Continuous Moderate-intensity Aerobic Exercise Research Articles

Acute natural killer cells response to a continuous moderate intensity and a work-matched high intensity interval exercise session in metastatic cancer patients treated with chemotherapy

BackgroundIt has been suggested that the acute natural killer (NK) cell response to aerobic exercise might contribute to the tumor suppressor effect of regular exercise observed in preclinical studies. Moreover, because this response is modulated by exercise intensity, high-intensity intervals exercise (HIIE) might represent an interesting therapeutic approach in cancer patients. However, this immune response remains unstudied in cancer patients currently undergoing chemotherapy. ObjectiveTo characterize the acute NK cell response following a moderate-intensity continuous aerobic exercise session (MOD), and a HIIE session in metastatic cancer patients treated with chemotherapy. MethodsTwelve cancer patients (45–65 years old) underwent a MOD and a duration and work-matched HIIE trial, in a block-randomized order. Peripheral blood mononuclear cells (PBMC) were isolated before, after and 1h after each trial. NK cell subsets were enumerated using flow cytometry and complete blood counts. The surface expression of the cytotoxic NK cell (cNK; CD56dimCD16+) subset was evaluated for its expression of the differentiation markers CD57 and CD158a, the activating receptor NKG2D, the immune checkpoints TIM-3 and PD-1, and the chemokine receptors CXCR3, CXCR4 and CCR2. ResultscNK cell blood counts increased immediately following MOD (p < 0.001) and decreased back to pre-exercise values 1 h after exercise cessation (p < 0.001). The most responsive cNK cell subsets were expressing CD57, CD158a, NKG2D, TIM-3 and CXCR3. The HIIE trial elicited a similar biphasic response, without any difference between trials (all p ≥ 0.38). However, significant changes in the MFI values of CXCR4 and NKG2D were observed in the cNK cell subset following HIIE (all p ≤ 0.038), but not MOD. ConclusionIn metastatic cancer patients undergoing chemotherapy, both MOD and HIIE can elicit an acute mobilisation and egress of NK cells exhibiting phenotypic characteristics associated with high cytotoxicity and tumor homing. Future longitudinal trials are needed to determine if combining aerobic exercise training and chemotherapy will translate towards favorable immune and clinical outcomes.

Effects of Center Based vs. Telerehabilitation using an Interval and Continuous Aerobic Training among Post-Coronary Revascularization Patients-A Randomized Controlled Trial

Background: This investigation used continuous aerobic and high-intensity interval training to compare the differences between centre-based and telerehabilitation. This study seeks to identify the most efficient rehabilitation strategy positioned to empower patients on their path to recovery and well-being in the contemporary era of cardiac care. Methodology: The study was a single-blinded, randomized controlled trial involving 80 patients who had undergone coronary revascularization procedures, were enrolled in the cardiac rehabilitation department, and were eligible for Phase-III CR. Patients were divided into Group A, receiving centre-based Continuous Moderate-Intensity Aerobic Exercise, 3–4 days a week, at 50%-70% of MHR. Group B received high-intensity interval-based training for 3–4 days and at four subsequent intervals. Telerehabilitation was conducted with Group C following the same protocol as Group A and Group D following the same protocol as Group B, while each group had n=20 participants. Results: The within-group analysis showed significant improvements in the 6-Minute Walk Test (6MWT) and Self-reported Seven-Day Physical Activity Questionnaire (PAR) across all groups (p&lt;0.001). Significant improvements in the Rate of Perceived Exertion (RPE) were found in Groups A and B (p&lt;0.05). ANOVA results indicated that centre-based rehabilitation was significantly more effective than telerehabilitation in improving 6MWT and RPE scores (p&lt;0.05). Conclusion: Centre-based intervention is more effective than telerehabilitation in Phase-III Cardia Rehabilitation patients. However, high-intensity interval-based training was more effective in centre-based, while continuous moderate-intensity aerobic exercise was effective in telerehabilitation. Keywords: Aerobic Exercises, Cardiac Rehabilitation, Coronary Artery, Physical Activity.

