Aerobic Combination Research Articles

Effects of exercise interventions on quality of life in patients with breast cancer: A systematic review and network meta-analysis.

To compare and rank the effectiveness of four primary categories of exercise modalities (aerobic, resistance, mind-body, and combined exercise [CE]) in improving the Quality of life (QoL) of women with breast cancer in a network meta-analysis (NMA). Articles published in English and indexed in the PubMed (MEDLINE), EBSCO, Web of Science, SPORTDiscus, The Cochrane Library, Google Scholar, PsycINFO, EMBASE, and CINAHL Plus databases were identified from inception to 12 October 2023. Studies that met the eligibility criteria were assessed for risk of bias. A frequentist NMA was conducted to appraise the efficacy of different exercise types. This study included 56 studies with 3904 participants. Aerobic, mind-body, and combined exercises effectively improved QoL compared to controls. The surface under the cumulative ranking curve (SUCRA) indicated that CE best improved patients' QoL (SUCRA=96.7%). Analysis of the secondary outcomes suggests that exercise reduced patients' depression (standardized mean difference [SMD]= -0.38, 95% confidence interval [CI]=-0.70 to -0.06, p<0.001; I2=79%) and anxiety (SMD=-0.50, 95% CI=-0.69 to -0.31, p<0.001; I2=27.4%) but did not affect self-esteem. All exercise types but resistance were effective in improving the QoL of women with breast cancer, CE (the combination of aerobic and resistance exercise) had the highest likelihood of being optimal for improving QoL.

P073 Comparative effectiveness of different exercise interventions on central sensitisation indices in humans: A systematic review and network meta-analysis

Abstract Background/Aims Exercise has shown a promising effect in reducing central sensitisation (CS), but it is unknown which exercise type is the most effective. This review aimed to rank and compare the effectiveness of different exercise interventions on CS in people with or without chronic musculoskeletal pain. This will help to identify the optimal exercise intervention to improve pain by reducing CS for subsequent use in clinical trials. Methods We searched MEDLINE, EMBASE, AMED, CINAHL, SPORTDiscus, CENTRAL, PEdro, SCOPUS, as well as references cited in the selected papers, and grey literature from inception to February 2022. We included randomized controlled trials (RCTs) that assessed the effect of exercise interventions on CS indices in humans. RCTs where a specific effect of exercise could not be determined were excluded. Pairwise and network meta-analyses (frequentist and Bayesian) were conducted using random effects models. Effect sizes were calculated using standardized mean difference (SMD). P-score as well as SUCRA score were used to rank the exercise interventions (from best to worst) in both frequentist and Bayesian approaches, respectively. Results The search returned 93,657 records, of which 143 RCTs (5,362 participants [4890 participants had musculoskeletal pain (122 studies), and 427 were pain free (21 studies)]) were eligible. Firstly, we performed the pairwise meta-analysis to examine the effect of all exercise interventions on all CS outcomes. It showed moderate improvement of CS outcomes (SMD - 0.77, 95% confidence interval (95%CI) -0.89 to -0.65, I2 = 87%, p &amp;lt; 0.01). After that, 80 RCTs were included in the network meta-analysis (NMA) using inactive controls as a common comparator. In terms of efficacy at improving indices of CS, all exercise interventions were more effective than control. Combined strengthening and stretching exercise exhibited the highest probability to be the optimal intervention reducing CS (P-score: 0.8896, SUCRA score: 0.8719, SMD= -2.02, 95%CI: -2.83: -1.20), followed by strengthening, stretching and aerobic combination (P-score: 0.8557, SUCRA score: 0.8517, SMD = -1.92, 95%CI: -2.90: -0.95), and stretching with aerobic exercise (P-score: 0.7794, SUCRA score: 0.7198, SMD = -1.70, 95%CI: -2.79: -0.62). However, differences between these three interventions’ effect sizes were small, and 95% CI were overlapping. Other interventions included, mind body exercise, aerobic plus strengthening exercise, strengthening exercise, stretching exercise, aerobic exercise. Conclusion Our meta-analysis suggested that various exercise interventions are effective in improving CS. Multicomponent exercise tends to be the most effective, but some exercise combinations might be better than others. Strengthening and stretching combination shows the greatest likelihood among other combinations of being the optimal exercise type. These findings might have utility informing future treatment recommendations for people with CS features. However, Further research should be considered to explore cost-effectiveness of different interventions. Disclosure A.A. Abd Elkhabir: None. D.F. McWilliams: Grants/research support; grant support from Pfizer and Eli Lilly. S. Smith: None. W. Chaplin: None. M. Salimian: None. V. Georgopoulos: None. A. Kouraki: None. D.A. Walsh: Consultancies; Since 2015 DAW has undertaken consultancy through the University of Nottingham to AbbVie Ltd, Pfizer Ltd, Eli Lilly and Company, Love Productions,, Reckitt Benckiser Health Limited and GSK (each non-personal, pecuniary). Honoraria; He has contributed to educational materials through the University of Nottingham, supported by Medscape Education, New York,, International Association for the Study of Pain, and Osteoarthritis Research Society International (OARSI), each of which received financial support from commercial and non-commercial entities, (each non-personal, pecuniary).. Member of speakers’ bureau; He has received speaker fees from the Irish Society for Rheumatology (personal pecuniary).. Grants/research support; He has been responsible for research funded by Pfizer, Eli Lilly, UCB Pharma (non-personal, pecuniary). Other; He receives salary from the University of Nottingham, who have received funding for that purpose from Sherwood Forest Hospitals NHS Foundation Trust,, Nottingham University Hospitals NHS Trust and UKRI/Versus Arthritis (personal, pecuniary).

