Complex Exercise Research Articles

La protection de l’environnement dans la Zone internationale des fonds marins : réflexions sur le droit à venir

The prospect of the development of resource exploitation activities in the Area, particularly of its mineral resources, increases the worrying pressure on the deep sea as never before. The environment of the Area is however reputed to be as remarkable as it is fragile ; it is also largely unknown. In this context, the question of the development of a law adapted to the emerging threats is urgent. Two parallel normative processes are underway that are expected to be completed in the near future. The first one is hosted by the International Seabed Authority (ISBA), the second is taking place in the framework of an intergovernmental conference mandated by the UN General Assembly. These parallel processes initially raise the question of the sources of environmental protection law in the deep sea. The present contribution explores the rationale for this fragmented and differentiated production of law, which itself raises the question of the articulation of future rules. In law and in fact, it appears that the law in gestation under the ISBA will occupy a central place. Thus, the second part of this contribution is devoted to questioning the environmental ambition of the future law on deep-sea mining. Since these are high-risk activities in a context of total scientific and technical uncertainty, it is understandable that the precautionary approach should be the basis of the law. The analysis of the rules being finalized then questions the way in which the law concretely declines this approach and attempts to highlight the strengths and limits of an infinitely complex normative exercise.

불안정 지지면을 적용한 테라테이먼트 하지복합운동이 안굽이 무릎 하지 변형자의 무릎과 족저압에 미치는 영향

본 연구는 불안정 지지면을 적용한 테라테이먼트 하지복합운동이 안굽이 무릎 하지 변형자의 무릎과 족저압에 미치는 영향을 알아보고자 하였다. 안굽이 무릎 2등급 남녀 25명을 대상으로 안정 지지면 운동 그룹(SEG)과 불안정 지지면 운동그룹(UEG)으로 나누어 연구를 진행하였다. 하지복합운동 프로그램은 탄력밴드를 이용한 하지운동과 스쿼트 운동으로 구성하였으며, 총 5주간, 주 4회 40분 실시하였다. 무릎의 구조적 변화를 관찰하기 위해 무릎사이 간격과 Q-각을 측정하였으며, 정적 족저압을 평가하였다. 무릎사이 간격과 Q-각 측정 결과 각 집단에서 모두 실험 전에 비해 실험 후 무릎 사이 간격은 감소하고 Q-각은 증가되었음을 알 수 있었으며, 통계적으로 유의한 차이를 나타내었다(p<.05). 실험 후 집단 간 비교 검사 결과, 무릎사이 간격 차이에서 통계적으로 유의한 차이를 나타내었다(p<.05). 정적 족저압 평가 결과 각 집단에서 모두 실험 전에 비해 실험 후 양쪽 발의 앞쪽 비율(FFR)은 감소하고, 뒤쪽 비율(RFR)은 증가하였다. 안정 지지면 운동그룹의 왼쪽 발 앞쪽 비율(FFR)을 제외하고 통계적으로 유의한 차이를 보였다(p<.05). 이상의 결과를 통해 하지복합운동이 안굽이 무릎 하지 변형자의 무릎 구조 교정 및 정적 족저압 개선에 효과적이며, 불안정 지지면은 하지복합운동의 효과를 증가 시킬 수 있는 좋은 조건임을 알 수 있었다.

Effects of a Complex Exercise Program on the Distance between Knees and Balance in Individuals in their 20s with Genu Varum

Background: Thera-Band, Narrow squats, Kinesiology taping helps in the reduction of loading on the knee joints. Despite the fact that the varus knee negatively affects the alignment of the lower extremities, most of the studies have analyzed each independently.Objectives: To investigate the effects of a complex exercise program consisting of elastic band exercises and squat exercises on the distance between the inner knees and balance in young adults with genu varum.Design: A cluster randomized controlled trial.Methods: The complex exercise group performed resistance exercises using an elastic band. The taping group used kinesiology tape on the vastus lateralis and biceps femoris. To select those to be included in the study, we measured the distance between the knees using digital Vernier calipers and to measure the balance ability, we used a balance training system. The data were analyzed with the independent t-test and paired t-test.Results: The study indicated a significant difference in the distance between the knees between the two groups, but no significant differences in the dynamic balance between the groups. Also, the static balance comparison between the groups according to the intervention method included the trace length, C90 area, C90 angle and velocity. There were no significant differences in the static balance between the groups. In addition, the complex exercise program was more effective than taping.Conclusion: The results of this study demonstrate that the complex exercise program and taping decrease the between both the knee and increase the balance.