Enjoyment and Affective Responses to Moderate and High-Intensity Exercise: A Randomized Controlled Trial in Individuals with Subsyndromal PTSD.

This crossover randomized controlled trial examined the acute psychological effects of a bout of moderate-intensity continuous aerobic exercise (MICE) and a bout of high-intensity functional exercise (HIFE), relative to a no-exercise sedentary control (SED), in participants (N = 21; 15 f; 24.7 ± 9.3 years) with subsyndromal post-traumatic stress disorder (PTSD). Affective state (Energy, Tiredness, Tension, Calmness) was assessed before (Pre), immediately after (Post 0), 20-min after (Post 20), and 40-min after (Post 40) each condition. Affective valence was assessed during each condition, and exercise enjoyment was assessed at Post 0. Enjoyment was significantly greater following HIFE and MICE relative to SED. Energy was significantly increased Post 0 HIFE and MICE but decreased Post 0 SED. Tension was reduced following all conditions and was significantly lower at Post 40 relative to Pre for HIFE, MICE, and SED. Tiredness was significantly reduced at Post 40 relative to Pre following MICE only, while Calmness was significantly lower at Post 40 relative to Pre following MICE and SED. Overall, both exercise conditions were enjoyed to a greater extent than the control, but MICE may provide greater psychological benefits with respect to Calmness and Tiredness. This study is among the first to assess acute changes in affective states relative to various exercise modes in individuals living with subsyndromal PTSD.

Effects of Isocaloric Resistance, Aerobic, and Concurrent Exercise on Excess Postexercise Oxygen Consumption in Older Adults.

Pilon, R, Matos-Santos, L, Matlez, MP, Rodrigues, G, Amorim, F, Lattari, E, Farinatti, P, and Monteiro, W. Effects of isocaloric resistance, aerobic, and concurrent exercise on excess postexercise oxygen consumption in older adults. J Strength Cond Res 38(4): 755-761, 2024-Excess postexercise oxygen consumption (EPOC) is a major determinant of exercise-related caloric expenditure and metabolic adaptations. Exercise modality may influence the EPOC, but this issue has not been investigated in older adults. This study compared the EPOC after isocaloric bouts of continuous aerobic exercise (AE), resistance exercise (RE), and concurrent exercise (CE) in older individuals. Ten subjects (5 men; 73 ± 6 years) had their cardiorespiratory data assessed during AE, RE, and CE and along 30-minute postexercise recovery. Total energy expenditure (EE) during exercise was similar (p > 0.05) in AE (126.0 ± 30.7 kcal), RE (123.9 ± 30.6 kcal), and CE (130.8 ± 32.6 kcal), with different times to achieve the targeted EE (RE: 61.4 ± 1.9 minutes > CE: 43.3 ± 5.6 minutes > AE: 26.6 ± 5.7 minutes; p < 0.001). Consistently, the relative intensity during exercise was superior (p < 0.05) in AE (74 ± 15% oxygen uptake reserve [VO2R]) vs. CE (43 ± 13% VO2R) vs. RE (24 ± 9% VO2R). Despite the isocaloric conditions, average EPOC and EE were approximately 45% greater (p < 0.001) in AE (8.0 ± 2.3 L; 40.1 ± 11.7 kcal) vs. RE (5.6 ± 1.2 L; 28.1 ± 5.8 kcal) and CE (5.4 ± 2.3 L; 26.9 ± 11.5 kcal). In conclusion, the EPOC was greater after isocaloric AE vs. RE and CE performed by older adults. Exercise intensity seemed to be a more important determinant of EPOC than volume reflected by EE during exercise bouts. Moderate-intensity continuous AE was more time-efficient than RE and CE to achieve a target EE. In older individuals, AE should be preferred over RE or CE when the purpose is to increase the daily caloric expenditure.

