory Capacity ◽  
Lower Mobility

Attempts to classify the mobility levels of people with stroke (PWS) for a tailored exercise program in community settings have been few. We developed and evaluated a classified and tailored community-based (CTC) exercise program according to the mobility level of PWS. Forty-two PWS were classified into the Supine and Sitting, Sitting and Standing, and Standing and Gait groups, based on a newly developed classification model and participated in a group-based CTC exercise program for 1 h/day twice/week for 10 weeks. The health outcome measures were blood pressure, lipid profile, glucose control, body composition, ventilatory capacity, and physical and psychological function. The rate of agreement on classification results among the physiotherapists was analysed. For all participants, significant improvements were noted in the blood pressure, lipid profile, body composition, ventilatory capacity, and physical and psychological function. The lower mobility groups showed significant improvements in a greater number of health outcomes than the higher mobility group. The physiotherapists’ agreement regarding the classification results was 91.16 ± 5.14%, verifying the model’s possible high relevance to the community. The effective improvement in participant health implied that the CTC exercise program was well tailored to the participants’ mobility levels, particularly the lower mobility groups.

Multicomponent Training Changes Blood Pressure and Redox Status in Older Women: Influence of β2 Adrenergic Receptor Haplotypes

2020 ◽  
Vol 28 (2) ◽  
pp. 242-249
Author(s):  
Thiago Correa Porto Gonçalves ◽  
Atila Alexandre Trapé ◽  
Jhennyfer Aline Lima Rodrigues ◽  
Simone Sakagute Tavares ◽  
Carlos Roberto Bueno Junior
Keyword(s):  
Blood Pressure ◽  
Body Composition ◽  
Older Women ◽  
Aerobic Capacity ◽  
Adrenergic Receptor ◽  
Exercise Program ◽  
Redox Status ◽  
Genetic Profile ◽  
Before And After ◽  
Β2 Adrenergic Receptor

The β2 adrenergic receptor (β2-AR) plays an important role in vascular smooth muscle. However, the interaction between Arg16Gly and Gln27Glu β2-AR polymorphisms, and exercise training has not yet been established. This study evaluated the influence of these β2-AR polymorphisms on body composition, aerobic capacity, blood pressure, lipid profile, nitric oxide, and redox status at baseline and in response to an exercise program in women aged 50–79 years. Genotype and haplotypes were analyzed in association with the previously mentioned variables before and after the multicomponent training (12 weeks, 2 sessions/week, 90 min/session, and exercise intensity between 13 and 15 on the Borg scale). Individuals who carry β2-AR Arg16Arg/Gln27Gln genotypes presented more improvements in blood pressure, body composition, aerobic capacity, and redox status in response to a multicomponent training program compared with individuals who do not carry this haplotype. In some years, the genetic profile may be used to predict which exercise program can induce more health benefits for each person.

scholarly journals Can a Single Session of a Community-Based Group Exercise Program Combining Step Aerobics and Bodyweight Resistance Exercise Acutely Reduce Blood Pressure?

2014 ◽  
Vol 43 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Romeu Mendes ◽  
Nelson Sousa ◽  
Nuno Garrido ◽  
Braulio Cavaco ◽  
Luís Quaresma ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Young Adult ◽  
Resistance Exercise ◽  
Exercise Program ◽  
Adult Women ◽  
Group Exercise ◽  
Single Session ◽  
Young Adult Women ◽  
Community Based ◽  
Healthy Young Adult

Abstract This study aimed to analyze the acute effects of a single session of a community-based group exercise program combining step aerobics and bodyweight resistance exercise on blood pressure in healthy young adult women. Twentythree healthy young adult women (aged 31.57 ± 7.87 years) participated in two experimental sessions (exercise and control) in a crossover study design. Blood pressure was monitored before, immediately after and at 10, 20 and 30 min of recovery. The exercise session consisted of four phases: 1) a warm-up (5 min of dance aerobics); 2) aerobic exercise training (30 min of step aerobics); 3) resistance exercise training (six sets of 12 repetitions of three bodyweight exercises in a circuit mode, 10 min); and 4) a cool-down (5 min of breathing and flexibility exercises); totaling 50 min of duration. Systolic blood pressure after exercise was significantly lower compared to control at the 10th min (-10.83 ± 2.13 vs. -2.6 ± 2.13 mmHg; p = 0.009), 20th min (-11.26 ± 2.13 vs. -3.04 ± 2.13 mmHg; p = 0.009) and 30th min of recovery (-10.87 ± 2.39 vs. -0.48 ± 2.39 mmHg; p = 0.004). A single session of a community-based group exercise program combining step aerobics and bodyweight resistance exercise was effective in inducing significant post-exercise hypotension in healthy young adult women. This type of low-cost exercise interventions may have an important role in the prevention of cardiovascular diseases and in community health promotion.

