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1.
BackgroundHigh-intensity interval training (HIIT) induces similar or even superior adaptations compared to continuous endurance training. Indeed, just 6 HIIT sessions over 2 weeks significantly improves maximal oxygen uptake (VO2max), submaximal exercise fat oxidation, and endurance performance. Whether even faster adaptations can be achieved with HIIT is not known. Thus, we aimed to determine whether 2 sessions of HIIT per day, separated by 3 h, every other day for 5 days (double HIIT (HIIT-D), n = 15) could increase VO2max, submaximal exercise fat oxidation, and endurance capacity as effectively as 6 sessions of HIIT over 2 weeks (single HIIT (HIIT-S), n = 13).MethodsEach training session consisted of 10 × 60 s of cycling at 100% of VO2max interspersed with 75 s of low-intensity cycling at 60 watt (W). Pre- and post-training assessments included VO2max, time to exhaustion at ∼80% of VO2max, and 60-min cycling trials at ∼67% of VO2max.ResultsSimilar increases (p < 0.05) in VO2max (HIIT-D: 7.7% vs. HIIT-S: 6.0%, p > 0.05) and endurance capacity (HIIT-D: 80.1% vs. HIIT-S: 79.2%, p > 0.05) were observed. Submaximal exercise carbohydrate oxidation was reduced in the 2 groups after exercise training (HIIT-D: 9.2%, p = 0.014 vs. HIIT-S: 18.8%, p = 0.012) while submaximal exercise fat oxidation was significantly increased in HIIT-D (15.5%, p = 0.048) but not in HIIT-S (9.3%, p = 0.290).ConclusionSix HIIT sessions over 5 days was as effective in increasing VO2max and endurance capacity and was more effective in improving submaximal exercise fat oxidation than 6 HIIT sessions over 2 weeks.  相似文献   

2.

Purpose

Large therapeutic rolls (LTR) and balls are popular rehabilitation tools and have also been advertised as cardiovascular training devices. The aim of this study was to determine if individuals of varying fitness levels would reach aerobic training levels by evidence-based standards as described in American College of Sports Medicine (ACSM) publications.

Methods

Fourteen volunteers performed a maximal exercise test and on subsequent days, two submaximal exercise tests on the LTR (LTR-A and -B). LTR-A consisted of four 5-minute stages of exercise at progressive intensity levels. LTR-B included 20 minutes of continuous exercise. Oxygen consumption (VO2) and heart rate (HR) during exercise on the LTR were compared with ACSM recommended standards.

Results

The average (range) peak intensity achieved during LTR-A was 66.8% (51.7-82.7%) of maximal VO2 reserve (VO2R) and 82.9% (70.7%-91.2%) of maximal heart rate (HRmax). During LTR-B, HR and VO2 of all participants was maintained at moderate exercise intensity and averaged 56% of VO2R and 78% of HRmax during the 20 minute exercise period.

Conclusions

These findings suggest that individuals with a wide range of aerobic fitness are able to reach and maintain aerobic training levels with appropriate exercise on a large therapeutic roll or ball.Key Words: large therapeutic roll, Swiss Ball, aerobic exercise, exercise intensity  相似文献   

3.
周海旭 《体育科研》2021,42(1):77-85
运用Meta分析方法系统评价高强度间歇训练(HIIT)和持续有氧训练(CAT)对青少年的身体成分与心肺适能的不同影响效果,为设计青少年锻炼方案提供有效参考依据。共纳入14篇符合纳入标准的文献,以PRISMA声明的标准对14篇文献进行偏倚风险质量评价。结果：(1)HIIT与CAT对青少年体重和BMI的干预效果在统计学上无显著性差异,对体脂率的干预效果存在显著性差异;(2)HIIT与CAT对青少年最大摄氧量(VO2max)、峰值摄氧量(VO2peak)、收缩压(SBP)和舒张压(DBP)的干预效果在统计学上无显著性差异,但HIIT对青少年VO2max、VO2peak和DBP总体效应量优于CAT,CAT对青少年SBP的总效应量优于HIIT;(3)其中将青少年分为健康和肥胖两个亚组,健康青少年亚组中,CAT对体重、体脂率、BMI和SBP等指标的干预效果优于HIIT,HIIT对VO2max和DBP的干预效果优于CAT;肥胖青少年亚组中,HIIT对体重、体脂率、BMI、VO2max和DBP等指标的干预效果优于CAT,HIIT与CAT对健康青少年SBP的干预效果类似。  相似文献   

