Abstract 18838: The Impacts of Burst Exercise Compared to Sustained Exercise on the Cardiometabolic Status and Exercise Behavior of Newly Diagnosed Type 2 Diabetic Patients

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Avinash Pandey ◽  
Paul Poirier
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
High Intensity ◽  
Intervention Group ◽  
Exercise Adherence ◽  
Newly Diagnosed ◽  
Target Heart Rate ◽  
Cardiopulmonary Fitness ◽  
Low Intensity

Introduction: Physical activity is an integral part of type 2 diabetes (NIDDM) rehabilitation. Historically, NIDDM rehabilitation has employed low intensity, sustained exercise. Recent studies have demonstrated cardiometabolic benefits of high intensity burst exercise in healthy volunteers. The impacts of burst exercise in NIDDM have yet to be assessed. This study compared the impacts of burst and sustained exercises on cardiometabolic factors including: BMI, exercise adherence, cardiopulmonary fitness, HbA1C and lipid profiles in newly diagnosed NIDDM. Hypothesis: High-intensity burst physical activity may yield greater cardiometabolic benefits than low intensity, sustained exercise. Methods: This was a single center, single blind randomized trial. 76 patients, within three months of diagnosis of NIDDM, were recruited. Patients were randomized to a control group prescribed 30 minutes of exercise five days a week at 65% of target heart rate or an intervention group prescribed ten minutes of exercise three times a day, five days a week at 85% of target heart rate. All patients underwent routine blood tests, stress tests and logged exercise duration and frequency in logbooks. Patients were excluded from the study if they had evidence for diabetic end organ damage or cardiovascular disease, or took medications which would impact the cardiometabolic parameters assessed in this study. Results: Of 225 patients screened, 76 patients were recruited for the study with an average age of 67; 70% were male. No significant differences in demographics were noted between groups. Patients prescribed the burst regimen exercised 27% more than the control (p<0.01). Burst exercise patients also showed a 2.3 fold greater improvement in HbA1c (p<0.01). The intervention group also improved more in their lipid profile, BMI and cardiopulmonary fitness (as measured by stress testing). Linear regression analysis revealed greater improvements in both HbA1C and BMI with burst exercise than with sustained exercise, for the same duration of exercise. Conclusions: The burst exercise regimen significantly improved the cardiometabolic and fitness status of newly diagnosed NIDDM. This regimen may represent a simple and effective way to improve diabetes rehabilitation.

scholarly journals Influence of physical activity on periodontal health in patients with type 2 diabetes mellitus. A blinded, randomized, controlled trial

2021 ◽  
Author(s):  
K. Wernicke ◽  
J. Grischke ◽  
M. Stiesch ◽  
S. Zeissler ◽  
K. Krüger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Periodontal Health ◽  
Randomized Controlled ◽  
Hba1c Levels

Abstract Objectives The aim was to investigate the effect of physical activity on periodontal health and HbA1c levels in patients with type 2 diabetes mellitus (T2DM) over a period of 6 months. Materials and methods Thirty-seven patients with non-insulin-dependent T2DM were included in the study. The intervention group (n=20) performed physical activity over a period of 6 months. The control group (n=17) did not receive any intervention. Baseline and final examinations included dental parameters and concentrations of glycosylated hemoglobin (HbA1c) and high-sensitivity C-reactive protein (hsCRP). Results Physical activity showed a positive effect on periodontal health. Both the BOP (p= 0.005) and the severity of periodontitis (p= 0.001) were significantly reduced in the intervention group compared to the control group. Furthermore, HbA1c levels were reduced (p= 0.010) significantly in the intervention group while hsCRP levels significantly increased in the control group (p= 0.04). Conclusions Within the limitations of this randomized, controlled trial, physical activity over a period of 6 months is a health-promoting measure for patients with T2DM and improves both periodontal health and HbA1c concentrations.

scholarly journals It’s about Time: Effects of Physical Exertion on Duration Estimates

2019 ◽  
Vol 4 (1) ◽  
pp. 6
Author(s):  
Britton W. Brewer ◽  
Lawrence O. Schwartz ◽  
Allen E. Cornelius ◽  
Judy L. Van Raalte ◽  
Edmundo L. Urbina ◽  
...  
Keyword(s):  
Physical Activity ◽  
High Intensity ◽  
Perceived Exertion ◽  
Physical Exertion ◽  
Fundamental Aspect ◽  
Time Effects ◽  
Task Duration ◽  
Low Intensity ◽  
D Values ◽  
And Task