School-based high-intensity interval exercise program in children with overweight induce a greater improvements in body composition and physical fitness than moderate-intensity continuous exercise

BackgroundHigh-intensity interval running exercise (HIIE) is emerging as a time-efficient exercise modality for improving body composition and fitness in comparison with moderate-intensity continuous aerobic exercise (MICE); however, existing evidence is still unclear in children with overweight and thus we compared the effects of HIIE and MICE on body composition, muscular, and cardiorespiratory fitness in children with overweight.MethodsIn this randomized study, 40 male children with overweight aged 7–10 years were divided into an 8-week exercise regime: (1) HIIE group [n = 20; 2 sets of 15 × 20s at 85–95% maximal aerobic speed (MAS) separated by 15 × 20s recovery at 50% MAS, 3 days per week] and (2) MICE group [n = 20; 30 min at 60–70% MAS, 3 days per week]. Body composition, muscular and cardiorespiratory fitness were assessed before and after the 8-week intervention at similar times and conditions of the day.ResultsFollowing the 8-week HIIE protocol, weight, BMI, and fat mass decreased significantly (weight: − 1.4% vs. 0.2%, p < 0.05; BMI: − 3.1% vs. − 0.7%, p < 0.05; fat mass: − 7.7% vs. − 1.6%, p < 0.01) as compared with MICE; while the VO2peak and MAS increased significantly in both groups, the increase in HIIE group was significantly greater than that of MICE group (VO2peak: 10.3% vs. 3.5%, p < 0.01; MAS:7.7% vs. 4.5%, p < 0.05). Although significant improvements in muscular fitness were observed in HIIE and MICE groups [counter movement jump (CMJ): 7.8% vs. 5.4%; sprinting ability: − 3.7% vs. − 1.7%], no significant differences were seen between them (p > 0.05).ConclusionOur findings suggested that school-based HIIE intervention was highly in improving body composition and cardiorespiratory fitness of children with overweight than the MICE regime; however, MICE still provided improvements over time that were just not to the same magnitude of HIIE.

Distinct cortical haemodynamics during squat-stand and continuous aerobic exercise do not influence the magnitude of a postexercise executive function benefit

ABSTRACT A single bout of aerobic exercise benefits executive function (EF). A potential mechanism for this benefit is an exercise-mediated increase in cerebral blood flow (CBF) that elicits vascular endothelial shear-stress improving EF efficiency. Moderate intensity continuous aerobic exercise (MCE) asymptotically increases CBF, whereas continuous body weight squat-stand exercise (SSE) provides a large amplitude oscillatory response. Some work has proposed that an increase in CBF oscillation amplitude provides the optimal shear-stress for improving EF and brain health. We examined whether a large amplitude oscillatory CBF response associated with a single bout of SSE imparts a larger postexercise EF benefit than an MCE cycle ergometer protocol. Exercise changes in middle cerebral artery velocity (MCAv) were measured via transcranial Doppler ultrasound to estimate CBF, and pre- and postexercise EF was assessed via the antisaccade task. MCE produced a steady state increase in MCAv, whereas SSE produced a large amplitude MCAv oscillation. Both conditions produced a postexercise EF benefit that null hypothesis and equivalence tests showed to be comparable in magnitude. Accordingly, we provide a first demonstration that a single bout of SSE benefits EF; however, the condition’s oscillatory CBF response does not impart a larger benefit than a time- and intensity-matched MCE protocol.

Therapeutic Exercise Parameters, Considerations, and Recommendations for Migraine Treatment: An International Delphi Study.