EFFECTS OF THREE MODES OF EXERCISE TRAINING PROGRAMME ON BODY MASS INDEX OF ADULTS

The study examined the effects of three modes of exercise training programme: aerobics exercise, resistance exercise and combination of aerobics and resistance exercise on Body Mass Index among senior non-teaching staff in University of Lagos, Akoka, Nigeria, after a 12-week training programme. Age ranged from 45-55 years. The study adopted pretest posttest research design. The participants were subjected to the three modes of the exercise training programme lasting 30 minutes, performed three times a week. Data were collected on the body weight using a bathroom weighing scaleand height of the participants with calibrated wall. The data collected were analyzed with descriptive statistics of mean, standard deviation and inferential statistics of analysis of covariance (ANCOVA). There was significant difference in the pretest and posttest values of Body Mass Index of the participants after exposure to aerobics exercise, resistance exercise and combination of aerobics/resistance exercise training programmes [F(3,47) =24.732, p=0.000]. It was observed that there was reduction in the Body Mass Index of experimental groups: Aerobics exercise from pretest value of 31.08 to 28.92, resistance exercise from pretest value of 32.42 to 28.35 and combination of aerobics/resistance from pretest value of 32.54 to 30.38. the study identified the training programmes as a means of reducing Body Mass Index from increasing to the level of high risk for diseases. It is suggested that adults should take part in the training programme three times a week, so as to enhance their fitness status.

The Difference of Lipid Profile Pre and Post Endurance Exercise in Obese Male Adolescents