복합운동 프로그램이 노인의 삶의 질에 미치는 영향

본 연구는 복합운동프로그램이 노인의 삶의 질에 미치는 영향에 대하여 알아보고자 하였다. G광역시와 J지역에 거주하고 있는 노인이 대상자이며, 총 20명이 참가하였다. 노인의 평균 나이는 65-85이며, 프로그램 구성은 2020년 9월 1일에서 2020년 10월 30일까지 주 3회 60분으로 설계하였다. 복합운동 프로그램 회기는 총 12회기를 실시하였으며, 연구 분석은 SPSS for Win 24.0을 사용하였다. 연구 결과 복합운동프로그램이 노인의 불안, 걱정, 짜증이 통제집단에 비해 실험집단에 유의미한 차이가 있었다. 본 연구를 통해 노인들의 복합운동 프로그램의 효과성과 필요성에 대한 자료를 제시하고자 하며, 노인들의 보다 나은 삶의 질을 높이기 위하여 복합운동프로그램이 활성화되어 일반화될 수 있기를 기대한다.

Effects of a Complex Exercise Program on the Distance between Knees and Balance in Individuals in their 20s with Genu Varum

Effects of a Complex Exercise Program on the Distance between Knees and Balance in Individuals in their 20s with Genu Varum

NARRATIVES OF NAVIGATION: Refugee-Background Women's Higher Education Journeys in Bangladesh and New Zealand

Navigating higher education (HE) is a complex exercise for many students, including those from refugee backgrounds. Internationally, only a very small percentage of refugee-background students access HE. In a 2018 study, we explored 37 women students’ narrative accounts of international study in Bangladesh and New Zealand. Our participants included 10 women from refugee backgrounds. Theoretically, our research was a response to calls from critical scholars to consider the different circumstances that shape students’ international study, and the ethical and pedagogical implications of these for ‘host’ institutions. In this article, we explore the refugee-background women’s accounts of accessing, navigating, and thinking beyond HE, and their thoughts on factors that support refugee-background students’ success in HE. We argue for the need to: reject ‘grand narratives’ in relation to refugee-background students; acknowledge students’ ‘necessary skillfulness’ while supporting their capacity to navigate HE; and recognise refugee-background students’ commitments and influence beyond HE institutions.

Home-Based Exercise Program With Telephone Coaching: A Feasibility Study

Exercise is crucial to maintain mobility, reduce falls and delay functional decline in older adults, but effective implementation strategies are lacking. Self-directed home-based exercise therapy is recommended by clinicians to overcome barriers such as cost, travel and availability. However, non-adherence is a major challenge due to lack of motivation, real time feedback or social support. To overcome these barriers, we conducted a feasibility study to evaluate a home-based exercise program with telephone coaching to improve mobility in frail older adults. Four non-demented, frail community-dwelling older adults were taught one of two exercise routines at our research center. The first involved complex exercises with internal and external cueing techniques that have been associated with neuroplasticity in previous studies (N=3). The second was a lesser cognitively demanding control program that included aerobic, balance and strengthening exercises (N=1). One week later, the participants were asked to repeat the exercises in their own home. The research assistant coached the patient over the telephone. A board-certified physiatrist was present during the home session to monitor adherence and fidelity to the protocol as well as address safety. The study produced qualitative findings regarding recruitment strategies, exercise feasibility, and other logistical issues relating to participant understanding, safety, and monitoring. Based on direct observation of participants at home, safety assessment protocols, instructions, and exercises were all refined. Building on this data, we plan to design a clinical trial to evaluate the impact of complex exercises designed to promote neuroplasticity and reduce cognitive and motoric decline in older adults.

The Effects of the Ten-week Complex Exercise Program for Obese Postpartum Women on Metabolic Syndrome Related Risk Factors and Adipocytokines

The Effects of the Ten-week Complex Exercise Program for Obese Postpartum Women on Metabolic Syndrome Related Risk Factors and Adipocytokines

Express analysis of conducting a set of preparatory and special exercises on land for swimming students of the 1st year of the Faculty of Physical Culture and Sports of H.S. Skovoroda KhNPU

