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1.
Abstract

The aim of this study was to examine the effectiveness of either a standard care programme (n?=?9) or a 12-week supported exercise programme (n?=?10) on glycaemic control, β-cell responsiveness, insulin resistance, and lipid profiles in newly diagnosed Type 2 diabetes patients. The standard care programme consisted of advice to exercise at moderate to high intensity for 30?min five times a week; the supported exercise programme consisted of three 60-min supported plus two unsupported exercise sessions per week. Between-group analyses demonstrated a difference for changes in low-density lipoprotein cholesterol only (standard care programme 0.01 mmol?·?L?1, supported exercise programme –0.6 mmol?·?L?1; P?=?0.04). Following the standard care programme, within-group analyses demonstrated a significant reduction in waist circumference, whereas following the supported exercise programme there were reductions in glycosylated haemoglobin (6.4 vs. 6.0%; P?=?0.007), waist circumference (101.4 vs. 97.2?cm; P?=?0.021), body mass (91.7 vs. 87.9?kg; P?=?0.007), body mass index (30.0 vs. 28.7?kg?·?m?2; P?=?0.006), total cholesterol (5.3 vs. 4.6 mmol?·?L?1; P?=?0.046), low-density lipoprotein cholesterol (3.2 vs. 2.6 mmol?·?L?1; P?=?0.028), fasting β-cell responsiveness (11.5?×?10?9 vs. 7.0?×?10?9 pmol?·?kg?1?·?min?1; P?=?0.009), and insulin resistance (3.0 vs. 2.1; P?=?0.049). The supported exercise programme improved glycaemic control through enhanced β-cell function associated with decreased insulin resistance and improved lipid profile. This research highlights the need for research into unsupported and supported exercise programmes to establish more comprehensive lifestyle advice for Type 2 diabetes patients.  相似文献   

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3.
Abstract

This study investigated the effects of upper-body repeated-sprint training in hypoxia vs. in normoxia on world-level male rugby union players’ repeated-sprint ability (RSA) during an international competition period. Thirty-six players belonging to an international rugby union male national team performed over a 2-week period four sessions of double poling repeated-sprints (consisting of 3 × eight 10-s sprints with 20-s passive recovery) either in normobaric hypoxia (RSH, simulated altitude 3000 m, n?=?18) or in normoxia (RSN, 300 m; n?=?18). At pre- and post-training intervention, RSA was evaluated using a double-poling repeated-sprint test (6 × 10-s maximal sprint with 20-s passive recovery) performed in normoxia. Significant interaction effects (P?<?0.05) between condition and time were found for RSA-related parameters. Compared to Pre-, peak power significantly improved at post- in RSH (423?±?52 vs. 465?±?69 W, P?=?0.002, η²=0.12) but not in RSN (395?±?65 vs. 397?±?57 W). Averaged mean power was also significantly enhanced from pre- to post-intervention in RSH (351?±?41 vs. 388?±?53 W, P?<?0.001, η²=0.15), while it remained unchanged in RSN (327?±?49 vs. 327?±?43 W). No significant change in sprint decrement (P?=?0.151, η²?=?0.02) was observed in RSH (?17?±?2% vs. ?16?±?3%) nor RSN (?17?±?2% vs. ?18?±?4%). This study showed that only four upper-body RSH sessions were beneficial in enhancing repeated power production in international rugby union players. Although the improvement from RSA to game behaviour remains unclear, this finding appears of practical relevance since only a short preparation window is available prior to international games.  相似文献   

4.
This study aimed at comparing the effectiveness of three lifestyle intervention programmes in health clubs “exercise only” (E), “exercise plus nutritional counselling” (E?+?NC), and “exercise plus weight loss program” (E?+?WLP) on weight loss under real-life conditions. An observational multicenter study including 788 overweight/obese new customers of 95 health clubs in Germany was performed. Participants chose E (n?=?512, 38?±?14?year, BMI 30.4?±?4.7?kg/m2), E?+?NC (n?=?179, 42?±?14?year, BMI 31.7?±?4.5?kg/m2), or E?+?WLP (n?=?97, 40?±?11?year, BMI 31.6?±?5.1?kg/m2). Anthropometric data, energy expenditure, and energy intake were assessed at baseline and after 3 months. All groups significantly reduced body weight (E: ?1.5?±?2.9?kg, E?+?NC: ?3.4?±?3.6?kg, E?+?WLP: ?5.5?±?4.3?kg, p?p?p?相似文献   

