Necessity of Structured Exercise Training Program and Its Feasability on Physical Capacity and Health Statuswith Post COVID-19 Syndrome Patients

Abstract: Corona virus Disease 2019 (COVID-19) has spread worldwide and has become a global public health emergency. The World Health Organization declared the outbreak a pandemic. Pulmonary Rehabilitation has shown good impact on Quality of life , Functional capacity and health status of patients with Chronic Respiratory Disease Recently there are various guidelines and consensus available for Pulmonary Rehabilitation in Post – COVID patients that has been extrapolated from other respiratory condition. There is paucity of literature that has shown the effect of Exercise training program on Physical capacity and Health status of patient with Post COVID 19 syndrome. So the present study uses the available evidence on COVID 19 patients to prepare the exercise program and implement it on post COVID syndrome patients.Thus, the aim of this study is to evaluate the effect of supervised Exercise Training Program on Post COVID-19 syndrome patients Methodology: In this experimental study total 70 patients with Post Covid Syndrome will be included and they will be equally divided into two groups. Group A will receive supervised exercise training, while Group B will receive unsupervised exercise training. Participant will be evaluated at the beginning of therapy or after 6 weeks. Discussion: This study is conducted to evaluate effectiveness of structured exercise training program and its feasibility on physical capacity and health status of patients with Post COVID19 syndrome. Conclusion: Its effectiveness of a structured exercise program and its feasibility on physical capacity and health status of patients with Post COVID19 syndrome will be evaluated.

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Impact of a 12-week supervised exercise program on weight loss trajectory, daily physical activity levels and sedentary behaviors after bariatric surgery

European Heart Journal ◽

10.1093/eurheartj/ehab724.2605 ◽

2021 ◽

Vol 42 (Supplement_1) ◽

Author(s):

C Lemieux-Simard ◽

M Pettigrew ◽

A Auclair ◽

M E Piche ◽

L Biertho ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Exercise Training ◽

Training Program ◽

Sedentary Time ◽

Exercise Program ◽

Standard Of Care ◽

Supervised Exercise ◽

Exercise Training Program ◽

Supervised Exercise Program

Abstract Background The evidence suggests that physical activity (PA) following bariatric surgery can enhance weight loss and other metabolic outcomes. However, most individuals with severe obesity are insufficiently active, and without support, fail to make substantial increases in their daily PA levels postoperatively. Purpose The aim of this study was to investigate the effectiveness of a 12-week supervised exercise program on daily PA levels, sedentary time, and on maintenance of the weight loss trajectory following bariatric surgery. Methods Fifty-nine individuals with severe obesity (body mass index [BMI] ≥40 or ≥35 kg/m2 with comorbidities) eligible for bariatric surgery were randomly assigned (1:2) to either standard of care (CG, n=19) or a 12-week supervised exercise program (ExG, n=40). Daily PA levels and sedentary time were assessed using an armband accelerometer worn over a 3-day period (2 week-day and 1 weekend day). Body weight, body fat and fat-free mass were assessed using bioelectrical impedance balance. The exercise training program (60 min, 3 times per week for 12 weeks) started 3 months after the bariatric surgery and was supervised by a certified clinical exercise physiologist. Daily PA levels, sedentary time and anthropometric measurements were obtained preoperatively, and at 3, 6 and 12 months after bariatric surgery. Results Age of participants was 42±12 years, BMI was 46±6 kg/m2, and 76% were women. Before the exercise training program, PA parameters (daily PA levels, sedentary time and moderate to vigorous intensity PA [MVPA] were comparable between groups. Following the exercise training program, the ExG showed a significant reduction in sedentary time (753±113 to 721±88 min/day), an increase in daily PA levels (4544±1863 to 5853±3101 steps/day) and in MVPA levels (18.8±25.1 to 30.5±38.1 min/day). Further increase in daily MVPA levels were observed at the 12 months follow-up visit (p=0.05). In the standard of care group, changes in PA parameters were also comparable to those in the ExG. All anthropometric measurements indicate statistically significant changes postoperatively, after the intervention and up to 12 months follow-up (p<0.001) without showing any difference between groups. Anthropometric changes up to 12 months follow-up show, respectively for CG and ExG, a total weight loss of 37.8±9.3% and 38.4±10.3%, a body fat reduction of 60.4±13.7% and 61.9±15.2% and fat-free mass loss of 16.6±5.4% and 15.1±7.9%. Conclusion This study shows that bariatric surgery candidates have low PA levels and rarely engage in MVPA. We found no additional effect to the standard of care treatment of a postoperative 12-week supervised exercise training program on weight loss trajectory, daily PA levels and sedentary behaviors. FUNDunding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Canadian Institutes of Health Research (CIHR)Institut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval (IUCPQ - UL)

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Necessity of structured exercise training program and its feasibility on physical capacity and health status with post COVID-19 syndrome patients