The goal of this study was to reach consensus about the best exercise prescription parameters, the most relevant considerations, and other recommendations that could be useful for prescribing exercise to patients with migraine. This was an international study conducted between April 9, 2022 and June 30, 2022. An expert panel of health care and exercise professionals was assembled, and a 3-round Delphi survey was performed. Consensus was reached for each item if an Aiken V Validity Index ≥ 0.7 was obtained. The study included 14 experts who reached consensus on 42 items by the third round. The most approved prescription parameters were 30 to 60minutes of exercise per session, 3days per week of moderate-intensity continuous aerobic exercise, and relaxation and breathing exercises for 5 to 20minutes every day. When considering an exercise prescription, initial exercise supervision should progress to patient self-regulation; catastrophizing, fear-avoidance beliefs, headache-related disability, anxiety, depression, physical activity baseline level, and self-efficacy could influence the patients' exercise participation and efficacy; and gradual exposure to exercise could help improve these psychological variables and increase exercise efficacy. Yoga and concurrent exercise were also included as recommended interventions. From the experts in the study, exercise prescriptions should be adapted to patients with migraine considering different exercise modalities, such as moderate-intensity aerobic exercise, relaxation, yoga, and concurrent exercise, based on the patients' preferences and psychological considerations, level of physical activity, and possible adverse effects. The consensus reached by the experts can help prescribe exercise accurately to patients with migraine. Offering various exercise modalities can improve exercise participation in this population. The evaluation of the patients' psychological and physical status can also facilitate the adaptation of the exercise prescription to their abilities and diminish the risk of adverse events.

Pain intensity and pain sensitivity are not increased by a single session of high-intensity interval aerobic exercise in individuals with chronic low back pain: A randomized and controlled trial

BackgroundEvidence on the acute impact of high-intensity interval aerobic exercise on pain is scarce. This type of exercise might be perceived as increasing pain intensity and pain sensitivity negatively impacting adherence. More evidence on the acute effects of high-intensity interval aerobic exercise in individuals with low back pain (LBP) is needed. ObjectivesTo compare the acute effects of a single session of high-intensity interval aerobic exercise, continuous moderate-intensity aerobic exercise, and no exercise on pain intensity and pain sensitivity in patients with chronic non-specific LBP. DesignRandomized controlled trial with three arms. MethodParticipants were randomly assigned to one of three groups (i) continuous moderate-intensity aerobic exercise, ii) high-intensity interval aerobic exercise, and iii) no intervention. Measures of pain intensity and pressure pain threshold (PPT) at the lower back and at a distant body site (upper limb) were taken before and after 15 min of exercise. ResultsSixty-nine participants were randomized. A significant main effect of time was found for pain intensity (p = 0.011; η2p = 0.095) and for PPT at the lower back (p < 0.001; η2p = 0.280), but not a time versus group interaction (p > 0.05). For PPT at the upper limb, no main effect of time or interaction was found (p > 0.5). ConclusionsFifteen minutes of high-intensity interval aerobic exercise does not increase pain intensity or pain sensitivity compared to both moderate-intensity continuous aerobic exercise and no exercise, suggesting that high-intensity interval aerobic exercise can be used in clinical practice and patients reassured that it is unlikely to increase pain.

High-intensity interval vs. continuous moderate-intensity aerobic exercise for improving neurotransmitter level and neurocognitive performance in individuals with Parkinson's disease

In individuals with Parkinson's disease (PD), cognitive impairments can cause their quality of life to deteriorate and aggravate their motor symptoms. No studies have yet explored the neurophysiological and neurobiochemical mechanisms of changes in cognitive processing underlying neuropsychological problems exhibited by this group. The current study aimed to investigate and compare the acute effects of high-intensity interval exercise (HIIE) and continuous moderate-intensity exercise (CMIE) on the neurocognitive performance and neurotransmitter levels of individuals with PD. In addition, the relationship between changes in neurocognitive performance and those in the peripheral dopamine level induced by HIIE and CMIE interventions were also examined. Using a within-subjects design, twenty-three participants with mild to moderate PD completed a single session of both HIIE and CMIE, as well as a session in a control condition (REST) in counterbalanced order. The neurocognitive indices of working memory [i.e., accuracy rate (AR), reaction time (RT), and latencies and amplitudes of N2 and P3 event-related potentials (ERPs)] were assessed. Blood samples were taken before and after the three intervention modes. During the working memory task, acute HIIE and acute CMIE brought about faster RTs and P3 ERP waves with higher amplitudes in individuals with PD. Furthermore, better ARs and a shorter N2 latency were associated with engaging in HIIE and CMIE, respectively. On the other hand, only the acute CMIE intervention was associated with significant increases in the plasma dopamine level. Finally, no significant correlation was obtained between changes in neurocognitive performance and those in the dopamine level which were assessed both before and after taking part in the interventions. For individuals with mild to moderate PD, acute HIIE and CMIE proved to be tolerable, safe, and effective modes of aerobic exercise. These types of exercise are well-suited to be practiced at home and in a community setting in order to decrease the risk of cognitive impairment in general and more specifically the risk of developing dementia as a comorbidity of PD. However, the acute benefits underlying the two dynamic forms of exercise appear to be intensity-dependent in PD.