Background: Task duration is a fundamental aspect of exercise, but little is known about how completed bouts of physical activity are perceived. Consequently, the purpose of the five experiments conducted for this investigation was to examine the effects of engaging in physical tasks on retrospective duration estimates with college student participants. Methods: Across the five experiments, participants were 113 college students (82 women, 31 men). In Experiments 1 and 2, participants provided duration estimates of a period spent engaging in physical activity or rest. In Experiments 3, 4, and 5, participants provided duration estimates of periods spent engaged in physical tasks of high intensity and low intensity. Results: In Experiments 1, 2, and 3, participants engaged in physical activity tended to perceive durations as shorter than participants at rest. When completing less familiar tasks (Experiments 4 and 5), however, participants recalled a high intensity bout of physical activity as lasting longer than a low intensity bout of physical activity of comparable duration. Cohen’s d values for physical activity effects on duration estimates ranged from 0.40 to 1.60. Conclusion: The findings, which partially support a contextual-change interpretation, suggest that factors, such as perceived exertion and task familiarity, affect retrospective duration estimates.

Controlled 5-mo aerobic training improves heart rate but not heart rate variability or baroreflex sensitivity

2000 ◽  
Vol 89 (5) ◽  
pp. 1825-1829 ◽  
Author(s):  
Antti Loimaala ◽  
Heikki Huikuri ◽  
Pekka Oja ◽  
Matti Pasanen ◽  
Ilkka Vuori
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Exercise Training ◽  
High Intensity ◽  
Baroreflex Sensitivity ◽  
Aerobic Training ◽  
Control Group ◽  
Resting Heart Rate ◽  
Endurance Time ◽  
Low Intensity

Endurance-trained athletes have increased heart rate variability (HRV), but it is not known whether exercise training improves the HRV and baroreflex sensitivity (BRS) in sedentary persons. We compared the effects of low- and high-intensity endurance training on resting heart rate, HRV, and BRS. The maximal oxygen uptake and endurance time increased significantly in the high-intensity group compared with the control group. Heart rate did not change significantly in the low-intensity group but decreased significantly in the high-intensity group (−6 beats/min, 95% confidence interval; −10 to −1 beats/min, exercise vs. control). No significant changes occurred in either the time or frequency domain measures of HRV or BRS in either of the exercise groups. Exercise training was not able to modify the cardiac vagal outflow in sedentary, middle-aged persons.

Physical-work ability and chronic musculoskeletal complaints are related to leisure-time physical activity: Cross-sectional study among manual workers aged 50–70 years

2019 ◽  
Vol 47 (3) ◽  
pp. 375-382 ◽  
Author(s):  
Kristoffer L. Norheim ◽  
Afshin Samani ◽  
Jakob Hjort Bønløkke ◽  
Øyvind Omland ◽  
Pascal Madeleine
Keyword(s):  
Physical Activity ◽  
Work Ability ◽  
High Intensity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Physical Work ◽  
Musculoskeletal Complaints ◽  
Low Intensity ◽  
Intensity Physical Activity ◽  
Physical Work Ability

Aims: To investigate the associations between both high- and low-intensity leisure-time physical activity on physical-work ability and chronic musculoskeletal complaints among manual workers aged 50–70 years. Methods: In this cross-sectional study, 1763 manual workers (mean age 57.1, SD ± 4.7 years) replied to questions about leisure-time physical activity, physical-work ability, chronic musculoskeletal complaints as well as health and lifestyle factors. Ordinal and binomial logistic regression models were constructed to assess the influence of the duration of both low- and high-intensity physical activity on physical-work ability and chronic musculoskeletal complaints, respectively. Models were adjusted for gender, age, smoking, alcohol intake, body mass index, physical-work demand, work experience, chronic disease and, regarding physical-work ability, also for chronic musculoskeletal complaints. Results: A statistically significant association between greater physical-work ability and high-intensity physical activity was found for workers engaged in 3–4 h/wk and ⩾ 5 h/wk (OR 1.59, 95% CI 1.15–2.19 and OR 1.56, 95% CI 1.10–2.22, respectively). For both high- and low-intensity physical activity, a duration of 3–4 h/wk was associated with lower odds of reporting chronic musculoskeletal complaints in the knees (OR 0.65, 95% CI 0.42–1.00 and OR 0.61, 95% CI 0.38–0.99, respectively). Conclusions: Engaging in ⩾ 3 h/wk of high-intensity leisure-time physical activity was associated with greater physical-work ability among manual workers aged 50–70 years. Both high- and low-intensity physical activity related to lower odds of having chronic musculoskeletal complaints in the knees.

