Substitution of parts of aerobic training by resistance training lowers fasting hyperglycemia in individuals with metabolic syndrome

2021 ◽  
Vol 46 (1) ◽  
pp. 69-76
Author(s):  
Alfonso Moreno-Cabañas ◽  
Juan Fernando Ortega ◽  
Felix Morales-Palomo ◽  
Miguel Ramirez-Jimenez ◽  
Laura Alvarez-Jimenez ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Resistance Training ◽  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Aerobic Training ◽  
Control Group ◽  
Maximal Heart Rate ◽  
Model Assessment ◽  
Z Score ◽  
Leg Press

We sought to determine the effects of substituting parts of aerobic training (AT) by resistance training (RT) on metabolic syndrome (MetS) factors. MetS patients (aged 56 ± 7 years; body mass index 33 ± 5 kg·m−2 and 3.9 ± 0.8 MetS factors) were randomized to undergo 1 of the following isocaloric, 16-week long exercise programs: (i) cycling 4 bouts of 4-min at 90% of maximal heart rate (HRmax) followed by 3 sets of 12 repetitions of 3 lower limb free-weight exercises (high-intensity interval training (HIIT)+RT group; n = 33), (ii) cycling 5 bouts of 4 min at 90% of HRmax (HIIT+HIIT group; n = 33), or (iii) no exercise control group (n = 21). We measured the evolution of all 5 MetS components (z score), cardiorespiratory fitness (maximal oxygen uptake), leg strength and power (leg press 1-repetition maximum (1RM) and countermovement jump (CMJ)), fasting blood glucose (FG), fasting insulin, and insulin resistance (homeostasis model assessment 2). Both training groups improved maximal oxygen uptake similarly (170 ± 310 and 190 ± 210 mL O2·min−1; P < 0.001) and z score (−0.12 ± 0.29 and −0.12 ± 0.31 for HIIT+RT and HIIT+HIIT, respectively; P < 0.02). However, only HIIT+RT improved CMJ (P = 0.002) and leg press 1RM above the HIIT+HIIT group (21% vs 6%; P < 0.001). Furthermore, FG only decreased in the HIIT+RT group (5%; P = 0.026, time × group). Our findings suggest that substitution of part of HIIT by leg RT improves glucose control in MetS individuals. Novelty Most studies addressing the efficacy of endurance versus resistance training are not matched by energy expenditure. We found that substituting 20% of AT with RT reduces hyperglycemia in MetS individuals. Training recommendations to regain glycemic control in MetS individuals should include resistance training.

scholarly journals Iron Beats Electricity: Resistance Training but Not Whole-Body Electromyostimulation Improves Cardiometabolic Health in Obese Metabolic Syndrome Patients during Caloric Restriction—A Randomized-Controlled Study

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1640
Author(s):  
Dejan Reljic ◽  
Hans J. Herrmann ◽  
Markus F. Neurath ◽  
Yurdagül Zopf
Keyword(s):  
Metabolic Syndrome ◽  
Resistance Training ◽  
Muscle Strength ◽  
Caloric Restriction ◽  
Whole Body ◽  
Controlled Study ◽  
Cardiometabolic Health ◽  
Control Group ◽  
Z Score ◽  
Cardiometabolic Disorders

Caloric restriction (CR) and exercise are cornerstones in the treatment of obesity and cardiometabolic disorders. Recently, whole body electromyostimulation (WB-EMS) has emerged as a more time-efficient alternative to traditional resistance training (RT). However, the effects of WB-EMS compared to RT on cardiometabolic health in obese metabolic syndrome (MetS) patients performed during CR are still unclear. In total, 118 obese MetS patients (52.7 ± 11.8 years, BMI: 38.1 ± 6.9 kg/m2) undergoing CR over 12 weeks (aim: −500 kcal deficit/day) were randomly allocated to either WB-EMS, single-set RT (1-RT), 3-set RT (3-RT) or an inactive control group (CON). Primary outcome was MetS severity (MetS z-score). Secondary outcomes were body composition, muscle strength and quality of life (QoL). All groups significantly reduced body weight (~3%) and fat mass (~2.6 kg) but only 1-RT and 3-RT preserved skeletal muscle mass (SMM). All exercise groups increased muscle strength in major muscle groups (20–103%). However, only the two RT-groups improved MetS z-score (1-RT: −1.34, p = 0.003; 3-RT: −2.06, p < 0.001) and QoL (1-RT: +6%, p = 0.027; 3-RT: +12%, p < 0.001), while WB-EMS and CON had no impact on these outcomes. We conclude that traditional RT has superior effects on cardiometabolic health, SMM and QoL in obese MetS patients undergoing CR than WB-EMS.