4.
BackgroundHigher levels of cardiorespiratory fitness are associated with reduced asthma severity and increased quality of life in those with asthma. Therefore, the purpose of this study was to evaluate the effectiveness of a 6-month high-intensity interval training (HIIT) intervention in adolescents with and without asthma.MethodsA total of 616 adolescents (334 boys; 13.0 ± 1.1 years, 1.57 ± 0.10 m, 52.6 ± 12.9 kg, mean ± SD), including 155 with asthma (78 boys), were recruited as part of a randomized controlled trial from 5 schools (4 control and 1 intervention). The 221 intervention participants (116 boys; 47 asthma) completed 6 months of school-based HIIT (30 min, 3 times per week, 10–30 s bouts at >90% age-predicted maximum heart rate with equal rest). At baseline, mid-intervention, post-intervention, and 3-month follow-up, measurements for 20-m shuttle run, body mass index (BMI), lung function, Pediatric Quality of Life Inventory, Paediatric Asthma Quality of Life Questionnaire, and Asthma Control Questionnaire were collected. Additionally, 69 adolescents (39 boys (of the 36 with asthma there were 21 boys)) also completed an incremental ramp test. For analysis, each group''s data (intervention and control) were divided into those with and without asthma.ResultsParticipants with asthma did not differ from their peers in any parameter of aerobic fitness, at any time-point, but were characterized by a greater BMI. The intervention elicited a significant improvement in maximal aerobic fitness but no change in sub-maximal parameters of aerobic fitness, lung function, or quality of life irrespective of asthma status. Those in the intervention group maintained their BMI, whereas BMI significantly increased in the control group throughout the 6-month period.ConclusionHIIT represents an effective tool for improving aerobic fitness and maintaining BMI in adolescents, irrespective of asthma status. HIIT was well-tolerated by those with asthma, who evidenced a similar aerobic fitness to their healthy peers and responded equally well to a HIIT program.  相似文献   

5.
BackgroundThis study sought to explore the dose–response rate/association between aerobic fitness (VO2max) and self-reported physical activity (PA) and to assess whether this association varies by sex, age, and weight status.MethodsVO2max was assessed using the 20-m shuttle-run test. PA was assessed using the Physical Activity Questionnaire (PAQ) for Adolescents (aged >11 years, PAQ-A) or for Children (aged ≤11 years, PAQ-C). The associations between VO2max and PAQ were analyzed using analysis of covariance (ANCOVA), adopting PAQ and PAQ2 as covariates but allowing the intercepts and slope parameters of PAQ and PAQ2 to vary with the categorical variables sex, age group, and weight status.ResultsANCOVA identified a curvilinear association between VO2max and PAQ, with positive linear PAQ terms that varied for both sex and weight status but with a negative PAQ2 term of −0.39 (95% confidence interval (CI): –0.57 to –0.21) that was common for all groups in regard to age, sex, and weight status. These curvilinear (inverted U) associations suggest that the benefits of increasing PA (same dose) on VO2max is greater when children report lower levels of PA compared to children who report higher levels of PA. These dose–response rates were also steeper for boys and were steeper for lean children compared to overweight/obese children.ConclusionHealth practitioners should be aware that encouraging greater PA (same dose) in inactive and underweight children will result in greater gains in VO2max (response) compared with their active and overweight/obese counterparts.  相似文献   