Perceptions of the Heart-Rate Guide

1998 ◽  
Vol 87 (1) ◽  
pp. 315-320
Author(s):  
Avery D. Faigenbaum ◽  
Joseph Ciccolo ◽  
Joseph R. Libonati
Keyword(s):  
Physical Activity ◽  
College Students ◽  
Heart Rate ◽  
Self Report ◽  
Moderate Intensity ◽  
Target Heart Rate ◽  
Heart Rates ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity ◽  
Do So

Preliminary assessment was made concerning perceptions of the newly developed bean-rate guide, devised as an educational tool to promote physical activity. Unlike the traditional target heart-rate chart, the heart-rate guide illustrates the value of low to moderate intensity physical activity. Following a brief lecture about the Surgeon General's report on physical activity and health and the usefulness of heart-rate charts and guides, 120 college students ( M age 21.5 ± 2.8 yr.) completed a self-report survey consisting of statements regarding their use of target heart rates during exercise and their perceptions of the new heart-rate guide as compared to the traditional heart-rate chart. 83% of the subjects reported that the new guide better illustrated the findings from the Surgeon General's report, 5% reported no difference between the guide and the chart, and 12% reported that the chart better illustrated the report's findings ( p<.01). 48% never measure their heart rates when they exercise, 48% sometimes measure their heart rates and 4% always do so ( p< 01). While the new guide should not replace the traditional chart, these results suggest that college students perceive the heart-rate guide as a useful tool despite the fact that only a small percentage of students regularly measure their heart rates when they exercise.

Effects of Bout Duration on Players’ Internal and External Loads During Small-Sided Games in Young Soccer Players

2017 ◽  
Vol 12 (10) ◽  
pp. 1370-1377 ◽  
Author(s):  
Yusuf Köklü ◽  
Utku Alemdaroğlu ◽  
Hamit Cihan ◽  
Del P. Wong
Keyword(s):  
Heart Rate ◽  
High Intensity ◽  
Perceived Exertion ◽  
Young Male ◽  
Rating Of Perceived Exertion ◽  
Soccer Players ◽  
Moderate Intensity ◽  
Low Intensity ◽  
Playing Time ◽  
External Loads

Purpose: To investigate the effects of different bout durations on internal and external loads of young soccer players during different small-sided games (SSGs). Methods: Fifteen young male soccer players (average age 17 ± 1 y) participated in 2 vs 2, 3 vs 3, and 4 vs 4 SSGs. All games lasted 12 min playing time in total, but each SSG format further consisted of 4 bout durations: continuous (CON: 1 bout × 12 min) or interval with short (SBD: 6 bouts  × 2 min), medium (MBD: 3 bouts × 4 min), or long (LBD: 2 bouts × 6 min) bout durations. During the SSGs, heart-rate (HR) responses and distance covered in different speed zones (walking and low-intensity, moderate-intensity, and high-intensity running) were measured. Rating of perceived exertion (RPE) and blood lactate (La−) were determined at the end of each SSG. Results: The SBD format elicited significantly lower %HRmax responses compared to LBD and CON in all formats (P < .05). The SBD format also showed significantly shorter distances covered in walking and greater distances covered in moderate-intensity running, as well as significantly greater total distance covered compared to LBD and CON in all formats (P < .05). In addition, LBD produced significantly lower La− and RPE responses than SBD and CON in all formats (P < .05). Conclusions: These results suggest that coaches and sport scientists who want to achieve higher internal loads could use SBD and CON timing protocols, while those who want to achieve higher external loads might prefer to use SBD and MBD when planning all SSG formats.

scholarly journals P356 A comparison of innovative strategies to promote engagement with an IBD patient portal

