Exercise Training as a Treatment for Cardiometabolic Risk in Sedentary Adults: Are Physical Activity Guidelines the Best Way to Improve Cardiometabolic Health? The FIT-AGEING Randomized Controlled Trial

Amaro‐Gahete, Francisco J.; De-la-O, Alejandro; Martínez-Téllez, Borja; Ruiz, Jonatan R.; Castillo, Manuel J.

doi:10.3390/jcm8122097

Cited by 22 publications

(39 citation statements)

References 51 publications

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“…However, subjects trained with WB-EMS did not lose more fat mass than with diet alone, suggesting that metabolic benefits of WB-EMS are primarily attributable to maintenance of muscle mass during food intake restriction [10,11,33]. These findings are also in line with previous studies on WB-EMS in elderly individuals with sarcopenic obesity [10][11][12][13], whilst should be confirmed by estimations of fat-free mass more appropriate than those we obtained with DSM-BIA.…”

Section: Discussionsupporting

confidence: 90%

“…Whole-body electromyostimulation (WB-EMS) technique received attention in recent years as an enhanced version of local EMS, with some key features such as time-efficiency and high degree of individualization, which can be attractive in patients who are unwilling to exercise conventionally [9]. Some evidence suggests that supervised resistance-training programs using WB-EMS can improve cardiometabolic outcomes in untrained individuals [10][11][12][13], mostly driven by modifications in body composition. This is also in line with current knowledge suggesting that even resistance training -and not only aerobic exercise -can be effective in improving glycemic control and dyslipidemia in subjects with prediabetes [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Whole-body Electromyostimulation plus Caloric Restriction in Metabolic Syndrome

et al. 2020

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We investigated early effects of Whole-Body Electromyostimulation added to hypocaloric diet on metabolic syndrome features in sedentary middle-aged individuals. We randomly assigned 25 patients to Whole-Body Electromyostimulation plus caloric restriction or caloric restriction alone for 26 weeks. Anthropometrics, blood pressure, fasting glucose and insulin, HOMA-IR, glycated hemoglobin, lipids, uric acid, creatinphosphokynase, C-reactive protein were assessed. Body composition was evaluated with direct-segmental, multi-frequency Bioelectrical Impedance Analysis. Both groups lost approximately 10% of weight, with similar effects on waist circumference and fat mass. Change in free-fat mass was significantly different between groups (caloric restriction −1.5±0.2 vs. Whole-Body Electromyostimulation plus caloric restriction +1.1±0.4 kg, p=0.03). Whole-Body Electromyostimulation plus caloric restriction group experienced greater percent reductions in insulin (−45.5±4.4 vs. −28.2±3.6%, p=0.002), HOMA-IR (–51.3±3.2 vs. –25.1±1.8%, p=0.001), triglycerides (−22.5±2.9 vs. −4.1±1.6%, p=0.004) and triglycerides/HDL (p=0.028). Subjects trained with Whole-Body Electromyostimulation had also significant improvement in systolic pressure (138±4 vs. 126±7 mmHg, p=0.038). No discontinuations for adverse events occurred. In middle-aged sedentary subjects with the metabolic syndrome, Whole-Body Electromyostimulation with caloric restriction for 26 weeks can improve insulin-resistance and lipid profile compared to diet alone. Further studies are needed to ascertain long-term efficacy and feasibility of this approach in individuals with the metabolic syndrome.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Whole-body Electromyostimulation plus Caloric Restriction in Metabolic Syndrome

et al. 2020

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Section: Discussionmentioning

confidence: 99%

“…Concurrent training has also been proposed as an excellent method to improve cardiometabolic health through the management of glycemic and lipid profile as well as BP ( Kelley and Kelley, 2009 ; Cornelissen et al, 2011 ; Umpierre et al, 2011 ; Greene et al, 2012 ; Mann et al, 2014 ; Álvarez et al, 2019 ; Amaro-Gahete et al, 2019b ). In the present study, BP and the CV risk Z-Score decreased in the concurrent training group, which concurs with the results of other studies involving similar concurrent training interventions ( Kelley and Kelley, 2009 ; Cornelissen et al, 2011 ; Umpierre et al, 2011 ; Greene et al, 2012 ; Mann et al, 2014 ; Álvarez et al, 2019 ; Amaro-Gahete et al, 2019b ). However, our study findings partially disagree with those previously mentioned ( Kelley and Kelley, 2009 ; Cornelissen et al, 2011 ; Umpierre et al, 2011 ; Greene et al, 2012 ; Mann et al, 2014 ; Álvarez et al, 2019 ; Amaro-Gahete et al, 2019b ) since we showed no significant differences between the concurrent training group and the control group with respect to the change in the glycemic (i.e., plasma glucose and insulin concentration and HOMA-IR) and lipid (total cholesterol, HDL-C, LDL-C, and TGs) profiles, as well as in hepatic function.…”