5.
Running downhill, in comparison to running on the flat, appears to involve an exaggerated stretch-shortening cycle (SSC) due to greater impact loads and higher vertical velocity on landing, whilst also incurring a lower metabolic cost. Therefore, downhill running could facilitate higher volumes of training at higher speeds whilst performing an exaggerated SSC, potentially inducing favourable adaptations in running mechanics and running economy (RE). This investigation assessed the efficacy of a supplementary 8-week programme of downhill running as a means of enhancing RE in well-trained distance runners. Nineteen athletes completed supplementary downhill (?5% gradient; n?=?10) or flat (n?=?9) run training twice a week for 8 weeks within their habitual training. Participants trained at a standardised intensity based on the velocity of lactate turnpoint (vLTP), with training volume increased incrementally between weeks. Changes in energy cost of running (EC) and vLTP were assessed on both flat and downhill gradients, in addition to maximal oxygen uptake (?O2max). No changes in EC were observed during flat running following downhill (1.22?±?0.09 vs 1.20?±?0.07?Kcal?kg?1?km?1, P?=?.41) or flat run training (1.21?±?0.13 vs 1.19?±?0.12?Kcal?kg?1?km?1). Moreover, no changes in EC during downhill running were observed in either condition (P?>?.23). vLTP increased following both downhill (16.5?±?0.7 vs 16.9?±?0.6?km?h?1 , P?=?.05) and flat run training (16.9?±?0.7 vs 17.2?±?1.0?km?h?1, P?=?.05), though no differences in responses were observed between groups (P?=?.53). Therefore, a short programme of supplementary downhill run training does not appear to enhance RE in already well-trained individuals.  相似文献   

6.
ABSTRACT

This study examined changes in enjoyment, affective valence, and rating of perceived exertion (RPE) in obese women performing two regimes of high intensity interval training (HIIT) differing in structure and volume. Nineteen obese and inactive women (age and body mass index?=?37.5?±?10.5?yr and 39.0?±?4.3?kg/m2) were randomized to 6?wk of traditional (TRAD, n?=?10) or periodized interval training (PER, n?=?9) which was performed on a cycle ergometer during which structure changed weekly. Two supervised sessions per week were performed in a lab, and one session per week was performed unsupervised. During every lab-based session, perceptual responses including enjoyment, affective valence, and RPE were acquired. Data showed a groupXtraining interaction for enjoyment (p?=?0.02) which was lower by 10–25 units during PER versus TRAD. In addition, there was a groupXtimeXtraining interaction for RPE (p?=?0.01). RPE did not change in response to TRAD yet varied during PER, with lower RPE values exhibited during brief supramaximal bouts (6.3?±?0.9) compared to longer intervals (7.3?±?1.2). Both regimes showed reductions in affective valence during training, with the lowest values equal to 1.5?±?1.6 in TRAD and ?0.2?±?1.6 in PER. Compared to TRAD, more aversive responses were shown in PER throughout training by 0.4–2.0 units. Data show lower enjoyment and more aversive responses to higher-volume bouts of interval training, which suggests that shorter bouts may be perceived more favourably by obese women.  相似文献   