The role of Aerobic Exercise in Bronchial Asthma: A review

Purpose of review: Asthma occurs as one of the most prevalent chronic disorders among children and adults in developed nations. Poor asthma control persists despite international treatment guidelines, resulting in frequent school and job absences, emergency room visits, and hospitalizations. Numerous asthmatic patients cite exercise as an asthma trigger, which likely results in exercise avoidance as a strategy of symptom control. Emerging evidence suggests that regular aerobic exercise may assist improve certain elements of asthma control. This article reviews on the effects of regular aerobic exercise on significant asthma-related outcomes, including symptoms, lung function, and quality of life. Recent findings: Many Randomized Control Trial, systematic reviews and meta-analysis in recent years have found that regular exercise is safe for children and adults with asthma. Asthma symptoms and quality of life appear to benefit with aerobic exercise, although gains in lung function and airway hyper responsiveness have been less consistent. Summary: Our review showed that frequent continuous moderate intensity aerobic exercise improved asthma symptoms and quality of life. Swimming or treadmill exercises are good possibilities.

Is Exercise Blood Pressure Putting the Brake on Exercise Rehabilitation after Acute Type A Aortic Dissection Surgery?

(1) Background: Exercise is recommended to improve physical fitness in patients recovering from acute type A aortic dissection (ATAAD). However, surgery corrects the diseased blood vessels and reduces the risk of ATAAD, but it does not redefine a safe exercise blood pressure (BP) threshold. This review aimed to discuss whether the safe threshold of exercise BP can be upregulated after ATAAD surgery to increase exercise intensity with additional benefits. (2) Data sources: The PubMed databases were searched with the keywords “type A acute aortic dissection surgery”, “exercise”, “BP”, “stress”, and variations of these terms. (3) Study selection: Data from clinical trials, guidelines, and recent reviews were selected for review. (4) Results: Regular exercise can be considered a cardioprotective intervention for aortic dissection patients by attenuating hemodynamic responses at rest and during exercise. Previous studies have mainly focused on moderate-intensity aerobic exercise. In practice, the exercise systolic BP of some patients was higher than 160 mm Hg without adverse events, which indicates that the training intensity may be underestimated for patients after ATAAD surgery. Limited studies suggest a light-to-moderate resistance training for selected patients because it may cause a greater increase in BP. (5) Conclusions: Moderate-intensity continuous aerobic exercise supplemented by low-intensity resistance training is appropriate for cardiac rehabilitation after ATAAD surgery. The BP increase based on the normal exercise BP response, corresponding to the moderate-intensity is relatively safe. For high-risk post-ATAAD patients, considering the overall volume of training, personalizing the exercise regimen to remain within “safe” BP limits, and avoiding excessive fluctuations in BP should be the primary considerations for exercise training.

High-Intensity Interval Training for Reducing Cancer-Related Fatigue in Survivors of Cancer: Challenges and Solutions for Translation and Implementation in Cancer Rehabilitation

Moderate-intensity continuous aerobic exercise training (MICT) is used to help alleviate symptoms of cancer-related fatigue (CRF) in many cancer rehabilitation programs. High-intensity interval training (HIIT) has become increasingly popular, including several research studies demonstrating promising effects of HIIT on CRF among patients and survivors of cancer. However, we propose that 2 primary limitations exist in the current literature that must be addressed before HIIT should be translated from research studies and implemented in cancer rehabilitation. These limitations are the lack of generalizability of this research and a paucity of studies that have directly compared MICT with HIIT while matching for total exercise volume. In this commentary, we expand on the rationale for the proposed limitations and provide suggestions for future research directions.