The aim of the research is to study the characteristics of practical training and the level of formation of knowledge and skills among the students of the first course of the Faculty of Physical Education and Sport. G.S.Skovoroda on the subject "Theory and Methodology of Teaching Swimming" by means of express analysis of preparatory and special exercises on land. Materials and methods. The pedagogical research involved 39 students of the 1st course in 2018 and 41 students in 2019. The study was carried out during camp fees. The complexes were explained to the students. The students were given a task to learn one of them (the one that was asked) and to spend it with the students of their group. The following indicators were recorded in the study: in order to monitor the level of knowledge and skills of students in a range of land-based exercises using the rapid analysis method, criteria were developed to assess the effectiveness of the acquisition of this skill: Organizational abilities (building, group vision during the complex, team voice); display techniques (mirror display); delivery techniques (short and in accordance with terminology); excitement, self-confidence (exercise not in order, exercise properly); aspiration to support (peek in outline, clue). Each criterion was evaluated by observation with a score of 2, and scores were added and calculated with an arithmetic average (a maximum of 10). Research results. The main criteria for the comparative characterization of the performance of land-based exercises by students were the use of expert judgement and the processing of data by mathematical statistical methods. Conclusions. Definitely that: 1. When learning the skills to conduct sets of preparatory and special exercises on land in 2018, the greatest difficulty was caused by 3.4 simulation exercises. 2. Regarding the criteria behind the evaluation of the complexes, the most difficult criteria for students were the ability to see the group and remember the activities of the complex. 3. Errors were most often encountered during the use of the display and storytelling techniques, as well as in the sequence of the exercise complex. The information on the objective state of the students' learning of the skills of conducting preparatory and special exercises made it possible to find out, That it is necessary to develop such complexes as if, due to their complexity, they are the same and take into account both simple and complex general, special and simulation exercises. Taking into account the identified difficulties in the assimilation of the preparatory and special exercise complexes in 2019, the complexes were redesigned and, after a second experiment, that due to the difficulty of assimilating the complex of preparatory and special exercises has almost evened out in average scores, the difference is no more than 1 point.

Monitoring army drivers’ workload during off-road missions: An experimental controlled field study

We studied the validity of electroencephalographic (EEG) and gaze indices to discriminate task load variations in professional Army drivers while performing real training exercises with a Light Multirole Vehicle in non-combat scenarios. Twenty-two non-commissioned officers from the Spanish Army carried out two sets of standardized driving exercises, with low and high maneuver complexity (off-road navigation vs. slalom on dirt road). They performed both exercises with and without a secondary auditory-vocal digit span forward task. Throughout the exercises, we simultaneously recorded drivers’ EEG and gaze activity. We also assessed perceived task load and performance. We found that drivers’ neural activation changed with exercise complexity. Particularly, the EEG signal ratio between Frontal-Theta and Parietal-Alpha power spectra, known as the EEG workload index, was higher during the most complex exercise. This index was not affected by dual tasking. Furthermore, the level of uncertainty of the gaze position, as measured by gaze entropy, increased during the most complex exercise. Dual tasking did increase drivers’ gaze dispersion, but only when performing the less complex exercise. Perceived task load was sensitive to maneuver complexity and dual tasking. Performance indices did not vary across exercises. Our results support that physiological monitoring in real training, even in extreme environments, is feasible and can give objective measurements of changes in task load over time in a minimally invasive fashion.

Relationship Between the Presence of the Goalkeeper and the Pedagogic Variables that Define the Football Tasks. A Case Study

This research aims to analyze the pedagogical variables included in the training tasks designed by the soccer-base coach, Benjamin category (age between 9 and 10 years), regarding the presence or not of the goalkeeper. To do this, a total of 46 training tasks framed during 2 months of the training stage were analyzed. For the categorization of tasks, the SIATE tool was used, to analyze the pedagogical variables: Presence of Goalkeeper (PG), Game Situation (GS), Game Phase (GP), Content Type (CONT-T), Sports Initiation Medium (SIM), Opposition Level (OL) and Line of Play (LJ). The results show that the coach designs 8 x 8, mixed and competitive training tasks with the presence of a goalkeeper, and 1 x 0 training tasks, complex application exercise for warm-up without the presence of a goalkeeper. Also, there are significant differences between the variable presence of goalkeeper and the coach’s way of acting.

Turkish Get-Up: Correcting Common Kinematic Errors and Translating Movements to More Complex Lifts

ABSTRACT The Turkish get-up (TGU) is a functional strength exercise that focuses on the quality of the movement as opposed to the shear strength or speed. Proficiency in this movement may improve shoulder and hip strength, stability, and flexibility, which can be beneficial when performing more complex lifts (e.g., deadlift, clean, and overhead press). However, performing this movement without proper technique can lead to kinematic errors and increased risk of injury. This article analyzes the common errors during the TGU and corrective exercises that may translate to improved execution of more complex exercises, ultimately enhancing performance.

