Individuals with an intellectual disability (ID) have higher rates of obesity, lower rates of physical activity, cardiorespiratory fitness, and muscular endurance than do typically developed individuals (TDI) and are twice as likely to develop chronic disease, living half as long as TDIs do. The purpose of this study was to examine the improvements in physical capacity and functional ability in Special Olympic Athletes (SOAs) aged 19-22 years after participating in a functional training (FT) program and compare these scores with those of the SOAs in a resistance weight training (WT) program. Twenty SOAs (13 men, 7 women with mild to moderate ID) participated in a 1-hour FT program, twice a week, for 10 weeks, compared with 22 same-aged SOAs (14 men, 8 women) participating in a 1-hour WT program (2× week for 8 weeks). Prefitness and postfitness tests consisting of heart rate (HR) for the 3-minute step test, static plank, body weight squats, static bar hang, and knee push-ups were conducted. Two-tailed, paired sample t-tests (p < 0.05) were used to evaluate the differences in the FT group. Change scores were used to compare FTG with the WT group. The HR decreased by 31.8 b·min⁻¹ pre-post in the FTG (p < 0.001). Static plank duration improved by 22.4 seconds in the FTG (p = 0.016); static plank change scores improved (p = 0.037) for the FTG (26.5 ± 32.1 seconds compared with that for the WT group (4.6 ± 22 seconds). Height and weight values were unchanged in both the groups. The results of this study demonstrate the value of FT programs for this population, because weight equipment is not always available in many settings.
In addition to cognitive impairment, young adults with intellectual disabilities (IDs) are also more likely to be in poor health. Exercise may help ameliorate both of these deficits. While the health benefits of exercise are well documented and understood, the cognitive benefits of exercise are emerging. Exercise has been shown to improve the cognitive function of young, old, and diseased populations but few studies have evaluated the effect of exercise training on the cognitive functioning of individuals with IDs. The purpose of this study was to determine the effect of moderate-intensity exercise training on the cognitive function of young adults with IDs. Fourteen students (age, 19.4 ± 1.3 years) with mild to moderate IDs participated in an 8-week comprehensive exercise intervention program based on circuit training, aerobic dancing, and adapted sport activities. Sessions lasted 45 minutes, and intensity was maintained at 60-70% of maximum heart rate (HR(max)). Aerobic fitness was assessed via the Young Men's Christian Association (YMCA) step test, and intellectual functioning was assessed via 3 subtests from the Woodcock-Johnson III Tests of Cognitive Abilities once before and after the intervention. Performance was significantly improved on all 3 cognitive tests (all, p < 0.002). Aerobic fitness also significantly improved (p < 0.002). The mean percent increase in processing speed, a measure taking into account each individual's performance on the 3 subtests, was 103%. The mean individual improvement in aerobic fitness was 17.5%. Moderate-intensity exercise training can yield robust improvements in the cognitive functioning and aerobic fitness of young adults with IDs. These effects support the inclusion of exercise into the lives of young adults with ID to promote their physical and cognitive health. Fourteen students (age, 19.4 ± 1.3 years) with mild to moderate IDs participated in an 8-week comprehensive exercise intervention program based on circuit training, aerobic dancing, and adapted sport activities. Sessions lasted 45 minutes and intensity Powered by Editorial Manager and Preprint Manager from Aries Systems Corporation was maintained at 60-70% of HR(max). Aerobic fitness was assessed via the YMCA step test, and intellectual functioning was assessed via 3 subtests from the Woodcock-Johnson III Tests of Cognitive Abilities once before and after the intervention. Performance was significantly improved on all 3 cognitive tests (all, p < 0.002). Aerobic fitness also significantly improved (p < 0.002). The mean percent increase in processing speed, a measure taking into account each individual's performance on the 3 subtests, was 103%. The mean individual improvement in aerobic fitness was 17.5%. Moderate-intensity exercise training can yield robust improvements in the cognitive functioning and aerobic fitness of young adults with IDs. These effects support the inclusion of exercise into the lives of young adults with ID to promote their physical and cognitive health.
Integrating CBPR with IM was an efficacious approach for engaging firefighters in research for developing an ecological approach to cardiovascular health in firefighters.
Currently, a submaximal protocol is used to measure cardiorespiratory fitness in firefighters by estimating their true aerobic capacity (V[Combining Dot Above]O2max); however, this submaximal test has not been cross-validated among firefighters. Thirty firefighters (85% male, 15% female), completed the submaximal protocol and the maximal (Bruce) treadmill protocol on separate occasions. Pearson's correlation analyses between the submaximal and Bruce protocol revealed a significant moderate positive correlation (r = 0.635, p = 0.005). The range of mean V[Combining Dot Above]O2max values and SDs produced from the submaximal and maximal protocols varied greatly (35.4-50.9 vs. 28.6-58.4 ml·kg·min, and SD of 3.91 vs. 7.22, respectively). The submaximal V[Combining Dot Above]O2 test underestimated the true V[Combining Dot Above]O2max in the majority of firefighters (72.4%) and overestimated the true V[Combining Dot Above]O2max in the remainder of firefighters. Participants with a higher body fat percentage were more likely (p = 0.0157) to have an overestimated true V[Combining Dot Above]O2max than those with a lower-body fat percentage. Our results indicate the current submaximal V[Combining Dot Above]O2 test used to measure cardiorespiratory fitness in firefighters is an improvement over previous protocols. However, our findings also show that the accuracy of this submaximal test for predicting the true V[Combining Dot Above]O2max in firefighters is questionable, and may not identify firefighters who possess substandard cardiorespiratory fitness, particularly in those with a higher percentage of body fat. Thus, the results of this study indicate that improvements to the current Fire Service Joint Management, Wellness & Fitness Initiative (WFI) V[Combining Dot Above]O2 assessment is still needed to accurately reflect the true V[Combining Dot Above]O2max of individual firefighters.
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