Effect of aerobic exercise alone or combined with Mediterranean diet on dry eye in obese hypertensive elderly

Abstract

Background Lifestyle modification is a newly recommended complementary treatment for dry eye (DE) disorder. Objective To investigate the effect of a 6-month high-intensity interval aerobic exercise (HIIAE) (conducted 30 min, 3 times weekly) alone or combined with a caloric-restriction approach, the Mediterranean diet (MD), on DE parameters in obese hypertensive elderly. The design, settings, participants, and intervention This is a randomized controlled trial included sixty obese hypertensive elderly with DE based on university-based hospital recruitment. Elderly were randomly assigned to the experimental group (n = 30 elderly received HIIAE plus MD) and control group (n = 30 elderly received only HIIAE). Besides anthropometry (abdominal circumference, body weight, and body mass index) and blood pressure (measured in systole and diastole), DE parameters (tear film break-up time, DE scoring system, ocular surface disability index questionnaire, Schirmer’s test, and Oxford grading system) were evaluated. Results Significant improvements in anthropometry, blood pressure, and DE parameters were higher in the experimental group than in the control group. Conclusion Aging-related DE symptoms and signs can be prevented and/or treated with HIIAE alone or combined with MD in obese hypertensive elderly with DE disorder.

Exercise May Keep an Eye on Dry Eye Induced by Metabolic Syndrome

“…This suggestion is consistent with a few human studies that showed a promising role for AE in the prevention or treatment of DE and DE-associated low quality of life ( Ismail et al, 2023 ; Kawashima et al, 2014b ; Sano et al, 2018 ), in addition to the evidence-based positive response of tear secretion to AE in diabetic rats ( Sano et al, 2014 ).…”

“…One treatment option for MeTs-associated DE may be aerobic exercise (AE), which is advised by healthcare nurses to improve OS, boost antioxidant status, and reduce systemic inflammation in MeTs patients. This is especially true given the ineffectiveness of DE medications in treating DE symptoms ( Ismail et al, 2023 ).…”

Effectiveness of Nurse-led Lifestyle Modification Intervention on Obesity Among Young Women in India

“…In addition to this finding, Digenio et al (2009) reported that a high-frequency face-face lifestyle modification counselling showed significant improvements in high-density lipoprotein cholesterol and triglyceride levels, waist circumference, measures of quality of life and weight-related symptoms. Likewise, a six-month high-intensity interval aerobic exercise that was conducted for 30 min three times daily with a caloric restriction and the Mediterranean diet significantly reduced the BMI and blood pressure ( Ismail et al, 2023 ).…”

Erectile dysfunction and metabolic syndrome components in obese men with psoriasis: response to a 12-week randomized controlled lifestyle modification program (exercise with diet restriction)

“…To start the low-calorie diet, the value of BMR was subtracted from 500 kilocalories per day [ 13 ]. Besides fruits (such as peach, apple, pear, strawberries, plum, guava, and pineapple) and vegetables, macronutrients (20–30% fats, 10–15% proteins, and 55–65% carbohydrates) formed the 3-meal diet plan daily [ 13 , 14 ]. To monitor the adherence of psoriatic men with MeTS and ED to the introduced energy restriction program, the low-calorie diet was reviewed weekly through a face-to-face interview.…”