Obesity among adolescents has short-term and long-term consequences in terms of physical and psychosocial development. In adolescence obesity often causes serious complications such as hypertension, dyslipidemia, insulin resistance, dysglycemia, fatty liver, psychosocial complications. Dyslipidemia in obesity is closely related to the occurrence of atherosclerosis which often leads to coronary heart disease (CHD) and vascular disorders. Dyslipidemia is indicated by an increase in total cholesterol, low density lipoprotein (LDL), or triglycerides (TG), or a decrease in high density lipoprotein (HDL). Boys have a higher visceral fat ratio than girls. Physical exercise without dietary restrictions has been shown to improve blood lipid profiles and reduce fat mass. Endurance exercise increases fat oxidation during submaximal exercise. Zumba has been shown to reduce fat mass and improve aerobic fitness. To analyze the effect of endurance exercise with Zumba fitness 3x/week for 8 weeks on the lipid profile of obese male adolescents at senior high school Surabaya. This study was conducted from July 2020 to August 2020. The research subjects were 12 teenage boys aged 14-18 years at senior high school Surabaya, with obesity nutritional status p>95 according to CDC 2000. Research subjects were given an endurance exercise intervention with Zumba fitness 3 times a week for 8 weeks, light-moderate intensity 30-60 minutes. The volume of exercise is gradually increased by starting with an increase in duration and then the intensity of the exercise includes whole body movement with a combination of aerobics and dance. This study was conducted without calorie restriction. Pre- and post-exercise assessment of lipid profile (total cholesterol, triglycerides, HDL and LDL). TG, HDL, and total cholesterol before and after exercise had no significant difference which is TG = 0.106, HDL = 0.259 and total cholesterol = 0.188. Pre- and post-exercise LDL data had a significant difference with a significance value of 0.014 for LDL. In this study, there was a 6.8% decrease in TG; decreased LDL 4.9%; increase in HDL 12.49%; and a 3.6% reduction in total cholesterol. Endurance exercise with zumba fitness 3 times in a week for 8 weeks in obese male adolescents without calorie restriction, can improve LDL lipid profile, but does not improve TG, HDL and total cholesterol.

Combined Effects of Weight Training and Aerobic Exercise Accompanied by Normal and Low-Calorie Diets on Fat Percentage of Young Women

Sports with a combination of weight training and aerobics are expected to be an alternative to increase students' desire to exercise and reduce fat more effectively. Therefore, this study aims to determine the potential of combined aerobic exercise and weight training to be an alternative to reducing body fat combined with a normal diet program with a low calorie diet program. This research is a quantitative quasi-experimental research with pre-test and post-test control group design. With a total of 60 participants, which were divided into two groups, namely the experimental group using the low calorie diet program and the control group using the normal diet program. All data obtained were searched for the mean and the differences between the two body fat reduction programs using independent sample t-test. The combination of aerobic exercise and weight training can reduce participants' body weight, body fat and waist circumference, both in the normal diet and low-calorie diet groups. However, the low calorie diet program is more effective than the normal diet. This is evidenced by the significant reduction in body fat and strengthened by the independent sample t-test which is seen from the t value which is greater than the t table and the significance value obtained is less than 0.025, namely 0.012 for weight loss, 0.011 for a decrease in the percentage of fat, and 0.010 for a decrease in waist circumference. It is concluded that there is a difference in the decrease in the percentage of fat in the normal diet and low calorie diet groups.

The Combination of Aerobic and Resistance Exercise Induces Weight Loss via the PGC-1α/Irisin/UCP-1 Pathway

Obesity is a modern disease and the cause is quite complicated. This study explores the effects of aerobic and resistance exercise on weight loss and their relationship with the PGC-1α/Irisin/UCP-1 signaling pathway. First, we selected 52 obese students for aerobic and resistance exercise. Second, we established an obesity rat model, and then subjected them to 12 weeks of aerobic and resistance exercise. The body weights and blood lipid contents of all the subjects were measured, and mRNA and protein expressions were determined via real-time PCR and western blot. In obese students, aerobic exercise and the combination of aerobic and resistance exercise significantly reduced body weight and blood lipid levels. In obese model rats, aerobic and resistance exercise significantly reduced the body weight, blood lipid levels, and increased the PGC-1, Irisin, and UCP-1 levels. Furthermore, the combined effects of aerobic and resistance exercise were similar to those of prolonged aerobic exercise in both human subjects and model rats. The mechanism of weight loss via aerobic and resistance exercise may be related to the PGC-1α/Irisin/UCP-1 pathway, and the combination of aerobic and resistance exercise may be a more suitable weight loss option for obese patients.