6.
To examine the reliability and validity of 1-mile walk tests for estimation of aerobic fitness (VO2max) in 10- to 13-year-old children and to cross-validate previously published equations. Participants (n = 61) walked 1-mile on two different days. Self-reported physical activity, demographic variables, and aerobic fitness were used in multiple regression analyses. Eight models were developed with various combinations of predictors. The recommended model for fitness testing in schools was: VO2max = 120.702 + (4.114 × Sex [F = 0, M = 1]) – (2.918 × 1-mile Walk Time [min]) – (2.841 × Age), R = .73, standard error of estimate = 6.36 mL·kg?1·min?1. Cross-validation of previously published equations demonstrated lower correlations with measured VO2max than the newly developed walk tests. Evidence of reliability and validity for 1-mile walk tests to estimate VO2max in young children was provided. The model that included 1-mile walk time, age, and sex may be appropriate for youth fitness testing in physical education, particularly for unmotivated or overweight young children.  相似文献   

7.
Purpose: To describe the benefits of a feasible, outpatient exercise training program on exercise tolerance and health-related quality of life (HRQL) in individuals with pulmonary arterial hypertension (PAH). Methods: Case report on two subjects recruited from a tertiary care pulmonary hypertension clinic. Subject 1 was a 50-year-old male with idiopathic PAH. Subject 2 was a 54-year-old female with a 20+ year history of scleroderma and 6-year history of PAH. Both subjects underwent exercise training 3 times per week for 6 weeks using a cycle ergometer at workloads progressing from 50% to 80% of peak workload. Outcomes were assessed using cardiopulmonary exercise testing, six-minute walk test (6MWT), and HRQL using the Chronic Respiratory Disease Questionnaire (CRQ) and the Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR). Results: Both subjects made substantial improvements in oxygen consumption and workload at anaerobic threshold (improvements of 3.8 and 4.2 mL·kg−1·min,−1 26 and 18 W, respectively) and 6MWT distance (from 496 to 586m and 416 to 517m, respectively). Only Subject 1 made substantial improvements in peak oxygen consumption (from 16.0 to 18.3 mL·kg−1·min−1and from 15.0 to 15.6 mL·kg−1·min,−1 respectively) and peak work rate (from 112 to 130W and 66 to 69W, respectively). Both subjects demonstrated improved HRQL. No adverse events were noted. CONCLUSIONS: A short and practical exercise training program can improve measures of workload, aerobic capacity, and HRQL in individuals with PAH with no adverse effects shown in these two case studies.Key Words: pulmonary arterial hypertension, exercise training  相似文献   

8.
目的：通过分析上海地区不同项群优秀青少年有氧能力,寻找不同项群有氧能力特点。方法：选择上海市2003—2014年一线、二线运动员测试数据库,从中筛选88名16岁以上男性,年龄为（17.5±1.2）岁,103名15岁以上女性,年龄为（16.4±1.1）岁,均为国家二级以上运动员,对其最大摄氧量绝对值和相对值进行统计分析,使用单因素方差分析以及Z分值等方法比较不同性别各项群间有氧运动能力特点。结果：耐力项群最大摄氧量绝对值显著高于隔网对抗（P＜0.05）与格斗对抗（P＜0.01）。男性各项群间最大摄氧量相对值无显著差异;女性耐力项群最大摄氧量相对值显著高于同场对抗（P＜0.01）、隔网对抗（P＜0.01）与格斗对抗（P＜0.01）;女性同场对抗项群最大摄氧量相对值显著高于格斗对抗（P＜0.05）。结论：耐力项群最大摄氧量绝对值高于其他项群;体能主导类项群最大摄氧量相对值高于技能主导类项群;同场对抗项群最大摄氧量绝对值优于相对值,其余项群最大摄氧量相对值和绝对值同步。为科学训练提供有力数据支持,教练员可以结合项群有氧运动能力特点,判断运动员的有氧工作能力水平,从而针对性地制定训练计划,提高整体竞技水平。  相似文献   