scholarly journals Irisin levels in relation to metabolic and liver functions in Egyptian patients with metabolic syndrome

2016 ◽  
Vol 94 (4) ◽  
pp. 359-362 ◽  
Author(s):  
Fatma H. Rizk ◽  
Samah A. Elshweikh ◽  
Amira Y. Abd El-Naby
Keyword(s):  
Metabolic Syndrome ◽  
Liver Enzymes ◽  
Resistance Index ◽  
Control Group ◽  
Model Assessment ◽  
Group Iii ◽  
Group I ◽  
Elevated Liver Enzymes ◽  
Liver Functions ◽  
Group Ii

Irisin is a new myokine that is suspected to influence metabolic syndrome (MetS). However, there is a great controversy with respect to its level in cases of MetS and its correlation with different metabolic parameters. The present study assesses irisin levels in MetS patients and studies its relationship to metabolic and liver functions to evaluate the possible role of the liver in regulation of this level. Sixty subjects were included in this experiment, who were divided into 3 groups: group I (normal control), group II (MetS patients with normal liver enzymes), and group III (MetS with elevated liver enzymes and fatty liver disease). Serum irisin levels showed significant increases in groups II and III compared with group I, and significant increases in group III compared with group II. Also, irisin levels were positively correlated with body mass index, serum triglycerides, homeostatic model assessment of insulin resistance index (HOMA-IR), and liver enzymes. We concluded that serum irisin levels increased in patients with MetS, especially those with elevated liver enzymes, and had a positive correlation with parameters of lipid metabolism and glucose homeostasis with the possibility of hepatic clearance to irisin.

scholarly journals How to Be 80 Year Old and Have a VO2maxof a 35 Year Old

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Trine Karlsen ◽  
Ingeborg Megård Leinan ◽  
Fredrik Hjulstad Bækkerud ◽  
Kari Margrethe Lundgren ◽  
Atefe Tari ◽  
...  
Keyword(s):  
Physical Activity ◽  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Left Ventricular ◽  
Left Ventricular Filling ◽  
Maximal Heart Rate ◽  
Cardiopulmonary Fitness ◽  
Systolic And Diastolic Function ◽  
High Level ◽  
Ventricular Filling

Background. To discuss the cardiovascular and pulmonary physiology and common risk factors of an 80-year-old man with a world record maximal oxygen uptake of 50 mL·kg−1·min−1.Methods. Case report.Results. His maximal oxygen uptake of 3.31 L·min−1, maximal heart rate of 175 beats·min−1, and maximal oxygen pulse of 19 mL·beats−1are high. He is lean (66.6 kg) and muscular (49% skeletal muscle mass). His echo parameters of mitral flow (left ventricular filling,E= 82 cm·s−1andE/A= 1.2) were normal for 40- to 60-year-old men. Systolic and diastolic function increased adequately during exercise, with no increase in left ventricular filling pressure. He has excellent pulmonary function (FVC = 4.31 L, FEV1 = 3.41, FEV1/FVC = 0.79, and DLCO = 12.0 Si1) and normal FMD and blood volumes (5.8 L). He has a high level of daily activity (10,900 steps·day−1and 2:51 hours·day−1of physical activity) and a lifelong history of physical activity.Conclusion. The man is in excellent cardiopulmonary fitness and is highly physically active. His cardiac and pulmonary functions are above expectations for his age, and his VO2maxis comparable to that of an inactive 25-year-old and of a normal, active 35-year-old Norwegian man.

Effects of Velocity Loss Threshold Within Resistance Training During Concurrent Training on Endurance and Strength Performance

2020 ◽  
pp. 1-9
Author(s):  
Miguel Sánchez-Moreno ◽  
David Rodríguez-Rosell ◽  
David Díaz-Cueli ◽  
Fernando Pareja-Blanco ◽  
Juan José González-Badillo
Keyword(s):  
Resistance Training ◽  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Vertical Jump ◽  
Treadmill Running ◽  
Concurrent Training ◽  
Endurance Running ◽  
Loading Test ◽  
Significant Group ◽  
Group Time