7.
Low magnitude bone-loading sports may benefit bone structure and strength in the exercised limbs. This study compared peripheral quantitative computed tomography measures of radial and tibial diaphyseal strength (strength–strain index, SSI), structure (total area (ToA) and cortical area (CoA), density (CoD) and thickness (CT), and circumferences), muscle cross-sectional area (MCSA) and strength (one-repetition maximum, 1-RM) in male endurance athletes taking part in (i) non-weight-bearing and non-impact sports: swimmers (SWIM, n?=?13) and road cyclists (RC, n?=?10), (ii) non-weight-bearing, impact sport: mountain bikers (MB, n?=?10), (iii) weight bearing and impact sport: runners (RUN, n?=?9). All athlete groups were also compared to sedentary controls (CON, n?=?10). Arm MCSA, 1-RM and radial bone size and strength tended to be greater in SWIM than CON and/or RC (ToA, %difference ±?95%CI, SWIM-CON: 14.6%?±?12.7%; SWIM-RC: 12.9%?±?10.7%) but not different to MB and RUN. RUN had bigger tibial CoA than CON, SWIM and RC (CoA, RUN-CON: 12.1%?±?10.7%; RUN-SWIM: 10.9%?±?9.4%; RUN-RC: 15.8%?±?9.5%) without marked changes in tibial strength indices, lower-limb MCSA or 1-RM. Both MB and RC failed to display any difference in tibial indices, lower-limb MCSA and 1-RM compared to CON. In swimmers, the bone structure and strength of the primary exercised limbs, the arms, is greater than controls and road cyclists. Conversely, although runners experience impact and weight-bearing loading, tibial structure is greater without a substantial difference in tibial strength compared to controls and non-impact sports. Failure to observe a difference in tibial indices in MB and RC compared to controls is unexpected.  相似文献   

8.
Abstract

Objective: the main objective was to analyze the effects that an exercise programme based on the Pilates method would have on balance confidence, fear of falling, and postural control among women ≥60 years old. Methods: a total of 110 women (69.15?±?8.94 years) participated in this randomized, controlled trial that took place in Jaén (Spain). The participants were randomly assigned to either a control group (n?=?55), which received no intervention, or to a Pilates group (n?=?55), which carried out an exercise programme based on the Pilates method in 60-minute sessions for 12 weeks. The Falls Efficacy Scale-International and the activity-specific balance confidence scale were respectively used to assess fear of falling and balance confidence in performing activities of daily living. Postural control was evaluated using a stabilometric platform. Results: Regarding balance confidence, the Pilates group showed higher values compared to the control group (77.52?±?18.27 vs 72.35?±?16.39, Cohen’s d?=?0.030). Women in the Pilates group showed lower fear of falling, compared to those of the control group (22.07?±?5.73 vs 27.9?±?6.95, Cohen’s d?=?0.041). Finally, concerning static balance, participants of the Pilates group experienced statistically significant improvements on the velocity and anteroposterior movements of the centre of pressure with eyes open and closed respectively (Cohen’s d?=?0.44 and 0.35 respectively). Conclusion: A 12-week Pilates training programme has beneficial effects on balance confidence, fear of falling and postural stability, in elderly women.  相似文献   

9.
Background: Physical activity and self-rated wellbeing have important benefits to health. However, scientific knowledge regarding their relationship among older adults is scarce. Thus, the aim of this study was to examine the associations between physical activity frequency and several dimensions of self-rated wellbeing, in a representative sample of European older adults from 28 countries. Methods: This study is based on the European Social Survey round 6, 2012. It had a total sample size of 12,341 older adults (5100 men, 7241 women) with mean age 73.8?±?6.6 years. Information was collected through a questionnaire, filled-in during an hour-long face-to-face interview. Physical activity was accessed using the question “On how many of the last 7 days you were physically active continuously for 20 minutes or longer?” and six dimensions of self-rated wellbeing were used. Results: Physical activity in the last 7 days was linearly related with all dimension of the self-rated wellbeing and with wellbeing total score for both sexes (men, β?=?0.09, 95% CI: 0.07 to 0.10, p?β?=?0.10, 95% CI: 0.09 to 0.11, p?Conclusions: Physical activity promotion should be stressed as a meaningful strategy to improve people's wellbeing overall. This strategy has special importance when considering the older adult population.  相似文献   