9.
Abstract

The aim of this study was to examine the interrelationship between aerobic fitness, body composition, and physical activity in 9- and 15-year-olds. The 270 participants were randomly selected from 18 primary and secondary schools in Iceland. Aerobic fitness was assessed by a graded exercise test on a bicycle ergometer. Body composition was estimated via: logarithm of sum of four skinfolds (loge skinfolds), waist adjusted for height, and body mass index (BMI). Physical activity was measured with Actigraph activity monitors using total activity each day as the physical activity variable. Aerobic fitness was chosen as the primary outcome variable, body composition as the secondary variable, and physical activity as the tertiary variable. All the full models explained a similar proportion of fitness variance for both age groups (45–65%). Among the 15-year-olds, loge skinfolds explained a significantly larger proportion of the fitness variance (54%) than waist adjusted for height (29%) and BMI (15%), but all the body composition variables explained a similar proportion of the fitness variance (35–42%) among the 9-year-olds. Physical activity explained a smaller proportion (0%) of the unadjusted variance in fitness for the 9-year-olds than for the 15-year-olds (19%). This group difference became non-significant (0% vs. 4%) when adjusting for loge skinfolds but remained significant when controlling for waist adjusted for height (0% vs. 15%) and BMI (0% vs. 18%). Gender differences in aerobic fitness after puberty can largely be explained by gender differences in loge skinfolds and physical activity. In conclusion, the interrelationship between fitness, body composition, physical activity, and gender is not the same among 9- and 15-year-olds.  相似文献   

10.
Purpose: The purpose of this study was to examine differences in heart rate recovery (HRRec) and oxygen consumption recovery (VO2 recovery) between young healthy-weight children and children with obesity following a maximal volitional graded exercise test (GXTmax). Method: Twenty healthy-weight children and 13 children with obesity completed body composition testing and performed a GXTmax. Immediately after the GXTmax, HRRec and VO2 recovery were measured each minute for 5 consecutive minutes. Results: There were no statistically significant group differences in HRRec for the 5 min following maximal exercise, Wilks’s Lambda = .885, F(4, 28) = 0.911, p = .471, between the healthy-weight children and children with obesity despite statistically significant differences in body fat percentage (BF%; healthy-weight children, 18.5 ± 6.1%; children with obesity, 41.1 ± 6.9%, p < .001) and aerobic capacity relative to body mass (VO2 peak; healthy-weight children, 46.8 ± 8.2 mL/kg/min; children with obesity, 31.9 ± 4.7 mL/kg/min, p < .001). There were statistically significant differences in VO2 recovery for the 5 min following exercise, Wilks’s Lambda = .676, F(4, 26) = 3.117, p = .032. There were no statistically significant correlations between HRRec and body mass index (BMI), BF%, VO2peak, or physical activity. Conclusions: In a healthy pediatric population, obesity alone does not seem to significantly impact HRRec, and because HRRec was not related to obesity status, BMI, or BF%, it should not be used as the sole indicator of aerobic capacity or health status in children. Using more than one recovery variable (i.e., HRRec and VO2 recovery) may provide greater insight into cardiorespiratory fitness in this population.  相似文献   

11.
Abstract

This study compared the use of sand and grass training surfaces throughout an 8-week conditioning programme in well-trained female team sport athletes (n = 24). Performance testing was conducted pre- and post-training and included measures of leg strength and balance, vertical jump, agility, 20 m speed, repeat speed (8 × 20 m every 20 s), as well as running economy and maximal oxygen consumption (VO2max). Heart rate (HR), training load (rating of perceived exertion (RPE) × duration), movement patterns and perceptual measures were monitored throughout each training session. Participants completed 2 × 1 h conditioning sessions per week on sand (SAND) or grass (GRASS) surfaces, incorporating interval training, sprint and agility drills, and small-sided games. Results showed a significantly higher (P < 0.05) HR and training load in the SAND versus GRASS group throughout each week of training, plus some moderate effect sizes to suggest lower perceptual ratings of soreness and fatigue on SAND. Significantly greater (P < 0.05) improvements in VO2max were measured for SAND compared to GRASS. These results suggest that substituting sand for grass training surfaces throughout an 8-week conditioning programme can significantly increase the relative exercise intensity and training load, subsequently leading to superior improvements in aerobic fitness.  相似文献   

