EFFECTS OF HYBRID CYCLE AND HANDCYCLE EXERCISE ON CARDIOVASCULAR DISEASE RISK FACTORS IN PEOPLE WITH SPINAL CORD INJURY: A RANDOMIZED CONTROLLED TRIAL

被引:38
作者
Bakkum, Arjan J. T. [1 ,2 ]
Paulson, Thomas A. W. [3 ,4 ]
Bishop, Nicolette C. [3 ]
Goosey-Tolfrey, Victoria L. [3 ,4 ]
Stolwijk-Swuste, Janneke M. [5 ]
van Kuppevelt, Dirk J. [6 ]
de Groot, Sonja [2 ,4 ,7 ]
Janssen, Thomas W. J. [1 ,2 ,4 ]
机构
[1] Vrije Univ Amsterdam, Fac Human Movement Sci, MOVE Res Inst Amsterdam, Amsterdam, Netherlands
[2] Reade, Amsterdam Rehabil Res Ctr, NL-1040 HG Amsterdam, Netherlands
[3] Univ Loughborough, Sch Sport Exercise & Hlth Sci, Peter Harrison Ctr Disabil Sport, Loughborough, Leics, England
[4] European Res Grp Disabil Sport ERGiDS, Amersfoort, Netherlands
[5] Meander Med Ctr, Dept Rehabil Med, Amersfoort, Netherlands
[6] Sint Maartensklin, Nijmegen, Netherlands
[7] Univ Groningen, Univ Med Ctr Groningen, Ctr Human Movement Sci, Groningen, Netherlands
关键词
metabolic syndrome; insulin resistance; inflammation; adiposity; paralysis; electric stimulation; PHYSICAL-ACTIVITY SCALE; INSULIN-RESISTANCE; METABOLIC SYNDROME; CYTOKINE RESPONSE; LIFE EXPECTANCY; INFLAMMATION; INDIVIDUALS; ADULTS; MEN; DISABILITIES;
D O I
10.2340/16501977-1946
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To examine the effects of a 16-week exercise programme, using either a hybrid cycle or a handcycle, on cardiovascular disease risk factors in people with spinal cord injury. Participants: Nineteen individuals with spinal cord injury >= 8 years. Design: Multicentre randomized controlled trial. Both the hybrid cycle group (n = 9) and the handcycle group (n = 10) trained twice a week for 16 weeks on the specific cycle. Outcome measures obtained pre and post the programme were: metabolic syndrome components (waist circumference, systolic and diastolic blood pressure, high-density lipoprotein cholesterol, triglycerides and insulin resistance), inflammatory status (C-reactive protein (CRP), interleukin (1)-6 and -10), and visceral adiposity (trunk and android fat). Results: For all outcome measures, there were no significant differences over time between the 2 training groups. Overall significant reductions were found for waist circumference (p = 0.001), diastolic blood pressure (p = 0.03), insulin resistance (p = 0.006), CRP (p = 0.05), IL-6 (p = 0.04), IL-6/IL-10 ratio (p = 0.03), and trunk (p = 0.04) and android (p = 0.02) fat percentage. No significant main effects for time were observed for systolic blood pressure, triglycerides, high-density lipoprotein cholesterol, IL-10, and trunk and android fat mass. Conclusion: The 16-week exercise programme, using either a hybrid cycle or a handcycle, found similar beneficial effects on metabolic syndrome components, inflammatory status and visceral adiposity, indicating that there were no additional benefits of functional electrical stimulation-induced leg exercise over handcycle exercise alone.
引用
收藏
页码:523 / 530
页数:8
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