10.
The aim of this study was to compare the effects of two different intensity distribution training programmes (polarized (POL) and threshold (THR)) on aerobic performance, strength and body composition variables in ultra-endurance runners. Twenty recreationally trained athletes were allocated to POL (n?=?11; age: 40.6?±?9.7 years; height: 175.4?±?7?cm; weight: 73.5?±?10.8?kg; fat mass 18.4?±?6.0%; VO2max: 55.8?±?4.9?ml/kg/min) or THR group (n?=?9; age: 36.8?±?9.2 years; height: 178.5?±?4.2?cm; weight: 75.5?±?10.4?kg; fat mass 14.9?±?5.3%; VO2max: 57.1?±?5.2?ml/kg/min) and performed the 12 weeks training programme. Both programmes had similar total time and load but a different intensity distribution (POL?=?79.8?±?2.1% in Zone 1; 3.9?±?1.9% in Zone 2; 16.4?±?1.5% in Zone 3; THR?=?67.2?±?4.6% in Zone 1; 33.8?±?4.6% in Zone 2; 0% in Zone 3). Body composition, isokinetic strength and aerobic running performance were measured before and after each programme. Both groups decreased fat mass after training (POL= Δ–11.2%; p?=?.017; ES?=?0.32; THR= Δ–18.8%; p?p?=?0.003; ES?=?0.71) and 12?km/h (Δ–4.5%; p?=?.026; ES?=?0.73) and running time to exhaustion (Δ2.4%; p?=?.011; ES?=?0.33). No changes were observed in strength and no significant differences were observed between the group in any variable. Compared with THR distribution, 12 weeks of POL training efficiently improves aerobic performance in recreational ultra-endurance runners.  相似文献   

11.
The aim of this study was to examine the impact of contextual factors on relative locomotor and metabolic power distances during professional female soccer matches. Twenty-eight players (forwards, n?=?4; midfielders, n?=?12; defenders, n?=?12) that competed in a 90-min home and away match (regular season only). The generalised estimating equations (GEE) was used to evaluate relative locomotor and metabolic power distances for three contextual factors: location (home vs. away), type of turf (natural vs. artificial), and match outcome (win, loss and draw). No differences were observed for home vs. away matches. Moderate-intensity running (20.0?±?1.0?m?min?1 and 16.4?±?0.9?m?min?1), high-intensity running (8.6?±?0.4?m?min?1 and 7.3?±?0.4?m?min?1) and high-metabolic power (16.3?±?0.5?m?min?1 and 14.4?±?0.5?m?min?1) distances were elevated on artificial turf compared to natural grass, respectively. Relative sprint distance was greater during losses compared with draws (4.3?±?0.4?m?min?1 and 3.4?±?0.3?m?min?1). Overall physical demands of professional women’s soccer were not impacted by match location. However, the elevation of moderate and high-intensity demands while playing on artificial turf may have implications on match preparations as well as recovery strategies.  相似文献   

12.
β-hydroxy-β-methylbutyrate (calcium: HMB-Ca and free acid: HMB-FA) and α-hydroxyisocaproic acid (α-HICA) are leucine metabolites that have been proposed to improve body composition and strength when combined with resistance exercise training (RET). In this double-blind randomized controlled pragmatic trial, we evaluated the effects of off-the-shelf supplements: α-HICA, HMB-FA and HMB-Ca, on RET-induced changes in body composition and performance. Forty men were blocked randomized to receive α-HICA (n?=?10, fat-free mass [FFM]?=?62.0?±?7.1?kg), HMB-FA (n?=?11, FFM?=?62.7?±?10.5?kg), HMB-Ca (n?=?9, FFM?=?65.6?±?10.1?kg) or placebo (PLA; n?=?10, FFM?=?64.2?±?5.7?kg). The training protocol consisted of a whole-body resistance training routine, thrice weekly for 8 weeks. Body composition was assessed by dual-energy x-ray absorptiometry (DXA) and total body water (TBW) by whole-body bioimpedance spectroscopy (BIS), both at baseline and at the end of weeks 4 and 8. Time-dependent changes were observed for increase in trunk FFM (p?相似文献   