12.
This study investigated the autonomic and haemodynamic responses to different aerobic exercise loads, with and without blood flow restriction (BFR). In a crossover study, 21 older adults (8 males and 13 females) completed different aerobic exercise sessions: low load without BFR (LL) (40% VO2max), low load with BFR (LL-BFR) (40% VO2max + 50% BFR) and high load without BFR (HL) (70% VO2max). Heart rate variability and haemodynamic responses were recorded during rest and throughout 30 min of recovery. HL reduced R–R interval, the root mean square of successive difference of R–R intervals and high frequency during 30 min of recovery at a greater magnitude compared with LL and LL-BFR. Sympathetic–vagal balance increased the values for HL during 30 min of recovery at a greater magnitude when compared with LL and LL-BFR. Post-exercise haemodynamic showed reduced values of double product at 30 min of recovery compared to rest in LL-BFR, while HL showed higher values compared to rest, LL-BFR and LL. Reduced systolic blood pressure was observed for LL-BFR (30 min) compared to rest. Autonomic and haemodynamic responses indicate lower cardiovascular stress after LL-BFR compared to HL, being this method, besides the functional adaptations, a potential choice to attenuate the cardiovascular stress after exercise in older adults.  相似文献   

13.

Purpose

The purpose of the present pilot study was to provide a preliminary estimate of the minimum detectable difference (MDD) and minimum clinically important difference (MCID) of the six-minute walk test (6MWT) and daily activity in outpatients with chronic heart failure (CHF).

Methods

A convenience sample of 22 adults with stable New York Heart Association Functional Class II and III CHF performed two baseline 6MWTs separated by 30 minutes of rest. Subjects then wore a triaxial accelerometer for 7 days to monitor daily activity. After 7 weeks of usual care, subjects again wore the accelerometer for 7 days and then returned to the clinic to complete the Global Rating of Change Scale (GRS) with regard to their heart disease and perform another set of 6MWTs. For the 6MWT, the MDD was calculated using the two baseline 6MWT distances. For daily activity, the MDD was calculated using two methods: (1) day-to-day test-retest reliability during baseline monitoring, and (2) baseline to follow-up test-retest reliability in those who reported no change on the GRS. The MCID for the 6MWT and daily activity was calculated using the mean and 95% confidence interval (CI95%) for those subjects who reported ‘improvement’ on the GRS.

Results

The MDD at the CI95% for the 6MWT was 32.4 meters. The MCID for the 6MWT was 30.1 (CI95% 20.8, 39.4) meters. The MDD for daily activity was 5,909 vector magnitude units (VMU·hr.−1) The MCID for daily activity was 1,337 VMU·hr.−1 There was good alignment of the MDD and MCID for the 6MWT, suggesting that clinically meaningful change is approximately 32 meters. However, the calculated MCID was substantially less than measurement error as represented by the MDD, indicating that the MCID was underestimated in this sample or that daily activity may be robust to change in overall disease status.Key Words: six-minute walk test, daily activity, heart failure, clinically meaningful change  相似文献   

14.
BackgroundPoor sleep quality is associated with adverse effects on health outcomes. It is not clear whether exercise can improve sleep quality and whether intensity of exercise affects any of the effects.MethodsFifteen healthy, non-obese (body mass index = 24.4 ± 2.1 kg/m2, mean ± SD), sedentary (<20 min of exercise on no more than 3 times/week) older women (66.1 ± 3.9 years) volunteered for the study. Peak oxygen consumption (VO2peak) was evaluated using a graded exercise test on a treadmill with a metabolic cart. Following a 7-day baseline period, each participant completed two exercise sessions (separated by 1 week) with equal caloric expenditure, but at different intensities (60% and 45% VO2peak, sequence randomized) between 9:00 and 11:00 am. A wrist ActiGraph monitor was used to assess sleep at baseline and two nights following each exercise session.ResultsThe average duration of the exercise was 54 and 72 min, respectively at 60% (moderate-intensity) and 45% VO2peak (light-intensity). Wake time after sleep onset was significantly shorter (p = 0.016), the number of awakenings was less (p = 0.046), and total activity counts were lower (p = 0.05) after the moderate-intensity exercise compared to baseline no-exercise condition.ConclusionOur data showed that a single moderate-intensity aerobic exercise session improved sleep quality in older women.  相似文献   

