Effects of concurrent training on muscle strength in older adults with metabolic syndrome: A randomized controlled clinical trial

Agner, Vania Fernanda Clemente; Garcia, Márcia Teixeira; Taffarel, André Andriolli; Mourão, Camila Baudini; Silva, Isabel Paulo da; Silva, Sara Pereira da; Peccin, Maria Stella; Lombardi, Império

doi:10.1016/j.archger.2017.12.011

Cited by 15 publications

(17 citation statements)

References 26 publications

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“…Therefore, despite youngers, the RT+HIIT revealed a small to moderate effect which might have been limited by the short-term intervention rather than by the age range. Our short-term (12 week) RT+MICT program promoted several metabolic changes in MetS markers that are consistent with previous studies (Robinson et al, 2017;Agner et al, 2018;Banitalebi et al, 2018;Cadore et al, 2018). In contrast, Banitalebi et al (2018) compared the effect of 12-weeks (3 times/week) of RT (16-18 RM to 8-10 RM) with cycling continuous aerobic exercise (16 to 30 min at 60-90% HRmax) in older women and did not found any significant difference in several endocrine outcomes including insulin like growth factor-1, cortisol and insulin profile.…”

Section: Discussionsupporting

confidence: 91%

“…In contrast, Banitalebi et al (2018) compared the effect of 12-weeks (3 times/week) of RT (16-18 RM to 8-10 RM) with cycling continuous aerobic exercise (16 to 30 min at 60-90% HRmax) in older women and did not found any significant difference in several endocrine outcomes including insulin like growth factor-1, cortisol and insulin profile. Similarly, Agner et al (2018) reported no significant change in blood cholesterol and glucose outcomes after 12 weeks (2 sessions/week) of concurrent training (50 min of RT at 40-70% 1RM and 40 min of walking exercises at 70-85% HRmax). Further, in a recent study with high volume, Robinson et al (2017) did not found any improvement in insulin sensitivity after 12 weeks of RT+ MICT (MICT, 30 min at 70% VO 2 peak, 5 day/week; RT, 2-4 sets per exercise, 4 times/week) (Robinson et al, 2017).…”

Section: Discussionmentioning

confidence: 95%

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The Effects of Concurrent Training Combining Both Resistance Exercise and High-Intensity Interval Training or Moderate-Intensity Continuous Training on Metabolic Syndrome

et al. 2020

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To date, there are several knowledge gaps on how to properly prescribe concurrent training to achieve the best dose-response, especially regarding the optimal intensity or volume of the aerobic component. Thus, the objective of this study is to analyze the effects of different aerobic exercise modes and intensities [i.e. aerobic high-intensity interval training (HIIT) versus moderate-intensity continuous aerobic training (MICT) combined with a resistance training (RT) program] on metabolic outcomes in participants with metabolic syndrome (MetS). Thirty-nine men and women (67.0 ± 6.7 years) volunteered to a 12-weeks exercise intervention (3 week −1 , 50 min/session) and were randomly assigned to one of three groups: (a) RT plus MICT (RT+MICT) (2 males; 11 females); (b) RT plus HIIT (RT+HIIT) (4 males; 9 females); and (c) control group (CON)-without formal exercise (4 males; 9 females). Intensity was established between 60 and 70% of maximum heart rate (HRmax) in RT+MICT and ranged from 55-65% to 80-90% HRmax in the RT+HIIT group. Dependent outcomes included morphological, metabolic and hemodynamic variables. Both training groups improved waist circumference (RT+MICT: P = 0.019; RT+HIIT: P = 0.003), but not body weight, fat mass or fat-free mass (P ≥ 0.114). RT+HIIT group improved fasting glucose (P = 0.014), low density lipoprotein [LDL (P = 0.022)], insulin (P = 0.034) and homeostatic model assessment (P = 0.028). RT+MICT group reduced triglycerides (P = 0.053). Both exercise interventions did not change high sensitivity C-reactive protein, glycated hemoglobin, high density lipoprotein and total cholesterol, systolic, diastolic or mean arterial blood pressure (P ≥ 0.05). The CON group reduced the LDL (P = 0.031). This trial suggests that short-term exercise mode and intensity may differently impact the metabolic profile of individuals with MetS. Further, our data suggests that both concurrent trainings promote important cardiometabolic gains,

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 95%

The Effects of Concurrent Training Combining Both Resistance Exercise and High-Intensity Interval Training or Moderate-Intensity Continuous Training on Metabolic Syndrome

et al. 2020

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“…Investigations with similar study design are scarce and the conclusions have been inconsistent. Agner et al (2018) found, after 12-weeks of continuous aerobic CTR intervention, in elderly individuals with metabolic syndrome and high CVD, a trend of improvement in the PF, RP, BP, V and MH, although not statistically significant. Burich, R. et al (2015), who also submitted elderly participants to a 12-weeks of continuous aerobic CTR, found an improvement of 11% in the GH dimension (P < 0.001), which is close to the significant improvement of 14% observed in our study by the CT group participants.…”