13.
Parkour is a modern physical activity that consists of using the environment, mostly urban, as a playground of obstacles. The aims of this study were (i) to investigate age, anthropometric and training characteristics of Parkour practitioners, called ‘traceurs’ and (ii) to assess jump performances and muscular characteristics of traceurs, compared to those of gymnasts and power athletes. The mean age of the population of traceurs studied (n?=?130) was 19.4?±?4.3 years, women represented 12.4% of the total field and mean training volume was 8.1?±?0.5?hours/week. Vertical and long jump performances were analysed on smaller samples of participants (four groups, n?=?15 per group); and eccentric (?90°?s?1, ?30°?s?1), concentric (30°?s?1, 90°?s?1) and isometric knee extensors torques were evaluated by means of an isokinetic dynamometer. Traceurs showed greater (P?P?P?P?相似文献   

14.
To formulate individualized dietary strategies for jockeys, it is vital that energy requirements are quantified. We measured total energy expenditure (TEE) over two separate weeks in spring and summer using doubly labelled water in a group of male flat jockeys (n?=?8, 36.9?±?5.7 years, 164?±?8?cm, 54.6?±?2.5?kg). Total energy intake (TEI) was self-recorded, as were all riding and structured exercise activity. Mean daily TEE was 10.83 (±2.3) and 10.66 (±1.76) MJ, (p?=?.61) respectively. Self-reported TEI were 6.03 (±1.7) and 5.37 (±1.1) MJ (p?=?.40), respectively, and were significantly lower than TEE (p?=?.01). Mean race rides were 17 (±6) and 13 (±3; p?=?0.37) and horses ridden at morning exercise were 8 (±6) and 7 (±4; p?=?.77) respectively. Additional structured exercise was 76.25 (±95.1) and 52.5 (±80.9) min per week (p?=?.35), respectively. At the individual level, TEE was related to body mass and the level of non-racing physical activity, but not riding. Physical activity levels for TEE were 1.76 (±0.37) and 1.69 (±0.27; p?=?.59) and appear modest when compared with other athletes, and similar to age-matched non-athletes, suggesting that conventional sport-specific nutritional recommendations do not appear applicable. The large discrepancy between TEE and TEI suggests significant under reporting of dietary intake. These data now provide an appropriate framework from which to formulate jockey nutritional guidelines to promote the ability to achieve the daily weight target and improve athlete welfare.  相似文献   

15.
Purpose: The goal of this study was to determine the effects of repeated-sprint training in hypoxia induced by voluntary hypoventilation at low lung volume (VHL) on running repeated-sprint ability (RSA) in team-sport players.

Methods: Twenty-one highly trained rugby players performed, over a 4-week period, seven sessions of repeated 40-m sprints either with VHL (RSH-VHL, n?=?11) or with normal breathing (RSN, n?=?10). Before (Pre-) and after training (Post-), performance was assessed with an RSA test (40-m all-out sprints with a departure every 30?s) until task failure (85% of the reference velocity assessed in an isolated sprint).

Results: The number of sprints completed during the RSA test was significantly increased after the training period in RSH-VHL (9.1?±?2.8 vs. 14.9?±?5.3; +64%; p?p?=?.74). Maximal velocity was not different between Pre- and Post- in both groups whereas the mean velocity decreased in RSN and remained unchanged in RSH-VHL. The mean SpO2 recorded over an entire training session was lower in RSH-VHL than in RSN (90.1?±?1.4 vs. 95.5?±?0.5%, p?Conclusion: RSH-VHL appears to be an effective strategy to produce a hypoxic stress and to improve running RSA in team-sport players.  相似文献   

16.
This study compared knee angle-specific neuromuscular adaptations after two low-volume isometric leg press complex training programmes performed at different muscle lengths. Fifteen young males were divided into two groups and trained three times per week for 6 weeks. One group (n?=?8) performed 5–7 sets of 3 s maximum isometric leg press exercise, with 4?min recovery, with knee angle at 85°?±?2° (longer muscle-tendon unit length; L-MTU). The other group (n?=?7) performed the same isometric training at a knee angle of 145°?±?2° (180°?=?full extension; shorter muscle-tendon unit length; S-MTU). During the recovery after each set of isometric exercise, participants performed two CMJ every minute, as a form of complex training. Maximum isometric force (MIF) and rate of force development (RFD) were measured over a wide range of knee angles. Countermovement jump (CMJ) performance and maximum half-squat strength (1RM) were also assessed. Training at S-MTU induced a large increase of MIF (22–58%, p?p?p?=?0.001). In contrast, training at L-MTU, resulted in a moderate and similar (≈12.3%, p?=?0.028) improvement of force at all knee angles. CMJ performance and 1RM were equally increased in both groups after training by 10.4%?±?8.3% and 7.8%?±?4.7% (p?相似文献   