scholarly journals Health Benefits of Indoor Cycling: A Systematic Review

Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 452 ◽  
Author(s):  
Manuel Chavarrias ◽  
Jorge Carlos-Vivas ◽  
Daniel Collado-Mateo ◽  
Jorge Pérez-Gómez
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Body Composition ◽  
Lipid Profile ◽  
Aerobic Capacity ◽  
Maximal Oxygen Consumption ◽  
Health Benefits ◽  
Total Sample ◽  
Reduce Blood Pressure ◽  
Physical Conditioning

Background and Objectives: Indoor cycling is one of the most practiced activities in fitness centers for most people regardless of their physical conditioning level. Several studies have analyzed the effect of indoor cycling on several parameters related to health, such as maximal oxygen consumption, blood pressure, body composition, as well as biochemical markers such as HDL or LDL. However, no study has synthesized all health benefits associated with the indoor cycling practice in the form of a systematic review and established guidelines or recommendations. Therefore, the aim of this manuscript was to conduct a systematic review of published studies about the benefits of indoor cycling training and to establish recommendations for coaches, researchers, and practitioners. Materials and Methods: The PRISMA guidelines were followed to conduct the current systematic review. A systematic search was performed to retrieve relevant published articles until January 2019 using the following keywords: ‘indoor cycling’, ‘indoor bicycle’, and ‘spinning exercise’. Information about participants, intervention, comparisons, outcomes, and study design (PICOS) was extracted. Results: A total of 300 studies were initially identified. After the revision process, 13 of them were included. The total sample size of the studies was 372 (306 women). Results revealed that indoor cycling may improve aerobic capacity, blood pressure, lipid profile, and body composition. These enhancements may be achieved as standalone intervention or combined with other physical exercises or diet. Conclusions: The combination of indoor cycling and diet is recommended to improve the lipid profile, lose weight, and reduce blood pressure. Furthermore, indoor cycling alone may also enhance aerobic capacity. Given the lack of randomized controlled trials, these conclusions should be taken with caution.

scholarly journals Leptin Levels, Basal Metabolic Rates, and Insulin Resistance in Obese Pubertal Children

2020 ◽  
Vol 13 (01) ◽  
pp. 017-023
Author(s):  
Elisabete Vieira Conterato ◽  
Tania Diniz Machado ◽  
Carlos Alberto Nogueira-de-Almeida ◽  
Elza Daniel Mello
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Body Composition ◽  
Metabolic Rate ◽  
Lipid Profile ◽  
Fat Mass ◽  
Basal Metabolic Rate ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Obese Children

Abstract Introduction Obesity in children and adolescents is considered a serious public health problem. The consequences of overweight can last for life. It is extremely important to have formulas to calculate the basal metabolic rate (BMR) that are truly reliable in relation to the individual caloric expenditure. Objectives To investigate the association of serum levels of leptin, lipid profile, and insulin resistance (insuline resistance by Homeostatic Model Assessment [HOMA] index) with the body mass index (BMI) z-score of pubertal obese children. In addition, to compare the basal metabolic rate (BMR) evaluation carried out using bioimpedance (BIA) with the Food and Agricultural Organization/World Health Organization (FAO/WHO) equation. Methods Cross-sectional study including 37 pubertal obese children (aged 7 to 12 years old) seen for the first time in the outpatient care unit specialized in child obesity between June 2013 and April 2014. The participants were assessed regarding anthropometric data, body composition (fat mass) by BIA 310 bioimpedance analyzer (Biodynamic Body Composition Analyser, model 310 - Biodynamics Corporation, Seattle, EUA), and blood pressure. Blood samples were collected to measure glucose, insulin, lipid profile, triglycerides, and leptin. The stage of sexual maturity was determined by self-assessment according to the Tanner scale. Results Higher leptin levels were found in the severe obesity group (p = 0.007) and, as expected, higher BMI (p < 0.001), and fat mass (p = 0.029). The groups did not differ in relation to insulin, insulin resistance (HOMA-IR), triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), and blood pressure. The BMR measured by bioimpedance was lower as compared to the measure by the FAO/WHO equation (p < 0.001). Conclusions These results suggest that severely obese children may present leptin resistance in this early stage of life, (since this hormone is higher in these children). It is suggested that health professionals prioritize the calculation of BMR by bioimpedance, since the FAO/WHO equation seems to overestimate the caloric values.

scholarly journals The Effect of a Long-Term, Community-Based Exercise Program on Bone Mineral Density in Postmenopausal Women with Pre-Diabetes and Type 2 Diabetes