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S376-S377
Author(s):  
S Carlson ◽  
S McCartney ◽  
P Harrow
Keyword(s):  
Patient Satisfaction ◽  
Patient Engagement ◽  
High Intensity ◽  
Intervention Group ◽  
Patient Portal ◽  
Healthcare Outcomes ◽  
Patient Portals ◽  
Quality Of Data ◽  
Low Intensity ◽  
Patient Reported

Abstract Background Patient portals are available on most major electronic health record (EHR) platforms and present many opportunities to improve patient engagement with services, the quality of data captured and therefore healthcare outcomes and patient satisfaction. Our centre looks after 5100 patients with IBD. We recently adopted the EPIC Systems patient portal MyChart which allows patients to view results, letters and complete patient reported outcomes (PRO). At baseline, few patients were registered for this platform. Our aim was to compare patient engagement with MyChart using a low and higher cost approach and to evaluate patient satisfaction with the platform. Methods 160 consecutive patients were invited to join MyChart between September and October 2020. The low-intensity intervention group were invited to join MyChart via a standardised email without further communication. Newly registered patients and active patients were sent a portal message with disease-specific PRO questionnaire 7 days prior to clinic (HBI, SCCAI and IBD Control). Patients in the high-intensity intervention group received a telephone reminder to encourage completion at each step, which took on average 2 minutes, in addition to email. Engagement with the platform was measured prospectively. After clinic a patient-experience questionnaire was sent to all patients who signed up to the platform. Results 72 patients were included in the low intensity group and 88 in the high intensity group. At baseline only 33% patients were already signed up to MyChart. Significantly more patients newly registered with the patient portal following the high intensity intervention compared to the low (75% vs. 30%, p &lt;0.0001). Overall, patients in the high intensity group were significantly more likely to complete the PRO compared to the low (53% vs. 28%, p=0.002). Patients already registered were 5 times more likely to complete the PRO in the high intensity group compared to low (p=0.017). Platform engagement was not significantly impacted by gender or ethnicity. There was a trend toward lower engagement in patients over 65. 63 patients provided feedback. 87% found MyChart easy to use and 94% said they would complete the PRO questionnaires again. Conclusion In our patient cohort, a higher intensity strategy significantly increased patient registration and engagement with a new patient portal at a minimal cost of time and resource. Healthcare providers can facilitate patient engagement with patient portals and overcome barriers to adoption to unlock transformative opportunities for better quality IBD care, disease monitoring and population-based research.

The Relationships Between External and Internal Workloads During Basketball Training and Games

2020 ◽  
Vol 15 (8) ◽  
pp. 1081-1086
Author(s):  
Jordan L. Fox ◽  
Cody J. O’Grady ◽  
Aaron T. Scanlan
Keyword(s):  
Heart Rate ◽  
High Intensity ◽  
Perceived Exertion ◽  
Movement Analysis ◽  
Rating Of Perceived Exertion ◽  
Large Games ◽  
Workload Management ◽  
Low Intensity ◽  
Medium Intensity ◽  
Selection Of

Purpose: To investigate the relationships between external and internal workloads using a comprehensive selection of variables during basketball training and games. Methods: Eight semiprofessional, male basketball players were monitored during training and games for an entire season. External workload was determined as PlayerLoad™: total and high-intensity accelerations, decelerations, changes of direction, and jumps and total low-intensity, medium-intensity, high-intensity, and overall inertial movement analysis events. Internal workload was determined using the summated-heart-rate zones and session rating of perceived exertion models. The relationships between external and internal workload variables were separately calculated for training and games using repeated-measures correlations with 95% confidence intervals. Results: PlayerLoad was more strongly related to summated-heart-rate zones (r = .88 ± .03, very large [training]; r = .69 ± .09, large [games]) and session rating of perceived exertion (r = .74 ± .06, very large [training]; r = .53 ± .12, large [games]) than other external workload variables (P < .05). Correlations between total and high-intensity accelerations, decelerations, changes of direction, and jumps and total low-intensity, medium-intensity, high-intensity, and overall inertial movement analysis events and internal workloads were stronger during training (r = .44–.88) than during games (r = .15–.69). Conclusions: PlayerLoad and summated-heart-rate zones possess the strongest dose–response relationship among a comprehensive selection of external and internal workload variables in basketball, particularly during training sessions compared with games. Basketball practitioners may therefore be able to best anticipate player responses when prescribing training drills using these variables for optimal workload management across the season.

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