17.
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18.
Abstract

Hypoxic training methods are increasingly being used by researchers in an attempt to improve performance in normoxic ambients. Moreover, previous research suggests that resistance training in hypoxia can cause physiological and muscle adaptations. The primary aim of this study was to compare the effects of 8 weeks of high-intensity resistance circuit-based (HRC) training in hypoxia on body composition and strength performance. The secondary aim was to examine the effects of HRC on metabolic parameters. Twenty-eight male participants were randomly assigned to either hypoxia (Fraction of inspired oxygen [FIO2]?=?15%; HRChyp: n?=?15; age: 24.6?±?6.8 years; height: 177.4?±?5.9?cm; weight: 74.9?±?11.5?kg) or normoxia [FIO2]?=?20.9%; HRCnorm: n?=?13; age: 23.2?±?5.2 years; height: 173.4?±?6.2?cm; weight: 69.4?±?7.4?kg) groups. Training sessions consisted of two blocks of three exercises (Block 1: bench press, leg extension and front pull down; Block 2: deadlift, elbow flexion and ankle extension). Each exercise was performed at six repetition maximum. Rest periods lasted for 35-s between exercises, 3-min between sets and 5-min between blocks. Participants exercised twice weekly for 8 weeks, and body composition, strength and blood tests were performed before and after the training program. Lean body mass and bone mineral density significantly increased over time in the HRChyp (p?<?.005; ES?=?0.14 and p?<?.014; ES?=?0.19, respectively) but not in the HRCnorm after training. Both groups improved their strength performance over time (p?<?.001), but without group effect differences. These results indicate that simulated hypoxia during HRC exercise produced trivial effects on lean body mass and bone mineral density compared to normoxia.  相似文献   

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20.
Abstract

Exercise is recognized as a frontline therapy for the prevention and treatment of type 2 diabetes (T2D) but the optimal type of exercise is not yet determined. We compared the effects of high-intensity interval training (HIIT) with moderate-intensity continuous training (MICT) for improvement of continuous glucose monitoring (CGM)-derived markers of glycaemic variability, and biomarkers of endothelial cell damage (CD31+ and CD62+ endothelial microparticles (EMPs)) within a population at elevated risk of developing T2D. Fifteen inactive overweight or obese women were randomized to 2 weeks (10-sessions) of progressive HIIT (n?=?8, 4–10X 1-min @ ～90% peak heart rate, 1-min rest periods) or MICT (n?=?7, 20–50?min of continuous activity at ～65% peak heart rate). Prior and three days post-training, fasting blood samples were collected. Both HIIT and MICT improved glycaemic variability as measured by CGM standard deviation (HIIT: 0.82?±?0.39 vs. 0.72?±?0.33?mmol/L; MICT: 0.82?±?0.19 vs. 0.62?±?0.16?mmol/L, pre vs. post) and mean amplitude of glycaemic excursions (MAGE; HIIT: 1.98?±?0.81 vs. 1.41?±?0.90; MICT; 1.98?±?0.43 vs. 1.65?±?0.48, pre vs. post) with no difference between groups. CD62+ EMPs were lower following HIIT (187.7?±?65 vs. 174.9?±?55, pre vs. post) and MICT (170?±?60 vs. 160.3?±?59, pre vs. post) with no difference between groups. There was no change in 24-h mean glucose or CD31+ EMPs. Two weeks of both HIIT or MICT similarly decreased glycaemic variability and CD62+ EMPs in overweight/obese women at elevated risk of T2D.  相似文献   

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