2014 ◽  
Vol 43 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Marieni Bello ◽  
Maria Cirilo Sousa ◽  
Gabriel Neto ◽  
Leonardo Oliveira ◽  
Ialuska Guerras ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Type 2 Diabetes ◽  
Body Composition ◽  
Postmenopausal Women ◽  
Bone Mineral ◽  
Exercise Program ◽  
Mineral Density ◽  
Community Based ◽  
The Impact

Abstract The aim of this study was to evaluate the impact of a community-based exercise program on bone mineral density and body composition in postmenopausal women with pre-diabetes and type 2 diabetes. Twenty postmenopausal women (aged 61.3 ± 6.0 years) with pre-diabetes and type 2 diabetes were randomly assigned to a community-based exercise program group (n=10) or a control group (n=10). The community-based exercise program was multicomponent, three days per week for 32 weeks, and included walking, resistance and aquatic exercises. Body composition and bone mineral density were measured pre and post-training by dual X-ray absorptiometry. In the exercise group significant increases were found in the ward’s triangle bone mineral density (+7.8%, p=0.043), and in fat-free mass (+2.4%, p=0.018). The findings suggest that regular multicomponent training is effective in preventing osteoporosis and sarcopenia among postmenopausal women with pre-diabetes and type 2 diabetes.

scholarly journals Entrenamiento, presión arterial y lípidos en adultos con prehipertensión (Training, blood pressure and lipids in adults with prehypertension)

Retos ◽  
2015 ◽  
pp. 67-72
Author(s):  
Guillermo R. Oviedo ◽  
Oscar Niño ◽  
Cayetano Bellomío ◽  
Roque González ◽  
Miriam Guerra
Keyword(s):  
Blood Pressure ◽  
Physical Exercise ◽  
Physical Fitness ◽  
Arterial Hypertension ◽  
Lipid Profile ◽  
Peak Power ◽  
Exercise Program ◽  
Cycle Ergometer ◽  
Cycle Ergometer Test ◽  
Ergometer Test

El objetivo del presente estudio fue evaluar los efectos de un programa de ejercicio físico sobre la presión arterial, el perfil lipídico y la condición física en 16 adultos (9 hombres, 7 mujeres; 54 ± 5 años) prehipertensos, sin la presencia de otra enfermedad crónica. El grupo participó en un programa de ejercicios físicos aeróbico y de fuerza durante 16 semanas, 1.5 horas, 3 veces por semana. La presión arterial, el perfil lipídico, la condición física y medidas antropométricas fueron evaluadas al inicio y al final del programa. El test de Wilcoxon-Cox se utilizó para evaluar los cambios pre-post en las variables. Se encontraron disminuciones estadísticamente significativas en la presión arterial sistólica y diastólica basal de ~12/9 mmHg (p < .05) respectivamente, el VO2 pico incrementó ~8 ml/Kg/min (p < .05), la potencia en cicloergómetro aumentó ~51 Watts (p < .05); el IMC decreció ~2 puntos (p < .05); triglicéridos disminuyeron ~21 mg/dL (p < .05); colesterol disminuyó ~19 mg/dL (p < .05); HDL incrementó ~10 mg/dL (p < .05) y LDL decreció ~36 mg/dL (p < .05). Conclusiones: el programa de ejercicios físicos produjo mejoras significativas en la presión arterial, el perfil lipídico y la condición física en este grupo de adultos prehipertensos.Palabras clave. hipertensión arterial, ejercicio, condición física, lípidos.Abstract. The purpose of the study was to determine the effect of a physical exercise program on blood pressure, lipid profile and physical fitness on 16 (9 men, 7 women; 54 ± 5 years old) prehypertensive adults, without any other chronic illness. The group followed a physical exercise program for 16 weeks, which last 1.5 hour, three times a week consisting of aerobic activities and strength training. Blood pressure, lipid profile, physical fitness and anthropometric measurements were assessed pre and post training. Wilcoxon-Cox test was used to compare within group changes. Statistically significant reductions were found in basal systolic and diastolic blood pressure by ~12/9 mmHg (p < .05) respectively; VO2 peak increased by ~8 ml/Kg/min (p < .05); the peak power achieved during the cycle-ergometer test increased by ~51 Watts (p < .05); BMI decreased by ~2 points (p < .05); triglycerides decreased by ~21 mg/dL (p < .05); cholesterol decreased by ~19 mg/dL (p < .05); HDL increased by ~10 mg/dL (p < .05); LDL decreased by ~36 mg/dL (p < .05). Conclusions: this intervention showed significant improvements in blood pressure, lipid profile and physical fitness in this group of adults with prehypertension.Key words. arterial hypertension, exercise, physical fitness, lipids.

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