Exercise cardiovascular magnetic resonance: feasibility and development of biventricular function and great vessel flow assessment, during continuous exercise accelerated by Compressed SENSE: preliminary results in healthy volunteers

PurposeExercise cardiovascular magnetic resonance (Ex-CMR) typically requires complex post-processing or transient exercise cessation, decreasing clinical utility. We aimed to demonstrate the feasibility of assessing biventricular volumes and great vessel flow during continuous in-scanner Ex-CMR, using vendor provided Compressed SENSE (C-SENSE) sequences and commercial analysis software (Cvi42).Methods12 healthy volunteers (8-male, age: 35 ± 9 years) underwent continuous supine cycle ergometer (Lode-BV) Ex-CMR (1.5T Philips, Ingenia). Free-breathing, respiratory navigated C-SENSE short-axis cines and aortic/pulmonary phase contrast magnetic resonance (PCMR) sequences were validated against clinical sequences at rest and used during low and moderate intensity Ex-CMR. Optimal PCMR C-SENSE acceleration, C-SENSE-3 (CS3) vs C-SENSE-6 (CS6), was further investigated by image quality scoring. Intra-and inter-operator reproducibility of biventricular and flow indices was performed.ResultsAll CS3 PCMR image quality scores were superior (p < 0.05) to CS6 sequences, except pulmonary PCMR at moderate exercise. Resting stroke volumes from clinical PCMR sequences correlated stronger with CS3 than CS6 sequences. Resting biventricular volumes from CS3 and clinical sequences correlated very strongly (r > 0.93). During Ex-CMR, biventricular end-diastolic volumes (EDV) remained unchanged, except right-ventricular EDV decreasing at moderate exercise. Biventricular ejection-fractions increased at each stage. Exercise biventricular cine and PCMR stroke volumes correlated very strongly (r ≥ 0.9), demonstrating internal validity. Intra-observer reproducibility was excellent, co-efficient of variance (COV) < 10%. Inter-observer reproducibility was excellent, except for resting right-ventricular, and exercise bi-ventricular end-systolic volumes which were good (COV 10–20%).ConclusionBiventricular function, aortic and pulmonary flow assessment during continuous Ex-CMR using CS3 sequences is feasible, reproducible and analysable using commercially available software.

A Comparison of the Transient Effect of Complex and Core Stability Exercises on Static Balance Ability and Muscle Activation during Static Standing in Healthy Male Adults.

Balance ability is a necessary exercise factor required for the activities of daily living. This study investigated the effects of short-term complex exercise (CE) and core stability exercise (CSE) on balance ability and trunk and lower-extremity muscle activation on healthy male adults. Twenty-nine healthy male adults were included. All performed CE and CSE for 1 min each; the exercise order was randomized. The primary and secondary outcomes were balance ability and muscle activation, respectively. In balance ability, CE showed a significant difference in all variables in both eye-opened and eye-closed conditions compared with the baseline (p < 0.05). In comparisons among exercises, the path length and average velocity variables showed a significant decrease in the eye-opened condition, and the path length variable showed a significant decrease in the eye-closed condition (p < 0.05). In muscle activation, CE showed a significant increase in the gluteus medius (Gmed) and decrease in the rectus femoris (RF), tibialis anterior (TA), and RF/biceps femoris (BF) ratio in the eye-opened condition compared to the baseline and a significant decrease in RF and RF/BF ratio in the eye-closed condition (p < 0.05). Both CE and CSE improved the static balance ability. Furthermore, muscle activation significantly increases in Gmed and decreases in the RF, TA, and RF/BF ratio. Therefore, we recommend including CE in an exercise program that has the purpose of improving static balance ability.

Effectiveness of Human Versus Computer-Based Instructions for Exercise on Physical Activity-Related Health Competence in Patients with Hip Osteoarthritis: Randomized Noninferiority Crossover Trial.

