Effect of a one-year combined exercise training program on body composition in men with coronary artery disease

Background: The purpose of this study was to investigate the effect of an eight-week combined exercise training program with sweet almond supplementation on plasma levels of leptin and orexin in overweight women. Methods: This research was a quasi-experimental study. The statistical population consisted of 60 overweight women with a body mass index (BMI) of 25-30 kg/m2 who were randomly divided into four groups of training, training-sweet almond supplement, supplement, and control. The participants participated in three training sessions weekly and consumed sweet almond supplementation for eight consecutive weeks. The participants' blood samples were taken 24 hours before the first session and after the last session, in a 12-hour fasting state. Liptin concentrations were measured using Pishtaz Teb Inc. kits. Orexin levels were determined through enzymatic method using the Virro Inc. kit. A two-way repeated measures ANOVA was conducted to analyze the inter- and intra-group variance. The overall alpha significance level was set at P ≤ 0.05 for all the statistical analyses. Results: Eight weeks of combined exercise training with sweet almond supplementation Showed a significant reduces in serum level leptin concentration and increased the plasma orexin levels. Conclusion: According to the results of the present study It can be used from combined training and sweet almonds to reduce appetite and lose weight in overweight women.

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Effects of 1 year of exercise training versus combined exercise training and weight loss on body composition, low-grade inflammation and lipids in overweight patients with coronary artery disease: a randomized trial

Cardiovascular Diabetology ◽

10.1186/s12933-019-0934-x ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 7

Author(s):

Lene Rørholm Pedersen ◽

Rasmus Huan Olsen ◽

Christian Anholm ◽

Arne Astrup ◽

Jesper Eugen-Olsen ◽

...

Keyword(s):

Coronary Artery Disease ◽

Weight Loss ◽

Body Composition ◽

Body Weight ◽

Coronary Artery ◽

Exercise Training ◽

Interval Training ◽

Low Grade ◽

Artery Disease ◽

Low Grade Inflammation

Abstract Background Dyslipidaemia and low-grade inflammation are central in atherogenesis and linked to overweight and physical inactivity. Lifestyle changes are important in secondary prevention of coronary artery disease (CAD). We compared the effects of combined weight loss and interval training with interval training alone on physical fitness, body composition, dyslipidaemia and low-grade inflammation in overweight, sedentary participants with CAD. Methods Seventy CAD patients, BMI 28–40 kg/m2 and age 45–75 years were randomised to (1) 12 weeks’ aerobic interval training (AIT) at 90% of peak heart rate three times/week followed by 40 weeks’ AIT twice weekly or (2) a low energy diet (LED) (800–1000 kcal/day) for 8–10 weeks followed by 40 weeks’ weight maintenance including AIT twice weekly and a high-protein/low-glycaemic load diet. Effects of the intervention were evaluated by physical fitness, body weight and composition. Dyslipidaemia was described using both biochemical analysis of lipid concentrations and lipoprotein particle subclass distribution determined by density profiling. Low-grade inflammation was determined by C-reactive protein, soluble urokinase-type plasminogen activator receptor and tumour necrosis factor α. Effects on continuous outcomes were tested by mixed-models analysis. Results Twenty-six (74%) AIT and 29 (83%) LED + AIT participants completed the study. At baseline subject included 43 (78%) men; subjects averages were: age 63 years (6.2), body weight 95.9 kg (12.2) and VO2peak 20.7 mL O2/kg/min (4.9). Forty-six (84%) had pre-diabetes (i.e. impaired fasting glucose and/or impaired glucose tolerance). LED + AIT reduced body weight by 7.2 kg (− 8.4; − 6.1) and waist circumference by 6.6 cm (− 7.7; − 5.5) compared to 1.7 kg (− 0.7; − 2.6) and 3.3 cm (− 5.1; − 1.5) after AIT (within-group p < 0.001, between-group p < 0.001 and p = 0.018, respectively). Treatments caused similar changes in VO2peak and lowering of total cholesterol, triglycerides, non-HDL cholesterol and low-grade inflammation. A shift toward larger HDL particles was seen following LED + AIT while AIT elicited no change. Conclusions Both interventions were feasible. Both groups obtained improvements in VO2peak, serum-lipids and inflammation with superior weight loss and greater central fat loss following LED + AIT. Combined LED induced weight loss and exercise can be recommended to CAD patients. Trial registration NCT01724567, November 12, 2012, retrospectively registered (enrolment ended in April 2013).

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Effects of a Two-Year Home-Based Exercise Training Program on Oxidized LDL and HDL Lipids in Coronary Artery Disease Patients with and without Type-2 Diabetes

Antioxidants ◽

10.3390/antiox7100144 ◽

2018 ◽

Vol 7 (10) ◽

pp. 144 ◽

Cited By ~ 5

Author(s):

Sanna Tiainen ◽

Antti Kiviniemi ◽

Arto Hautala ◽

Heikki Huikuri ◽

Olavi Ukkola ◽

...

Keyword(s):

Type 2 Diabetes ◽

Coronary Artery Disease ◽

Exercise Training ◽

Training Program ◽

Density Lipoprotein ◽

Exercise Load ◽

Home Based ◽

Exercise Training Program ◽

Artery Disease

We investigated the effect of two-year home-based exercise training program on oxidized low-density lipoprotein LDL (ox-LDL) and high-density lipoprotein HDL (ox-HDL) lipids in patients with coronary artery disease (CAD), both with and without type-2 diabetes (T2D). Analysis of lipoprotein-oxidized lipids was based on the determination of baseline conjugated dienes in lipoprotein lipids. In order to study the effect of an exercise load on ox-LDL and ox-HDL lipids patients in both CAD and CAD + T2D intervention, groups were divided in three based on exercise load (high, medium, and low). During the two-year home-based exercise training program, the study showed that only higher training volume resulted in a decreased concentration of ox-LDL, while the two groups with lower training volumes showed no change. This result indicates that the training load needs to be sufficiently high in order to decrease the concentration of atherogenic ox-LDL lipids in patients with CAD and CAD + T2D. Interestingly, the concentration of ox-HDL did not change in any of the subgroups. This could indicate that the lipid peroxide-transporting capacity of HDL, suggested by results from exercise training studies in healthy adults, may not function similarly in CAD patients with or without T2D. Moreover, the lipid-lowering medication used may have had an influence on these results.

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