Purpose: This study analyzed the effects of 3 training interventions: 1 isolated endurance training (ET) and 2 concurrent training (CT), which differed in the velocity loss (VL) magnitude allowed during the resistance training (RT) set: 15% (VL15) versus 45%, on strength and endurance running performance. Methods: A total of 33 resistance- and endurance-trained men were randomly allocated into 3 groups: VL15, VL 45%, and ET. ET was similar across all groups. The CT groups differed in the VL allowed during the RT set. Before and after the 8-week training program the following tests were performed: (1) running sprints, (2) vertical jump, (3) progressive loading test in the squat exercise, and (4) incremental treadmill running test up to maximal oxygen uptake. Results: Significant differences (P < .001) in RT volume (approximately 401 vs 177 total repetitions for VL 45% and VL15, respectively) were observed. Significant “group” × “time” interactions were observed for vertical jump and all strength-related variables: the CT groups attained significantly greater gains than ET. Moreover, a significant “group” × “time” interaction (P = .03) was noted for velocity at maximal oxygen uptake. Although all groups showed increases in velocity at maximal oxygen uptake, the VL15 group achieved greater gains than the ET group. Conclusions: CT interventions experienced greater strength gains than the ET group. Although all groups improved their endurance performance, the VL15 intervention resulted in greater gains than the ET approach. Therefore, moderate VL thresholds in RT performed during CT could be a good strategy for concurrently maximizing strength and endurance development.

Effect of aerobic training status on both maximal lactate steady state and critical power

2012 ◽  
Vol 37 (4) ◽  
pp. 736-743 ◽  
Author(s):  
Camila Coelho Greco ◽  
Renato Aparecido Corrêa Caritá ◽  
Jeanne Dekerle ◽  
Benedito Sérgio Denadai
Keyword(s):  
Steady State ◽  
Oxygen Uptake ◽  
Aerobic Fitness ◽  
Maximal Oxygen Uptake ◽  
Aerobic Training ◽  
Critical Power ◽  
Training Status ◽  
Maximal Lactate Steady State ◽  
Incremental Test ◽  
Constant Work Rate

This study aimed at assessing the sensitivity of both maximal lactate steady state (MLSS) and critical power (CP) in populations of different aerobic training status to ascertain whether CP is as sensitive as MLSS to a change in aerobic fitness. Seven untrained subjects (UT) (maximal oxygen uptake = 37.4 ± 6.5 mL·kg–1·min–1) and 7 endurance cyclists (T) (maximal oxygen uptake = 62.4 ± 5.2 mL·kg–1·min–1) performed an incremental test for maximal oxygen uptake estimation and several constant work rate tests for MLSS and CP determination. MLSS, whether expressed in mL·kg–1·min–1 (T: 51.8 ± 5.7 vs. UT: 29.0 ± 6.1) or % maximal oxygen uptake (T: 83.1 ± 6.8 vs. UT: 77.1 ± 4.5), was significantly higher in the T group. CP expressed in mL·kg–1·min–1 (T: 56.8 ± 5.1 vs. UT: 33.1 ± 6.3) was significantly higher in the T group as well but no difference was found when expressed in % maximal oxygen uptake (T: 91.1 ± 4.8 vs. UT: 88.3 ± 3.6). Whether expressed in absolute or relative values, MLSS is sensitive to aerobic training status and a good measure of aerobic endurance. Conversely, the improvement in CP with years of training is proportional to those of maximal oxygen uptake. Thus, CP might be less sensitive than MLSS for depicting an enhancement in aerobic fitness.

The effect of water-based rhythmic exercise training on glucose homeostasis and thyroid hormones in postmenopausal women with metabolic syndrome

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Hanieh Berahman ◽  
Alireza Elmieh ◽  
Mohammad Reza Fadaei chafy
Keyword(s):  
Metabolic Syndrome ◽  
Exercise Training ◽  
Postmenopausal Women ◽  
Glucose Homeostasis ◽  
Control Group ◽  
Model Assessment ◽  
Effect Of Water ◽  
Water Based ◽  
Rhythmic Exercise ◽  
Experimental Group

Abstract Objectives The present study aimed to explore the effect of water-based rhythmic exercise training on fasting blood sugar (FBS), homeostatic model assessment (HOMA), insulin, thyroid stimulating hormone (TSH), and T4 in postmenopausal women with metabolic syndrome. Methods In this clinical trial, 31 postmenopausal woman with metabolic syndrome aged 69.16 ± 2.02 years were randomly assigned to an experimental (n=16) and a control group (n=15). The training program was composed of 12 weeks of water-based rhythmic exercise training performed intermittently for 60 min three times a week. Before and after training, blood was analyzed for glucose homeostasis, T4, and TSH. Data were subjected to analysis by paired t-test and covariance analysis at the p<0.05 level. Results The exercise training intervention reduced the FBS and insulin significantly (p=0.000). The growth hormone (GH) index was increased significantly only in the experimental group (p=0.037) whereas no significant variations occurred in the insulin-like growth factor-1 (p=0.712). It was also found that TSH and T4 change in the experimental group as compared to the pre-test. Conclusions Water-based rhythmic exercise training may improve blood glucose homeostasis, TSH, and T4.