BackgroundHip and knee osteoarthritis is ranked as the 11th highest contributor to global disability. Exercise is a core treatment in osteoarthritis. The model for physical activity–related health competence describes possibilities to empower patients to perform physical exercises in the best possible health-promoting manner while taking into account their own physical condition. Face-to-face supervision is the gold standard for exercise guidance.ObjectiveThe aim of this study was to evaluate whether instruction and guidance via a digital app is not inferior to supervision by a physiotherapist with regard to movement quality, control competence for physical training, and exercise-specific self-efficacy.MethodsPatients with clinically diagnosed hip osteoarthritis were recruited via print advertisements, emails and flyers. The intervention consisted of two identical training sessions with one exercise for mobility, two for strength, and one for balance. One session was guided by a physiotherapist and the other was guided by a fully automated tablet computer-based app. Both interventions took place at a university hospital. Outcomes were assessor-rated movement quality, and self-reported questionnaires on exercise-specific self-efficacy and control competence for physical training. Participants were randomly assigned to one of two treatment sequences. One sequence started with the app in the first session followed by the physiotherapist in the second session after a minimum washout phase of 27 days (AP group) and the other sequence occurred in the reverse order (PA group). Noninferiority was defined as a between-treatment effect (gIG)<0.2 in favor of the physiotherapist-guided training, including the upper confidence interval. Participants, assessors, and the statistician were neither blinded to the treatment nor to the treatment sequence.ResultsA total of 54 participants started the first training session (32 women, 22 men; mean age 62.4, SD 8.2 years). The treatment sequence groups were similar in size (PA: n=26; AP: n=28). Seven subjects did not attend the second training session (PA: n=3; AP: n=4). The app was found to be inferior to the physiotherapist in all outcomes considered, except for movement quality of the mobility exercise (gIG –0.13, 95% CI –0.41-0.16). In contrast to the two strengthening exercises in different positions (supine gIG 0.76, 95% CI 0.39-1.13; table gIG 1.19, 95% CI 0.84-1.55), movement quality of the balance exercise was close to noninferiority (gIG 0.15, 95% CI –0.17-0.48). Exercise-specific self-efficacy showed a strong effect in favor of the physiotherapist (gIG 0.84, 95% CI 0.46-1.22). In terms of control competence for physical training, the app was only slightly inferior to the physiotherapist (gIG 0.18, 95% CI –0.14-0.50).ConclusionsDespite its inferiority in almost all measures of interest, exercise-specific self-efficacy and control competence for physical training did improve in patients who used the digital app. Movement quality was acceptable for exercises that are easy to conduct and instruct. The digital app opens up possibilities as a supplementary tool to support patients in independent home training for less complex exercises; however, it cannot replace a physiotherapist.Trial RegistrationGerman Clinical Trial Register: DRKS00015759; http://www.drks.de/DRKS00015759

The Adapted Resistance Training with Instability Randomized Controlled Trial for Gait Automaticity.

Deficits in the cerebellar locomotor region (CLR) have been associated with loss of gait automaticity in individuals with freezing of gait in Parkinson's disease (freezers); however, exercise interventions that restore gait automaticity in freezers are lacking. We evaluated the effects of the adapted resistance training with instability ([ARTI] complex exercises) compared with traditional motor rehabilitation (without complex exercises) on gait automaticity and attentional set-shifting. We also verified associations between gait automaticity change and CLR activation change previously published. Freezers were randomized either to the experimental group (ARTI, n = 17) or to the active control group (traditional motor rehabilitation, n = 15). Both training groups performed exercises 3 times a week for 12 weeks. Gait automaticity (dual-task and dual-task cost [DTC] on gait speed and stride length), single-task gait speed and stride length, attentional set-shifting (time between Trail Making Test parts B and A), and CLR activation during a functional magnetic resonance imaging protocol of simulated step initiation task were evaluated before and after interventions. Both training groups improved gait parameters in single task (P < 0.05), but ARTI was more effective than traditional motor rehabilitation in improving DTC on gait speed, DTC on stride length, dual-task stride length, and CLR activation (P < 0.05). Changes in CLR activation were associated with changes in DTC on stride length (r = 0.68, P = 0.002) following ARTI. Only ARTI improved attentional set-shifting at posttraining (P < 0.05). ARTI restores gait automaticity and improves attentional set-shifting in freezers attributed to the usage of exercises with high motor complexity. © 2020 International Parkinson and Movement Disorder Society.