Working it out: acute exercise to combat anxiety and depressive symptoms in individuals living with subsyndromal post-traumatic stress disorder

ABSTRACT Exercise has significantly reduced symptoms of mental health disorders, but often overlooked is post-traumatic stress disorder (PTSD). Purpose Examine the effects of moderate-intensity continuous aerobic exercise (MICE) and high-intensity functional exercise (HIFE), relative to an inactive control (SED), in participants with subsyndromal PTSD (sub-PTSD). Methods: Participants [N = 24, 9 males; age (M ± SD) = 25.9 ± 9.2 yrs] with sub-PTSD completed a VO2max test on day 1. Participants then completed 35-min MICE, HIFE, and SED conditions on days 2-4. Exercise conditions included a 5-min warm-up and cool-down, with 25-min exercise between 65–70 percent VO2max for MICE and an average of 80.36 ± 6.95 percent VO2max for HIFE. Anxiety and depression symptoms were assessed before (Pre), immediately (Post0), 20-min (Post20) and 40-minutes after (Post40) each condition. Results Anxiety Post40 was significantly less than Pre for HIFE [d = 1.05], MICE [d = 0.78], and SED [d = 0.53]. Depression Post40 was significantly less than Pre for HIFE [d = 0.76], MICE [d = 0.84], and SED [d = 0.32]. Conclusion Exercise significantly reduced anxiety and depression to a greater extent than SED. This study provides evidence for exercise-induced short-term improvements in comorbid psychological conditions associated with sub-PTSD. Implications for individuals experiencing clinical levels of PTSD could be vast and warrant further investigation.

Changes in adipose tissue and biochemical parameters after aerobic exercise in overweight and obese women

Background/Aim: Obesity is a global epidemic, and it is more common in women due to physiological differences. Exercise programs are the cornerstones of obesity treatment. This retrospective study aimed to examine the effect of moderate-intensity continuous aerobic exercise (MICT) program on body composition, biochemical parameters, and cardiovascular risk in overweight and obese female. Methods: This retrospective cohort study analyzed the data of overweight and obese women who exercised for 12 weeks. The exercise program was maintained under the supervision of a physiotherapist three non-consecutive days a week. Each session was performed for 60 minutes at an intensity of 50% to 65% of maximum heart rate (HRmax). Body composition was evaluated by TANITA bioelectrical impedance analysis system, and aerobic capacity was assessed with 6-minute Walking Test (6-MWT). Biochemical parameters were analyzed in the laboratory. All results of the participants were obtained from the patient files. Results: Body Mass Index (BMI), Fat Mass (FM-kg), Fat-free Mass (FFM-kg), Total Body Water (TBW-kg), and aerobic capacity improved after the implementation of the exercise program (P<0.05 for all). There was no significant change in blood parameters except HDL (P=0.002). An 11% reduction was observed in cardiometabolic risk factors due to the increased HDL. Conclusion: The MICT program appears suitable for improving body composition and aerobic capacity with 50-65% intensity for 12 weeks. However, we think that exercise intensity should be increased for more biochemical benefits.

Continuous Aerobic Exercise Prevents Detrimental Remodeling and Right Heart Myocyte Contraction and Calcium Cycling Dysfunction in Pulmonary Artery Hypertension.