Section: Discussionmentioning

confidence: 72%

“…while some studies have observed positive associations between CTR and HRQoL in patients with type 2 diabetes mellitus (DM2) (Myers et al, 2013) and in heart failure (Gary et al, 2012;Jewiss et al, 2016), others did not found any gains in individuals with metabolic syndrome (Agner et al, 2018).…”

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Background -The purpose of this study is to analyze the effects of high intensity exercise on health-related quality of life in middle-aged and elderly people with diagnosed cardiovascular risk. Methods -39 men and women (67.0 ± 6.7 years-old) were randomly assigned to 3 groups: a) Group 1 (CT) included strength training and continuous aerobic training; b) Group 2 (HIT) included strength training and high intensity interval aerobic training; c) Control Group (CON) included participants without formal physical exercise. Intervention lasted for 12 weeks (3 sessions/week, and 50 minutes/session). CT group used 60-70% of maximal heart rate (HRmax), while HIT group alternated between 55-65% and 80-90% HRmax. The health-related quality of life (HRQoL) was assessed using the questionnaire Medical Outcomes Short Form Health Survey 36 (SF-36). Results -CT group improved general health (P = 0.031), while HIT group improved social functioning (P = 0.022), Physical Component Score (P = 0.042) and SF-36 Total (P = 0.032). CON group did not change HRQoL (P > 0.05). Conclusion -The high intensity interval training was the most effective to improve HRQoL, although some positive changes observed also after the continuous training, in middle-aged and elderly adults with diagnosed cardiovascular risk.

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“…Estudos epidemiológicos e de coorte têm demonstrado forte associação entre obesidade e inatividade física, assim como tem sido relatada associação inversa entre atividade física, índice de massa corpórea, razão cintura-quadril e circunferência abdominal (Agner et al, 2018;Morales-Palomo et al, 2019). Esses estudos demonstraram os benefícios do exercício sobre a obesidade que podem ser alcançados com intensidade baixa, moderada ou alta, indicando que a manutenção de um estilo de vida ativo, independente de qual atividade praticada, pode evitar o desenvolvimento dessa doença (Agner et al, 2018;Morales-Palomo et al, 2018).…”

Section: Introductionunclassified

Efeito do exercício físico sobre o lipidograma, força muscular e índice antropométrico de pacientes com síndrome metabólica: Uma revisão sistemática

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Faria

Monte

et al. 2021

RSD

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Objetivo: Determinar se a realização de exercícios físicos agudos e crônicos produz alterações significativas nos componentes metabólicos e cardiovasculares, sobretudo no perfil lipídico de indivíduos com diagnóstico de síndrome metabólica (SM). Métodos: Busca realizada em periódicos indexados nas bases de dados eletrônicas MEDLINE/PUBMED, LILACS e SCIELO sobre os efeitos dos exercícios isométricos em indivíduos com SM. Os critérios de inclusão dos estudos analisados foram: estudos publicados entre 2010 e 2020; estudos publicados em inglês e português (sendo a última em revistas indexadas); amostra de indivíduos com idade superior a 40 anos; presença de alteração do perfil lipídico dos participantes; avaliação do perfil lipídico por aparelhos de mesa e/ou portáteis e artigos originais. Resultados: Dentre os estudos encontrados nessa revisão, 12 artigos contemplaram aos critérios propostos. Os exercícios aeróbicos foram mais recorrentes presente em 5 estudos, seguido pelo exercício combinado com aeróbico e treinamento de força totalizando 4 artigos, além de mostrarem diminuição nos parâmetros relacionados a SM, especialmente no lipidograma. Ademais, evidências sugerem que a associação entre uma dieta com restrição calórica e exercícios combinados são ferramentas primordiais para redução dos parâmetros da SM. Conclusão: Evidências sugerem que o exercício físico exerce diversos efeitos positivos sistêmicos ao indivíduo com síndrome metabólica; principalmente idosos por meio do fortalecimento muscular, coordenação corporal, redução de quedas, otimização do desempenho cardiorrespiratório, entre outras.

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Effects of concurrent training on muscle strength in older adults with metabolic syndrome: A randomized controlled clinical trial

Cited by 15 publications

References 26 publications

The Effects of Concurrent Training Combining Both Resistance Exercise and High-Intensity Interval Training or Moderate-Intensity Continuous Training on Metabolic Syndrome

The Effects of Concurrent Training Combining Both Resistance Exercise and High-Intensity Interval Training or Moderate-Intensity Continuous Training on Metabolic Syndrome

Untitled

Efeito do exercício físico sobre o lipidograma, força muscular e índice antropométrico de pacientes com síndrome metabólica: Uma revisão sistemática

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