Section: Discussionmentioning

confidence: 99%

Effect of a 12-Week Concurrent Training Intervention on Cardiometabolic Health in Obese Men: A Pilot Study

et al. 2021

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The present study aimed to investigate the effects of a 12-week concurrent training intervention on cardiometabolic health in obese men. Twelve obese men (42.5 ± 5.3 years old) participated in the current 12−week randomized controlled trial with a parallel group design. The participants were randomly assigned to a concurrent training group or to a no-exercise control group. Anthropometry and body composition assessment were determined by electrical bio-impedance. Blood samples were obtained and a cardiometabolic risk Z-Score was calculated. Energy metabolism-related parameters [i.e., resting metabolic rate (RMR), respiratory quotient (RQ), and substrate oxidation in both resting conditions and during exercise] were determined by indirect calorimetry. Echocardiographic studies were performed using an ultrasound system equipped with a transducer to measure cardiac function. A significant decrease of weight (Δ = −4.21 kg; i.e., primary outcome), body mass index (Δ = −1.32 kg/m2), fat mass (FM; Δ = −3.27 kg), blood pressure (BP; Δ = −10.81 mmHg), and cardiometabolic risk Z-Score (Δ = −0.39) was observed in the exercise group compared with the control group (all P < 0.05), while no significant changes were noted in waist circumference (WC), lean mass (LM), bone mineral content, glycemic and lipid profiles, liver function, nor in energy metabolism-related parameters (all P > 0.1). Moreover, a significant increment of left ventricular (LV) end diastolic diameter (Δ = −4.35 mm) was observed in the exercise group compared with the control group (P = 0.02). A 12-week concurrent training intervention is an effective strategy to induce weight and fat loss with simultaneous reductions of BP and cardiometabolic risk, and improving cardiac function in obese men.

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“…Checking motor activity allows for controlling your health and ensuring its adequate monitoring. Numerous population studies confirm the positive value of recreational activities for improving health [ 1 , 2 ] and the prevention of chronic non-communicable disease [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of Health Related Fitness on the Morphofunctional Condition of Second Mature Aged Women

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Савина

Podrіgalo

et al. 2020

IJERPH

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To analyze the influence of health-related fitness on the condition of second mature aged women. Participants: 65 women divided into two groups. Group 1–40 women, (43.33 ± 0.93) years old and group 2–25 women (44.40 ± 0.93) years old. The participants trained for 8 months, three times a week for 1 h. Group 1 trained dance aerobics (Monday), strength fitness (Wednesday) and stretching (Friday). Group 2 trained only stretching. The body length and mass, handgrip strength test, vital capacity, blood pressure, heart rate, Stange and Genchi tests, and motion amplitude in joints were evaluated before and after the program. The significance of the differences between the groups was evaluated by Student’s criterion (t) and Rosenbaum (Q). The different intensity of the health-related effect was confirmed at the end of the program. Physiometric indicators significantly increased in group 1. The complex physical activity led to a decrease in heart rate. The results of the Stange and Genchi tests significantly increased. Goniometric indicators of group 2 increased. The comparative analysis of the participants indicators confirms the generalized and higher health-related effect of the complex fitness program. The effect of such a program showed an increase of the adaptive potential, a significant increase in the functional capabilities of women, and the optimization of the studied indicators. With the same time expenditure for health-related fitness, the complex program has a more multifaceted effect in comparison with stretching.

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Exercise Training as a Treatment for Cardiometabolic Risk in Sedentary Adults: Are Physical Activity Guidelines the Best Way to Improve Cardiometabolic Health? The FIT-AGEING Randomized Controlled Trial

Cited by 22 publications

References 51 publications

Whole-body Electromyostimulation plus Caloric Restriction in Metabolic Syndrome

Whole-body Electromyostimulation plus Caloric Restriction in Metabolic Syndrome

Effect of a 12-Week Concurrent Training Intervention on Cardiometabolic Health in Obese Men: A Pilot Study

Influence of Health Related Fitness on the Morphofunctional Condition of Second Mature Aged Women

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