Pulmonary artery hypertension (PAH) imposes right heart and lung detrimental remodeling which impairs cardiac contractility, physical effort tolerance, and survival. The effects of an early moderate-intensity continuous aerobic exercise training on the right ventricle and lung structure, and on contractility and the calcium (Ca2+) transient in isolated myocytes from rats with severe PAH induced by monocrotaline were analyzed. Rats were divided into control sedentary (CS), control exercise (CE), monocrotaline sedentary (MS), and monocrotaline exercise (ME) groups. Animals from control exercise and ME groups underwent a moderate-intensity aerobic exercise on a treadmill (60 min/d; 60% intensity) for 32 days, after a monocrotaline (60 mg/kg body weight i.p.) or saline injection. The pulmonary artery resistance was higher in MS than in control sedentary (1.36-fold) and was reduced by 39.39% in ME compared with MS. Compared with MS, the ME group presented reduced alveolus (17%) and blood vessel (46%) wall, fibrosis (25.37%) and type I collagen content (55.78%), and increased alveolus (52.96%) and blood vessel (146.97%) lumen. In the right ventricle, the ME group exhibited diminished hypertrophy index (25.53%) and type I collagen content (40.42%) and improved myocyte contraction [ie, reduced times to peak (29.27%) and to 50% relax (13.79%)] and intracellular Ca2+ transient [ie, decreased times to peak (16.06%) and to 50% decay (7.41%)] compared with MS. Thus, early moderate-intensity continuous aerobic exercise prevents detrimental remodeling in the right heart and lung increases in the pulmonary artery resistance and dysfunction in single myocyte contraction and Ca2+ cycling in this model.

Effects of 20-Minute Intensive Exercise on Subjects with Different Working Memory Bases.

Continuous moderate-intensity aerobic exercise improves cognitive function including working memory (WM). We aimed to determine the differences in the effects of exercise on WM based on pre-exercise WM function and oxyhemoglobin (O2Hb) changes. We enrolled 12 healthy adult males who, after a 4-min rest and warm-up, performed a 20-min exercise regime at a workload corresponding to 50% of maximal oxygen consumption. They performed a pre- and postexercise two-back test, and the reaction times were recorded. Near-infrared spectroscopy was used to monitor the O2Hb concentration in the left prefrontal cortex during the exercise. Based on the pre-exercise reaction time, the subjects were allocated into either a fast group (FG) or a slow group (SG). The pre- and postexercise changes in the reaction time and time-to-peak O2Hb were compared. Further, we determined the relationship between the change in the reaction time and time-to-peak O2Hb. There was no significant change in the reaction time of the FG; however, that in the SG decreased significantly. The time-to-peak O2Hb in the FG was significantly less than that in the SG. These results showed differences in the changes of reaction time and O2Hb changes between the FG and SG.

Improvements in Glycemic Control After Acute Moderate-Intensity Continuous or High-Intensity Interval Exercise Are Greater in South Asians Than White Europeans With Nondiabetic Hyperglycemia: A Randomized Crossover Study.

To examine whether circulating metabolic responses to low-volume high-intensity interval exercise (LV-HIIE) or continuous moderate-intensity aerobic exercise (CME) differ between white Europeans and South Asians with nondiabetic hyperglycemia (NDH). Thirteen white Europeans and 10 South Asians (combined median [interquartile range] age 67 [60-68] years, HbA1c 5.9% [5.8-6.1%] [41.0 (39.9-43.2) mmol ⋅ mol-1]) completed three 6-h conditions (sedentary control [CON], LV-HIIE, and CME) in a randomized order. Exercise conditions contained a single bout of LV-HIIE and CME, respectively (each ending at 2 h), with meals provided at 0 and 3 h. Circulating glucose (primary outcome), insulin, insulin resistance index (IRI), triglycerides, and nonesterified fatty acids were measured at 0, 0.5, 1, 2, 3, 3.5, 4, 5, and 6 h. Data were analyzed as postexercise time-averaged area under the curve (AUC) adjusted for age, sex, and preexercise AUC. Glucose was similar in each condition and with ethnicity, with no condition-by-ethnicity interaction (P ≥ 0.28). However, insulin was lower in LV-HIIE (mean [95% CI] -44.4 [-23.7, -65.1] mU ⋅ L-1) and CME (-33.8 [-13.7, -53.9] mU ⋅ L-1) compared with CON. Insulin responses were greater in South Asians (interaction P = 0.03) such that values were similar in each ethnicity during exercise conditions, despite being 33% higher in South Asians during CON. IRI followed a similar pattern to insulin. Lipids were unaffected by exercise. Reductions in insulin and insulin resistance after acute LV-HIIE and CME are greater in South Asians than in white Europeans with NDH. Further trials are required to examine the longer-term impact of LV-HIIE and CME on cardiometabolic health.