Long-lasting exercise involvement protects against decline in V̇O2max and V̇O2 kinetics in moderately active women

2020 ◽  
pp. 1-9
Author(s):  
Damir Zubac ◽  
Vladimir Ivančev ◽  
Zoran Valić ◽  
Boštjan Šimunič
Keyword(s):  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Near Infrared ◽  
Cardiovascular Response ◽  
Cardiopulmonary Exercise Testing ◽  
Age Groups ◽  
Moderate Intensity ◽  
Maximal Heart Rate ◽  
Middle Aged ◽  
Pulmonary Oxygen Uptake

We studied the effects of age on different physiological parameters, including those derived from (i) maximal cardiopulmonary exercise testing (CPET), (ii) moderate-intensity step transitions, and (iii) tensiomyography (TMG)-derived variables in moderately active women. Twenty-eight women (age, 19 to 53 years), completed 3 laboratory visits, including baseline data collection, TMG assessment, maximal oxygen uptake test via CPET, and a step-transition test from 20 W to a moderate-intensity cycling power output (PO), corresponding to oxygen uptake at 90% gas exchange threshold. During the step transitions, breath-by-breath pulmonary oxygen uptake, near infrared spectroscopy derived muscle deoxygenation (ΔHHb), and beat-by-beat cardiovascular response were continuously monitored. There were no differences observed between the young and middle-aged women in their maximal oxygen uptake and peak PO, while the maximal heart rate (HR) was 12 bpm lower in middle-aged compared with young (p = 0.016) women. Also, no differences were observed between the age groups in τ pulmonary oxygen uptake, ΔHHb, and τHR during on-transients. The first regression model showed that age did not attenuate the maximal CPET capacity in the studied population (p = 0.638), while in the second model a faster τ pulmonary oxygen uptake, combined with shorter TMG-derived contraction time (Tc) of the vastus lateralis (VL), were associated with a higher maximal oxygen uptake (∼30% of explained variance, p = 0.039). In conclusion, long lasting exercise involvement protects against a maximal oxygen uptake and τpulmonary oxygen uptake deterioration in moderately active women. Novelty: Faster τ pulmonary oxygen uptake and shorter Tc of the VL explain 33% of the variance in superior maximal oxygen uptake attainment. No differences between age groups were found in τ pulmonary oxygen uptake, τΔHHb, and τHR during on-transients.

scholarly journals The Relationship between Epicardial Adipose Tissue Thickness and Serum Interleukin-17a Level in Patients with Isolated Metabolic Syndrome

Biomolecules ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 97 ◽  
Author(s):  
Esra Demir ◽  
Nazmiye Harmankaya ◽  
İrem Kıraç Utku ◽  
Gönül Açıksarı ◽  
Turgut Uygun ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Metabolic Syndrome ◽  
Adipose Tissue ◽  
Epicardial Adipose Tissue ◽  
Control Group ◽  
Model Assessment ◽  
Tissue Thickness ◽  
The Metabolic Syndrome ◽  
Epicardial Adipose Tissue Thickness ◽  
The Relationship

In this study, it was aimed to investigate the relationship between the epicardial adipose tissue thickness (EATT) and serum IL-17A level insulin resistance in metabolic syndrome patients. This study enrolled a total of 160 subjects, of whom 80 were consecutive patients who applied to our outpatient clinic and were diagnosed with metabolic syndrome, and the other 80 were consecutive patients who were part of the control group with similar age and demographics in whom the metabolic syndrome was excluded. The metabolic syndrome diagnosis was made according to International Diabetes Federation (IDF)-2005 criteria. EATT was measured with transthoracic echocardiography (TTE) in the subjects. IL-17A serum levels were determined using the ELISA method. Fasting blood glucose, HDL, triglyceride, and fasting insulin levels were significantly higher in the metabolic syndrome group compared to the control group. In addition, the metabolic syndrome group had significantly higher high-sensitivity C-reactive protein (hs-CRP) and Homeostatic Model Assessment Insulin Resistance (HOMA-IR) levels than the control group. Similarly, serum IL-17A levels were significantly elevated in the metabolic syndrome group compared to the control group statistically (p < 0.001). As well, EATT was higher in the metabolic syndrome than the control group. Conclusion: By virtue of their proinflammatory properties, EATT and IL-17 may play an important role in the pathogenesis of the metabolic syndrome.

scholarly journals Confirming Maximal Oxygen Uptake: Is Heart Rate the Answer?