15.
Abstract

The practice of exercise has shown to be beneficial to quality of life of individuals with HIV/AIDS. Thus, the present study analysed the effects of a combined exercise training in persons living with HIV/AIDS. Ten participants participated in the present study. The following variables were analysed: viral load and cell counts for TCD4+/TCD8; maximal oxygen consumption (VO2max); total mass, absolute fat mass, relative fat mass, absolute lean mass, relative lean mass and body mass index; fasting glycaemia, fasting insulinaemia, homeostatic model assessment (HOMA) index (insulin resistance – homeostatic model assessment (IR-HOMA)); total cholesterol, triglycerides, high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), low-density lipoprotein (LDL); superoxide dismutase, catalase, glutathione peroxidase activities; thiobarbituric acid reactive substances. The combined exercise training consisted of resistance exercises plus aerobic training (60 min · session?1, three times per week, during 20 weeks). The number of TCD4+ cells, absolute lean mass and relative lean mass, muscle strength for the 45° leg press, seated row and triceps extension, HDL-c levels as well as VO2max increased post-training. The activity of superoxide dismutase, catalase, glutathione peroxidase enzymes and thiobarbituric acid reactive substances levels were diminished post-training. Finally, it can be concluded that combined exercise training is able to change positively several variables related to health of individuals with HIV/AIDS, mainly the immune system as well as antioxidant mechanisms re-establishment.  相似文献   

16.
Abstract

This study was conducted to determine if the Polar FT40 could accurately track changes in maximal oxygen consumption (VO2max) in a group of female soccer players. Predicted VO2max (pVO2max) via the Polar FT40 and observed VO2max (aVO2max) from a maximal exercise test on a treadmill were determined for members of a collegiate soccer team (n = 20) before and following an 8-week endurance training protocol. Predicted (VO2max and aVO2max measures were compared at baseline and within 1 week post-training. Change values (i.e., the difference between pre to post) for each variable were also determined and compared. There was a significant difference in aVO2max (pre = 43.6 ± 2.4 ml · kg · min?1, post = 46.2 ± 2.4 ml · kg · min?1, P < 0.001) and pVO2max (pre = 47.3 ± 5.3 ml · kg · min?1, post = 49.7 ± 6.2 ml · kg · min?1, P = 0.009) following training. However, predicted values were significantly greater at each time point compared to observed values (P < 0.001 at pre and P = 0.008 at post). Furthermore, there was a weak correlation between the change in aVO2max and the change in pVO2max (r = 0.18, P = 0.45). The Polar FT40 does not appear to be a valid method for predicting changes in individual VO2max following 8 weeks of endurance training in female collegiate soccer players.  相似文献   

17.
Although exercise promotes beneficial effects in diabetic patients, some studies have questioned the degree of their importance in terms of the increase in total energy expenditure. In these studies, the decrease of physical activity levels (PAL) was referred as “compensatory effect of exercise”. However, our aim was to investigate whether aerobic exercise has compensatory effects on PAL in type 2 diabetes patients. Eight volunteers (51.1 ± 8.2 years) were enrolled in a supervised exercise programme for 8 weeks (3 d · wk?1, 50–60% of VO2 peak for 30–60 min). PAL was measured using tri-axial accelerometers in the 1st, 8th and 12th weeks. Biochemical tests, cardiorespiratory fitness, anthropometric assessment and body composition were measured in the 2nd and 11th weeks. Statistical analysis was performed using non-parametric tests (Friedman and Wilcoxon, P < 0.05). We found no significant differences in PAL between intervention periods, and participants spent the majority of their awake time in sedentary activities. However, the exercise programme generated a significant 14.8% increase in VO2 peak and a 15% reduction in fructosamine. The exercise programme had no compensatory effects on PAL in type 2 diabetes patients, but improved their cardiorespiratory fitness and glycaemic control.  相似文献   