Exercise as a Promising Strategy to Manage Cluster Headache Pain: A Case Report

Background: Various pharmacological treatments have been used to relieve pain and reduce the duration and occurrence of cluster headache (CH) attacks, but these treatments remain partially effective for many patients. Aerobic exercises have been proposed to decrease the prevalence and severity of symptoms associated with other types of headaches, but the effectiveness of aerobic exercise for CH management has not yet been investigated. Case presentation: This report describes the case of a 24 yearold male patient diagnosed with episodic CH (1/day; &gt; 1 h). Thirteen days after the first episode, moderate-intensity continuous aerobic exercise was performed (10–30 min) at the onset of CH attack. Aerobic exercise reduced both severity and duration of CH attacks. Conclusions: This case report suggests that performing moderate-intensity aerobic exercise at the onset of a CH attack may be an interesting non-pharmacologic intervention that can be used to ease pain symptoms.

Ethnic Differences In Post-prandial Glycemic Control After Acute Moderate-intensity Continuous Or High-intensity Interval Exercise

PURPOSE: To examine the effects of acute continuous moderate-intensity aerobic exercise (CME) and low-volume high-intensity interval training (LV-HIIT) on glycemic control in white Europeans (WEs) and south Asians (SAs) with impaired glycemic control. METHODS: 23 participants (WE / SA [M/F]: 13[6/7] / 10[7/3]; median (IQR): age 67 (60–68) years, BMI 30.0 (28.4–32.8) kg/m2, waist circumference 100.8 (97.6–109.1) cm, HbA1c 5.9 (5.8–6.1) %) completed three 6 h trials (control [CON], CME, LV-HIIT; randomized order). Participants rested throughout, except for 35 min of CME and 25 min of LV-HIIT (closely matched for external work produced) during corresponding trials. Both CME and LV-HIIT ended at 2 h. Standardized meals were consumed at 0 and 3 h. Plasma glucose and insulin were measured at 0, 0.5, 1, 2, 3, 3.5, 4, 5 and 6 h. Data were analysed as post-exercise time-averaged area under the curve (AUCpost), using generalized estimating equations, adjusted for pre-exercise AUC (also time-averaged), sex and age. Main effects of trial and ethnicity were assessed, with an interaction term fitted to explore if ethnicity modulated responses. Insulin resistance index (IRI) was calculated as tAUCglu x tAUCins. RESULTS: Glucose was unaffected (all p ≥ 0.28), but insulin AUCpost was reduced in both exercise trials compared to CON (main effect p < 0.001; Figure 1A). Furthermore, this effect was modulated by ethnicity (p = 0.03), with a greater effect seen in SAs. Notably, insulin AUCpost was similar in both ethnicities during exercise trials, despite being higher in SAs during CON (Figure 1A). Results were similar for IRI (Figure 1B). CONCLUSION: Despite ~30% higher post-prandial insulin responses during prolonged sitting, SAs may benefit more from acute exercise than WEs. Acknowledging that this was an acute-crossover study, these findings warrant further investigation with longer-term exercise training interventions, given the higher cardiometabolic disease risk observed in SAs.

Low volume high intensity interval training leads to improved asthma control in adults

Objective Regularly engaging in aerobic exercise is associated with improved asthma control and quality of life in adults with mild to moderate severity asthma. Previous intervention research has primarily employed moderate intensity continuous aerobic exercise protocols. As such, the impact of high intensity interval training (HIIT) on asthma control is poorly understood. Methods A six-week, low volume HIIT intervention (3 times/week, 20 min bouts) was conducted in adults with asthma (n = 20). Asthma control was assessed using the Asthma Control Questionnaire-7 (ACQ-7). Results ACQ-7 improved from pre to post-intervention (pre: 0.8 ± 0.6; post: 0.5 ± 0.4, p = 0.02, Cohens d = 0.5). In total, 7/20 (35%) participants experienced clinically meaningful improvements in ACQ-7. Conclusion A low-volume HIIT intervention led to statistically and clinically significant improvements in asthma control as well as improved exertional dyspnea and exercise enjoyment.