The Effect of Sling complex Exercise on Depressive disorder, Function and Quality of life in the Elderly

The Effect of Sling complex Exercise on Depressive disorder, Function and Quality of life in the Elderly

Hospitality workers’ reward and recognition

PurposeThe purpose of this study is to investigate hotel workers’ preferences among the following pairs: intrinsic and extrinsic motivators and non-material and material factors.Design/methodology/approachThe study used the quantitative method and a descriptive design to draw inferences about employees’ preferences for items intended as reward and recognition. Convenience sampling was used in selecting the respondents using a survey questionnaire as the research instrument.FindingsThis study has shown that hospitality employees differ in their preference for some material and non-material items signifying reward and recognition (RR). Management should take these differences into account when devising such incentives. The heterogeneous workforce structure in the United Arab Emirates may complicate the design of an RR system. Practitioners in the hospitality industry may note with interest that achieving employee performance and satisfaction is a complex exercise. The satisfaction that employees derive can be strengthened by focusing on Herzberg’s motivators while employee dissatisfaction could be prevented by addressing hygiene factors. Human resource personnel can achieve a measure of success while developing and administering a compensation program that stimulates effort related to work, tasks or accomplishment of goals. While motivated employees are expected to perform better, employee productivity according to certain research is related to the level of meeting ones’ needs. It is, therefore, important for organizations in the hospitality industry to consider the design of a well-balanced but flexible reward-recognition system that serves motivating employees toward the achievement of organizational goals and meet their own needs.Originality/valueThe writers included demographic information and employment characteristics as part of their study. They included 10 factors, such as language, ethnicity, age, years in company and department among others.

NEAR INFRARED SPECTROSCOPY AND SPIROERGOMETRY TESTING IN CROSSFIT

PURPOSE CrossFit is a young sport discipline which offers varied strength and endurance training through complex exercises. Currently there are relatively few studies focusing on performance analysis in terms of the physiological response of organism. The aim of the research was to verify near infrared spectroscopy (NIRS) in combination with spiroergometry as a functional means for specific load testing in CrossFit. METHODS Elite crossfitter (male, age 20, body height 185 cm, body weight 87 kg) formed part of this study. Two Moxy sensors (placed on the vastus lateralis muscle and the intercostal muscles) and chest (strap) heart rate (HR) sensor were used for obtaining the data. The Cortex MetaMax 3BR2 system was used for portable spiroergometry. The AMRAP method (as many repetitions as possible) was used for testing. The selected test consisted of (1) 10 Deadlifts, 100kg, 15 Assault Air Bike Calories; (2) 12 lunges (with two 20 kg Kettlebell), 10 push-ups, 8 ring swings; (3) 20 SkiErg Calories, 10 50kg back squat, 10 toes to bar. RESULTS The testing has confirmed that breathing functions and muscle oxidation can be well observed under load in given exercises and movements. It has been confirmed that CrossFit provides a very varied load to which the organism must respond immediately. The strength load changes, causing deflection in SmO2 and VCO2 which consequently imposes demands on the respiratory component. CONCLUSIONS This is the first study which monitors the load in the combination of strength and endurance load through crossfit elements. Based on our result, it seems that linking NIRS and spirometry is a suitable combination for a comprehensive analysis of the athlete not only for CrossFit.

복합운동프로그-램이 비만 지적장애 중년여성의 건강관련체력, Irisin 및 Leptin에 미치는 영향

This study was conducted to investigate the effects of the participation of middle-aged women with intellectual disabilities on health-related physical fitness, Irisin and Leptin in the complex exercise program and to present basic data for the health care of people with intellectual disabilities.,For this purpose, 40 middleaged women with obesity intellectual disability who have no special exercise experience as middle-aged women with intellectual disabilities over 30% of body fat rate were selected and the results were obtained by conducting physical activities for 60 minutes per day for 3 times a week and 12 weeks. First, there was a significant difference in the weight(p<.001) and body fat(p<.01) in the change of health-related physical fitness before and after the participation in the complex exercise program, and there was a significant difference in muscle strength, but there was no statistical difference, but there was a significant difference in muscle endurance, flexibility and cardiopulmonary endurance(p<.001). Second, there was a significant difference in the change of Irisin before and after participating in the complex exercise program(p<.001). Third, there was a significant difference in Leptin change before and after participating in the complex exercise program(p<.001). The participation of regular physical activities like this exercise program will help improve the quality of life of middle-aged women with intellectual disabilities. However, since the exercise program of this study was applied as a weight load support exercise to reduce the risk of injury rather than as a program preferred by middle-aged women, it is considered that more objective research is needed by observing physiological changes through sufficient time by selecting the exercise method that suits the characteristics of middle-aged women with intellectual disabilities.