18.
BackgroundIt remains unclear whether studies comparing maximal oxygen uptake (VO2max) response to sprint interval training (SIT) vs. moderate-intensity continuous training (MICT) are associated with a high risk of bias and poor reporting quality. The purpose of this study was to evaluate the risk of bias and quality of reporting in studies comparing changes in VO2max between SIT and MICT.MethodsWe conducted a comprehensive literature search of 4 major databases: AMED, CINAHL, EMBASE, and MEDLINE. Studies were excluded if participants were not healthy adult humans or if training protocols were unsupervised, lasted less than 2 weeks, or utilized mixed exercise modalities. We used the Cochrane Collaboration tool and the CONSORT checklist for non-pharmacological trials to evaluate the risk of bias and reporting quality, respectively.ResultsTwenty-eight studies with 30 comparisons (3 studies included 2 SIT groups) were included in our meta-analysis (n = 360 SIT participants: body mass index (BMI) = 25.9 ± 3.7 kg/m2, baseline VO2max = 37.9 ± 8.0 mL/kg/min; n = 359 MICT participants: BMI = 25.5 ± 3.8 kg/m2, baseline VO2max = 38.3 ± 8.0 mL/kg/min; all mean ± SD). All studies had an unclear risk of bias and poor reporting quality.ConclusionAlthough we observed a lack of superiority between SIT and MICT for improving VO2max (weighted Hedge's g = ?0.004, 95% confidence interval (95%CI): ?0.08 to 0.07), the overall unclear risk of bias calls the validity of this conclusion into question. Future studies using robust study designs are needed to interrogate the possibility that SIT and MICT result in similar changes in VO2max.  相似文献   

19.
ABSTRACT

Meta-analytic evidence supports that exercise has benefits for short-term memory (STM) and long-term memory (LTM). However, only three studies with children have tested the differential effects of exercise on STM and LTM. The purpose of this study was to examine the effects of an aerobic fitness test on STM and LTM and to consider the moderating effects of grade level. Children (7–13 years of age) were randomly assigned to either perform an aerobic fitness test before (exercise prior) or after (exercise post) performing the Rey Auditory Verbal Learning Test (RAVLT) to assess memory. Memory was tested again after approximately 24 hours. There were significant differences in memory performance as a function of grade with 4th and 6th graders consistently outperforming 2nd graders. For learning, Day 1 Retention, 24-hr recall, and Day 2 Retention, the exercise prior group performed better than the exercise post group. It is concluded that an aerobic fitness test performed prior to a declarative memory test benefits LTM as compared to when the aerobic fitness test is performed after the memory test.  相似文献   

20.

Purpose

The purpose of the present review was to use existing, published data to provide an estimate of the amount of change in six-minute walk test distance (Δ6MWT) that represents a clinically meaningful change in individuals with chronic heart failure (CHF).

Methods

The present review included two separate literature searches of the CINAHL and Medline databases for articles that: (1) reported the intraclass correlation coefficient (ICC) of the 6MWT in individuals with CHF, and (2) used the 6MWT along with either aerobic capacity or health-related quality of life (HRQL) as study endpoints in randomized controlled trials (RCTs) of exercise-based intervention for individuals with CHF. The ICCs were used to calculate the minimum detectable difference (MDD) at the 95% confidence interval for each included study. The Δ6MWT associated with aerobic capacity and HRQL within-group effect sizes for the intervention and control groups in each included RCT was analyzed using receiver operating characteristic (ROC) curves.

Results

Thirteen articles reported the ICC for the 6MWT. The mean (standard deviation) MDD calculated based on these data was 43.1(16.8) m. Eighteen RCTs measured the 6MWT and either aerobic capacity and/or HRQL. A Δ6MWT of 40–45 m was associated with at least moderate aerobic capacity and HRQL effect sizes in the intervention groups. The Δ6MWT thresholds that discriminated between intervention and control groups using ROC curves revealed the following sensitivity/specificity for the respective thresholds: 19 m, 94.4/83.3%, 32 m, 83.3/94.4%, and 48 m 44.4/100% (AUC = .935, p = .009, CI95% .855, 1.015).

Conclusions

A Δ6MWT of approximately 45 m appears to exceed measurement error and be associated with significant changes in either aerobic capacity and/or HRQL.Key Words: heart failure, six-minute walk test, clinically meaningful change, minimum detectable difference  相似文献   

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