Exercise, Health, and Falls Risks among Older African American Women

Background of Study: Although exercise has many benefits, older African American (AA) women are less active than older Caucasian women and older AA men. Balance and muscle-strengthening activities are typically recommended for decreased falls, whereas the role of aerobic training alone on falls prevention is controversial. Objective: This was a mixed methods phronetic (pragmatic) study – without an intervention – including quantitative data (falls risks) and qualitative data on exercise behavior and its importance to health and falls prevention; therefore, the studied phenomenon was thoroughly and pragmatically investigated. The first purpose of the study was to examine differences in falls risks based on exercise type (aerobics vs. combination of aerobics, muscle training, and balance activities) and exercise level (active people vs. somewhat active people). Secondly, participants’ exercise values were examined in relation to their health, falls-risk prevention, exercise behavior, and falls risks. Method: Interviews and falls risk assessments were conducted among 12 older AA women in an inner-city community center. Results: ANCOVA and ANOVA showed that the aerobics group performed better in Dynamic Gait Index (DGI) and Timed Up and Go than the combination group (d =0.85, -0.97); the latter surpassed the former in Functional Reach (d = 2.27). The active group (met the 150 minutes/week exercise recommendation) performed better in DGI and Six-Minute Walk than the somewhat active group (d =0.62.,50); the latter outperformed the former in balance-eyes open (d = -0.52). Emerging themes about lifestyle values included: a) reasons for health conditions and staying healthy and b) falls prevention. Conclusion: Exercise programs for fall risk reduction should include not only muscle strengthening and balance activities, but also aerobic exercises. Meeting minimum exercise recommendations is key to falls risk reduction. Beyond healthy diet, the role of exercise on the prevention of health conditions needs to be emphasized.

Cardio-kickboxing and dynamic balance in adults with developmental disabilities

This study examined the relationship between cardio-kickboxing and balance in individuals with developmental disabilities (DDs). Cardio-kickboxing is a combination of aerobics, boxing, and martial arts. In general, cardio-kickboxing has shown to improve balance in participants. To our knowledge, this is the first adult cardio-kickboxing program for participants with a DD. Twenty-one adults with development disabilities were randomly assigned to either an intervention group or a control group. Participants were tested at baseline, week four, and postintervention using the Four Square Step Test. Improvements were shown in balance (p &lt; 0.0125) at postintervention testing. Results indicate that cardio-kickboxing may be a promising intervention to improve balance for individuals with DDs.

Aerobic-synergized exercises may improve fall-related physical fitness in older adults.

The purpose of the present study was to determine whether a synergistic exercise model based on aerobics with additional fall-preventive components could provide extra benefits compared with the same duration of aerobic-synergistic exercise alone. A total of 102 adults aged 65 years and over from three geographically separated communities were assigned to three groups: the general aerobic exercise (GAE) group (N.=44), the GAE plus ball game group (BG group; N.=30) and the GAE plus square-stepping exercise group (SSE group; N.=28). Each group participated in one hour of exercise intervention and two hours of leisure activities twice weekly for 12 weeks. Each exercise session consisted of one hour of combined exercises performed in the following order: 10 minutes of warm-up activities, 20 minutes of aerobics, 20 minutes of the respective exercise model, and 10 minutes of cool-down activities. Functional fitness tests, including aerobic endurance, leg strength, flexibility, reaction time, static balance and mobility, were measured before and after the intervention. Paired t-tests and mixed model analyses were conducted to compare the differences in each measurement within and among the groups. All of the groups exhibited significantly positive effects (P<0.05), including improvements in aerobic endurance, leg muscle strength, static balance, and mobility, after the intervention. There were no significant differences in these improvements in the other two groups compared with group GAE. However, group BG and group SSE showed significantly greater improvements in mobility compared with group GAE (P<0.05). We conclude that a combination of aerobics and selected fall-prevention exercises performed over a consistent period may improve mobility without compromising the fundamental benefits of aerobics. Future studies using randomized control trials with recorded fall events and a longer period of follow-up are indicated to validate the effects of fall prevention exercises.

