Effect of combined training versus aerobic training in patients with Pulmonary Hypertension (original) (raw)
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Journal of the American Society of Hypertension
The objective of this study is to estimate the effect of aerobic training (AT) on metabolic syndrome (MetS) outcomes. The Medline, EMBASE, SPORTDiscus, The Cochrane Library, and PEDro databases were searched from inception to May 2017. Two independent reviewers selected the studies and assessed their quality and data. The pooled mean differences between intervention groups and the control group were calculated using a random-effect model. Only randomized controlled trials that compared the effect of AT on MetS with a control group were included. Seventeen published studies were included in the meta-analysis. Systolic and diastolic blood pressure were significantly reduced (À5.11 mmHg [95% confidence interval [CI] À7.36, À2.85] and À2.97 mmHg [À4.99, À0.94], respectively), following AT. There was also a significant reduction in waist circumference (À2.18 cm [95% CI À3.75, À0.62]) and a significant increase in high-density lipoprotein cholesterol (95% CI À3.15 mg/dL [À5.30, À1.01]). The pooled effect showed a reduction of À7.64 mg/dL [95% CI À17.65, 2.37] in triglycerides and À1.36 mg/dL [95% CI À4.11, 1.40] in fasting glucose. This systematic review and meta-analysis provides an overview of the evidence supporting AT as an effective approach to reduce blood pressure levels and waist circumference and increase high-density lipoprotein cholesterol levels. These changes may help to reduce the risk of stroke mortality and mortality from heart disease in people with MetS.
Brazilian Journal of Physical Therapy, 2017
Background: Physical exercise has been used to mitigate the metabolic effects of diabetes mellitus. Objective: To evaluate the effect of resistance exercise when compared to aerobic exercise without insulin therapy on metabolic and clinical outcomes in patients with type 2 diabetes mellitus. Methods: Papers were searched on the databases MEDLINE/PubMed, CINAHL, SPORTDiscus, LILACS, and SCIELO, without language or date of publication limits. Clinical trials that compared resistance exercise to aerobic exercise in adults with type 2 diabetes mellitus who did not use insulin therapy were included. The quality of evidence and risk of bias were assessed using the GRADE system and the Cochrane Risk of Bias tool, respectively. Meta-analysis was also used, whenever possible. Two reviewers extracted the data independently. Eight eligible articles were included in this study, with a total of 336 individuals, with a mean age of 48-58 years. The protocols of aerobic and resistance exercise varied in duration from eight to 22 weeks, 30-60 min/day, three to five times/week. Results: Overall the available evidence came from a very low quality of evidence and there was an increase in Maximal oxygen consumption (mean difference: −2.86; 95% CI: −3.90 to −1.81; random effect) for the resistance exercise and no difference was found in Glycated hemoglobin, Body mass index, High-density lipoprotein cholesterol, Low-density lipoprotein cholesterol, triglycerides, and total cholesterol. Conclusions: Resistance exercise appears to be more effective in promoting an increase in Maximal oxygen consumption in protocols longer than 12 weeks and there is no difference in the control of glycemic and lipid levels between the two types of exercise.
BMC pulmonary medicine, 2015
Pulmonary arterial hypertension (PAH) is a progressive disorder characterized by hypertension in the pulmonary arteries. PAH leads to symptoms such as shortness of breath, dizziness, leg edema and chest pain, impacting heavily on quality of life. The aim of this systematic review and meta-analysis was to determine the effect of exercise training to improve physical fitness and functionality in patients with PAH. A search was conducted for controlled trials using the databases Medline, Embase, SPORT Discus and Cochrane Central Register of Controlled Trials. Studies were included if at least 80% of the participants presented with group 1 PAH and if the intervention consisted of an exercise training program of at least 3 weeks duration. Data were extracted on study quality, participant and exercise intervention characteristics, and outcomes. Data were pooled by the generic inverse variance method using random effect models and were expressed as weighted means and 95% confidence interva...
European Journal of Preventive Cardiology, 2011
The review found that combined aerobic and resistance training was more effective than aerobic training in the cardiac rehabilitation of patients with coronary artery disease. Limitations of the review methodology, and the low quality of the included trials, mean that the reliability of the authors' conclusions is uncertain. Authors' objectives To compare the efficacy and safety of aerobic training alone versus combined aerobic and resistance training in the cardiac rehabilitation of patients with coronary artery disease. Searching Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, SPORT DISCUS and CINAHL were searched from inception to October 2009. Search terms were reported. Manual searches of the reference lists of identified studies were conducted. Only studies published in English were eligible for inclusion.
Journal of Clinical Research in Paramedical Sciences
Background: The aim of this study was to investigate the effect of aerobic and resistance training on insulin resistance and some risk factors of cardiovascular diseases in type 2 diabetes mellitus patients. Methods: In the current research, as a review of studies, we searched articles related to the effect of exercise training on cardiovascular diseases and insulin resistance in diabetic patients published in Springer, Hindawi, PubMed, Google Scholar, Scopus, SID and ISC until July 2022 using the keywords diabetes, insulin resistance, cardiovascular disease, training, exercise, aerobic exercise, and resistance exercise. Between 1999 and 2022, 68 studies and 14 systematic review and meta-analysis articles were examined. Results: In the studies related to Training and insulin resistance, 14 studies were reviewed, the number of subjects was 3753, in 100% of the subjects, and the reduction of insulin resistance was significant (P < 0.05). A number of 7732 subjects were investigated ...
Concurrent resistance and aerobic training as protection against heart disease
Cardiovascular journal of Africa
This study was designed to compare the effects of aerobic and concurrent aerobic and resistance training on their ability to slow the rate of development and progression of coronary heart disease (CHD) in young adult males at low risk, as determined by the Framingham risk assessment (FRA) score. Subjects were assigned to 16 weeks of three-times weekly aerobic training (AT) (n = 13), concurrent aerobic and resistance training (CART) (n = 13) or no exercise (NO) (n = 12). Both AT and CART resulted in significant (p < 0.05) changes in total cholesterol (from 173.67 ± 29.93 to 161.75 ± 26.78 mg.dl(-1) and from 190.00 ± 38.20 to 164.31 ± 28.73 mg.dl(-1), respectively), smoking status (from 12.25 ± 5.08 to 10.33 ± 5.37 cigarettes per day and 12.00 ± 4.71 to 8.77 ± 5.10 cigarettes per day, respectively), high-density lipoprotein cholesterol (from 47.00 ± 11.85 to 57.50 ± 5.99 mg.dl(-1) and 34.00 ± 8.53 to 46.77 ± 14.32 mg.dl(-1), respectively), systolic blood pressure (from 126.17 ± 7.0...
Sports medicine - open, 2015
Concurrent aerobic and resistance training (CART) programs have been widely recommended as an important strategy to improve physiologic and functional performance in patients with chronic diseases. However, the impact of a personalized CART program in patients with type 2 diabetes (T2D) requires investigation. Therefore, the primary aim of the current study is to investigate the impact of CART programs on metabolic profile, glycemic control, and exercise capacity in patients with diabetes. We evaluated 41 subjects with T2D (15 females and 19 males, 50.8 ± 7 years); subjects were randomized into two groups; sedentary (SG) and CART (CART-G). CART was performed over 1.10-h sessions (30-min aerobic and 30-min resistance exercises) three times/week for 12 weeks. Body composition, biochemical analyses, peripheral muscular strength, and cardiopulmonary exercise testing were primary measurements. The glycated hemoglobin HbA1c (65.4 ± 17.9 to 55.9 ± 12.7 mmol/mol), cholesterol (198.38.1 ± 50...