10.21203/rs.3.pex-1541/v1 ◽

2021 ◽

Author(s):

Ruhi kumbhare ◽

VISHNU VARDHAN

Keyword(s):

Health Status ◽

Pulmonary Rehabilitation ◽

Virus Disease ◽

Exercise Program ◽

Well Being ◽

World Health ◽

Global Public Health ◽

Chronic Respiratory Diseases ◽

Fitness And Health ◽

Health Organization

Abstract Corona virus disease 2019 (COVID-19) is widespread and has become a global public health emergency. The disease's outbreak was recently announced by the World Health Organization. Pulmonary Rehabilitation has been shown to improve patients' quality of life, function, and well-being with Chronic Respiratory Diseases Recently there have been various guidelines and consensus available for Pulmonary Rehabilitation in Post - COVID patients who have been discharged from other respiratory conditions. There is a limited number of literatures on the effect of exercise program on physical fitness and health status of patients with Post COVID 19 syndrome. The current study therefore uses the available evidence in COVID 19 patients to modify an exercise program and apply it to patients with COVID syndrome. The Central Trial Registry of India (CTRI) registration number for this trial is REF/2021/06/044205.

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Managing Substance Use Disorder through a Walking/Running Training Program

Substance Abuse Research and Treatment ◽

10.1177/1178221820936681 ◽

2020 ◽

Vol 14 ◽

pp. 117822182093668 ◽

Cited By ~ 1

Author(s):

Chia-Liang Dai ◽

Ching-Chen Chen ◽

George B Richardson ◽

Howard R. D. Gordon

Keyword(s):

Substance Use ◽

Training Program ◽

Substance Use Disorder ◽

Sense Of Belonging ◽

Exercise Program ◽

Perceived Barriers ◽

Finish Line ◽

Supervised Exercise ◽

Exercise Training Program ◽

Supervised Exercise Program

While emerging studies have demonstrated the benefit of exercise in Substance Use Disorder (SUD) recovery outcomes, lack of motivation to engage in exercise has been indicated as one of many perceived barriers that contribute to low recruitment and adherence rates in SUD treatment. The current study aimed to explore participants’ perceptions of attending a supervised exercise program (boot camp workouts, walking/running practice, and a race event) while in treatment for SUD. A total of 109 participants were recruited to a 14-week exercise training program and 61 chose to participate in, and completed, a race at the close of the program. Interviews were conducted during weeks 6 through 14 and data were examined using Thematic Analysis. Three main themes were identified: (1) pushing forward recovery through running, (2) gaining a sense of achievement by crossing the finish line, and (3) building a sense of belonging in the program. Implications for SUD recovery programs are discussed.

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P2497Exercise training could reduce inflammatory activity of visceral adipose tissue in overweight women

European Heart Journal ◽

10.1093/eurheartj/ehz748.0826 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

K Pahk ◽

H W Kwon ◽

J S Eo ◽

H S Seo ◽

W Kim ◽

...

Keyword(s):

Adipose Tissue ◽

Exercise Training ◽

Training Program ◽

Fdg Pet ◽

Exercise Program ◽

Inflammatory Activity ◽

Exercise Training Program ◽

Pet Ct ◽

Fdg Pet Ct ◽

Visceral Adipose

Abstract Objectives Visceral adipose tissue (VAT) plays pivotal roles for an increased risk of cardiometabolic disease through triggering inflammatory process. This prospective study aimed to evaluate whether the exercise training could reduce inflammatory activity of VAT assessed by 18F-fluorodeoxyglucoase (FDG) positron emission tomography-computerized tomography (PET/CT). Methods Twenty-three overweight women who participated in exercise training program were included. Exercise training program was composed of aerobic exercise (45 min/session, 300 Kcal/day) and muscle strength training (20 min/session, 100 Kcal/day) 5 times per week for 3 months. They underwent F-18 FDG PET/CT before starting exercise program (baseline) and after completion of 3 months exercise program. Anthropometric data, clinical laboratory data, VAT area, and maximum standardized uptake value (SUVmax) of VAT were compared between baseline and after completion of the total exercise program. Results Baseline VAT SUVmax showed significant correlation with body weight, body mass index (BMI), waist circumference, and hip circumference. VAT SUVmax was significantly reduced by exercise training program. Exercise training program also reduced body weight, BMI, waist circumference, hip circumference, VAT area, subcutaneous adipose tissue area and blood pressure. The change of VAT SUVmax was significantly higher than the change of VAT area. Conclusions Exercise training could reduce the inflammatory activity of VAT assessed by F-18 FDG PET/CT. Thus, exercise would be a promising non-pharmacological strategy to reduce inflammatory activity of VAT. Furthermore, F-18 FDG PET/CT could be useful to evaluate the effect of therapeutic intervention targeted to inflammatory VAT activity.

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