Combination of Aerobics and Resistance Training to Obesity University Student Serum Visfatin Level Influence

Purpose: Discuss on combination of long-term aerobics and resistance training to obesity university student serum visfatin level and blood lipid metabolism influence, and reveal potential mechanism of losing weight through exercises. Method: Divide 30 obesity university students into 3 groups, control group (group C), aerobics group (group A as well as aerobics and resistance training combinative group (group A+R), take in 16 periods’ training, before and after intervention respectively test the three groups’ weight (W), body mass index (BMI),fat mass (FM), fat percentage (%F); serum TG,TCH,HDL-C,LDL-C content and visfatin level, result:16 after 16 weeks sports intervention, compare group A and group A+R with group C, W,BMI,FM,%F obvious drop (P&lt;0.05); serum TG,TCH,LDL-C content obvious drop (P&lt;0.05), serum HDL-C obvious rises (P&lt;0.05), serum visfatin content obvious drops (P&lt;0.05), compare group A+R with group A, the FM,%F and serum visfatin content obvious drop, other indicators have no significant differences. Relevant analysis finds that serum visfatin content is positive correlated to W, BMI, FM, F%, TG, TCH and LDL-C(P&lt;0.05), and is negative correlated to HDL-C. Conclusion: Both 16 weeks’ aerobics as well as combination of aerobics and resistance training have good improvements to obesity university students’ weight and body composition, and have good adjustment on blood lipid metabolic disorder, and reduce serum visfatin level. Combination of aerobics and resistance training has more obvious impacts on FM, % F and serum visfatin content, and meanwhile, serum visfatin level is positive correlated to weight, BMI, %F, FM, TG, TCH, LDL-C, while is negative correlated to HDL-C.

2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk

2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk

Interventions for improving metabolic risk in overweight Latino youth

This review highlights various components of interventions that reduced obesity and type 2 diabetes risk factors among overweight Latino youth. A total of 114 overweight Latino adolescents completed one of four randomized controlled trials: 1) strength training (ST; boys only); 2) modified carbohydrate nutrition program (N); 3) combination of N+ST; or 4) N + Combination of Aerobic and ST (N+CAST; girls only). Measures included: strength by 1-repetition max, dietary intake by 3-d records, body composition by DEXA/MRI, glucose/insulin indices by oral and IV glucose tolerance tests. ST improved insulin sensitivity by 45% in Latino boys, and N, N+ST, and N+CAST improved glucose control in Latino boys and girls. The CAST approach reduced all adiposity measures by ∼3% in Latina girls. Participants who decreased added sugar, increased dietary fiber, and had increased parental attendance, regardless of intervention group, improved insulin action and reduced visceral adipose tissue. In conclusion, ST, CAST, and a modified carbohydrate nutrition program with separate parental classes were all successful components of the interventions that decreased obesity and related metabolic diseases.

The Effects of Region-Specific Resistance and Aerobic Exercises on Bone Mineral Density in Premenopausal Women

Epidemiological, cross-sectional, and prospective studies strongly suggest that exercise has beneficial effects on bone mass in premenopausal women. We prospectively compared the effects of resistance or aerobic exercises on regional bone mass in premenopausal active duty military women ranging in age from 19 to 40 years. Subjects were assigned, by preference, to a resistance exercise group or an aerobic exercise group and instructed to exercise at least 30 minutes per day, three times per week, for a period of 1 year. Bone mineral density (BMD) was measured by dual photon absorptiometry at the lumbar spine and femoral neck and by single photon absorptiometry at the mid radius at baseline, 6 months, and 12 months. BMD increments during the study were statistically significant at all sites in both exercise groups. Comparisons between the groups showed that after 12 months, BMD increased similarly in the lumbar spine (2.2% resistance vs. 1.8% aerobics, p = not significant) but more in the resistance group in the femoral neck (5.0% vs. 2.7%, p < 0.001) and the mid radius (7.8% vs. 6.7%, p < 0.05). Both resistance and aerobic exercises increase regional bone mass, particularly cortical bone mass, in premenopausal women. Resistance work appears to have a slightly greater effect on cortical bone than aerobics alone. A combination of aerobics and resistance exercises, therefore, may be a useful strategy for increasing peak bone mass in premenopausal women.