2018 ◽  
Vol 39 (03) ◽  
pp. 198-203 ◽  
Author(s):  
Don Keiller ◽  
Dan Gordon
Keyword(s):  
Heart Rate ◽  
Young Adults ◽  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Accurate Method ◽  
Maximal Heart Rate ◽  
Age Related

AbstractThis study investigates heart rate (HR), in 11 young adults (22.4±3.21yr), at V̇O2max, to ascertain whether measured maximal heart rate (HRmax), as determined by a plateau in HR (HRplat), can reliably confirm V̇O2max. V̇O2max and HRplat were determined, using the parameters of a V̇O2≤50 ml•min−1 and a ∆HR≤2b•min−1, respectively, over the final 60 s of sampling. V̇O2 was also independently determined using a verification phase protocol. A HRplat was achieved by 91% of participants (∆HR=1.3±1b•min−1) and critically the time at which HRmax was reached coincided with that at which V̇O2max was achieved. Moreover RER and ΔRER criteria were reached significantly earlier (p<0.05) than V̇O2max, whilst age-related heart rate maximums (HRage), were not achieved by many participants. The results suggest that a HRplat ≤2 b•min−1 is a more accurate method, within the group tested, to determine whether a ‘true’ V̇O2max has been achieved, than other secondary criteria and potentially avoids the requirement for an additional verification phase.

scholarly journals MON-104 The Relationship Between Metabolic Syndrome Indicators and Body Composition Measured by Bioelectrical Impedance Analysis Methods in Obese Children

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Seulki Kim ◽  
Yoonji Lee ◽  
Na-yeong Lee ◽  
Seonhwa Lee ◽  
Yujung Choi ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Body Composition ◽  
Serum Insulin ◽  
Fat Free Mass ◽  
Model Assessment ◽  
Z Score ◽  
Good Tool ◽  
Prepubertal Children ◽  
Composition Data ◽  
The Relationship

Abstract Purpose: This study aimed to compare obesity indices with impedance analyzed body composition data, and to investigate the association between impedance analyzed body composition data and the prevalence of metabolic syndrome. Methods: 123 prepubertal children (49% girls 3-to-8- year-old, 51% boys 3-to-9-year-old) who are below or equal to body mass index (BMI, kg/m2) 85th percentile were retrospectively reviewed. Height, weight, waist circumference, blood pressure, serum lipid profiles, fasting plasma glucose and serum insulin were measured. Body fat percentile (BFP), fat-free mass (FFM) were measured by BIA and fat mass index (FMI), fat-free mass index (FFMI) were calculated. We investigated the relationship between metabolic syndrome indicators and body composition measured by BIA. Metabolic syndrome (MetS) was defined as including more than or equal to three of the metabolic abnormalities according to the modified National Cholesterol Education Program Adult Treatment Panel III. Results: The overall prevalence of MetS was found to be 15.4%(19/123). The prevalence of MetS, MetS indicators, and body composition measured by BIA were not significantly different between males and females. BMI z-score was positively correlated with BFP, FMI and FFMI (r=0.51, P=0.001; r=0.63, P=0.001; r=0.29, P=0.001, respectively), so was waist-to-height ratio (WHR) (r=0.57, P=0.001; r=0.70, P=0.001; r=0.33, P=0.001). Homeostatic model assessment for insulin resistance (HOMA-IR) index was associated to BFP, FFM, FMI, and FFMI (r=0.305, P=0.003; r=0.359, P=0.001; r=0.331, P=0.001; r=0.24, P=0.018, respectively). Regression analysis showed chronological age (CA) and BMI z-score affect HOMA-IR (β=0.61, P=0.001; β=0.93, P=0.002, respectively) and CA was considered as a potential risk factor of MetS (Odd ratio of 3.09 and 95 % confidence interval of 1.25–7.65). Conclusion: BIA seems to be a good tools for measuring obesity but not a good tool for predicting complications of obesity in prepubertal children. Further study is needed on the risk factors for complications of obesity in prepubertal children.

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