Low-impact Aerobics Research Articles

A Superjump® Into ACSM Guidelines

SuperJump® (SJ) is a fitness activity combining aerobic and anaerobic exercises performed on a mini trampoline. The exercise intensity can be modified by changing countermovement depth, jump height, and frequency. Although it has been hypothesized that practicing SJ may contribute to daily physical activity recommendations, no study has quantified intensity. PURPOSE: To investigate heart rate (HR) and perceived exertion responses of a SJ workout. METHODS: Seventeen (Males: n=9; Females: n=8) young adults (age: 25.8±2.7 years; height: 1.7±0.1 m; weight: 66.2±12.1 kg) volunteered for the study. The intensity of the activity was assessed by means of HR monitors during a SJ session (30-min). At the end of each bout of exercise, session ratings of perceived exertion (sRPE) on a CR10 scale were recorded. Percentages of age-predicted maximal HR (%HRmax) were utilized to quantify intensity. %HRmax data were categorically separated according to the American College of Sports Medicine (ACSM) classes of intensity (very light: <57%HRmax; light: 57-63%HRmax; moderate: 64-76%HRmax; vigorous: 77-95%HRmax; near maximal to maximal: ≥96%HRmax). Repeated measures ANOVA was used to evaluate differences (p<0.05) in relation to gender and exercise intensity. Post hoc analysis was applied using Bonferroni correction. RESULTS: No difference emerged for gender for HR and sRPE data. Frequency of occurrence of %HRmax was significantly higher (p<0.005) for the moderate intensity (48.9±34.9%) with respect to very light (5.5±9.5%), light (16.5±24.4%) and vigorous (29.1±37.7%) intensities, while none of the subjects experienced near maximal to maximal values. According to sRPE values (3.1±1.2) subjects rated the SJ session as moderate. CONCLUSION: Findings indicate that SJ can be classified as moderate physical activity according to ACSM guidelines. Therefore, SJ may contribute to meet daily physical activity recommendations by representing an alternative form of low-impact aerobic exercise. Further studies should investigate the long-term effects of SJ training on health-related physical fitness parameters.

Efektifitas Kombinasi Aerobic Low Impact dengan Stretching Exercise terhadap Peningkatan Kualitas Hidup pada Ibu dengan Keluhan Muskuloskeletal di Dusun Ngegot Desa Selokaton Gondangrejo Karanganyar

Abstract&#x0D; Background: Musculoskeletal complaints are discomforts to the pain experienced by someone that is triggered by a body that receives statistics, or performs activities in a less ergonomic position repeatedly for a long time. One result of musculoskeletal is a decrease in quality of life. Efforts that can be made to improve the quality of life with musculoskeletal complaints are a combination of low-impact aerobics with routine stretching exercises. This study aims to determine the effectiveness of Aerobic Low Impact with Stretching Exercise on the Quality of Life of Mothers with Musculoskeletal Complaints in Ngegot Selokaton Gondangrejo Karanganyar Hamlet. Method: The design of this study was a pretest-posttest experimental design. Sampling was done by purposive sampling technique. Quality of life complaints data was taken using the WHOQOL-BREF instrument. Results: The results of research through the Wilcoxon statistical test and paired t-test on the domain of quality of life obtained the same results, namely p value = 0.001. Conclusion: The combination of low impact aerobics with stretching exercises is effective to improve the quality of life of mothers with musculoskeletal complaints about Ngegot Selokaton village. Gondangrejo Karanganyar sees from 4 domains of quality of life on the WHOQOL-BREF instrument (health, psychological, social, social, and social)&#x0D; &#x0D; Keywords: Low impact aerobics, stretching exercises, quality of life

The Effect of Low Impact Aerobic Exercise on Elderly with Dementia Cognitive Function

In the elderly population, at least 10% of those over 65 years old and 50% of those over 80 years old experience a decline in cognitive function that varies from a cognitive decline due to normal aging (age-associated memory impairment/AAMI) to a mild cognitive decline (mild cognitive impairment/MCI) and dementia. Dementia is an intellectual disorder that affects the cognitive function, memory, language function, and visuospatial function that causes irreversible changes. Many studies have stated that lifestyle management in the form of increased physical activity has a protective effect on impaired cognitive functions, inhibits cognitive function decline, and even improves cognitive function in healthy elderly people and elderly with mild cognitive impairment to dementia. Low impact aerobic exercise is a physical activity that is useful and suitable for the elderly. This study aimed to determine the effect of low impact aerobic exercise on the cognitive function of elderly people with dementia. This was a quasi-experimental study with one group pretest-posttest method that involved elderly people from Tresna Werdha Teratai Palembang, South Sumatera, Indonesia who were selected based on the inclusion and exclusion criteria (n=38) from December 2018 to February 2019. Treatment provided was a low impact aerobic exercise 3 times a week for 5 weeks. Dementia was then measured before and after treatment using the Mini-mental State Examination (MMSE). The mean values of gymnastics before the treatment and after the treatment were 18.36±4.559 and 19.69±5.724, respectively. A p value of 0.000 was obtained using the Wilcoxon test. In summary, low impact aerobic exercise influences the cognitive function of the elderly with dementia. PENGARUH SENAM AEROBIK LOW IMPACT TERHADAP FUNGSI KOGNITIF USILA DENGAN DEMENSIAPada usia lanjut (usila), sedikitnya 10% dari yang berusia lebih dari 65 tahun dan 50% dari yang berusia lebih dari 80 tahun mengalami penurunan fungsi kognitif yang bervariasi mulai dari penurunan kognitif karena penuaan normal (age-associate memory impairment/AAMI) serta penurunan kognitif ringan (mild cognitive impairment/MCI) hingga demensia. Demensia adalah gangguan intelektual yang meliputi fungsi kognitif, daya ingat, bahasa, fungsi visuospasial, dan bersifat ireversibel. Banyak studi menyatakan bahwa manajemen gaya hidup berupa peningkatan aktivitas fisik mempunyai efek protektif terhadap gangguan fungsi kognitif, menghambat penurunan fungsi kognitif, serta bahkan meningkatkan fungsi kognitif pada usila yang sehat dan usila dengan penurunan fungsi kognitif ringan sampai demensia. Senam aerobik low impact merupakan aktifitas fisik yang bermanfaat dan cocok diberikan kepada usila. Penelitian ini bertujuan mengetahui pengaruh senam aerobik low impact terhadap fungsi kognitif usila dengan demensia. Penelitian ini merupakan studi quasi-experimental dengan metode pretest-posttest one group yang melibatkan usila dari Tresna Werdha Teratai Palembang, Sumatera Selatan, Indonesia yang dipilih berdasar atas kriteria inklusi dan eksklusi (n=38) dari bulan Desember 2018 hingga Februari 2019. Perlakuan yang diberikan berupa senam aerobik low impact 3 kali per minggu selama 5 minggu. Demensia kemudian diukur sebelum dan sesudah perlakuan menggunakan Mini-mental State Examination (MMSE). Nilai rerata senam sebelum perlakuan dan setelah perlakuan adalah 18,36±4,559 dan 19,69±5,724 masing-masing. Nilai p=0,000 didapatkan dengan menggunakan Uji Wilcoxon. Simpulan, senam aerobik low impact memengaruhi fungsi kognitif usila dengan demensia.

Effects of Low Impact Aerobic Exercise in COPD

Introduction COPD has predominant extra-pulmonary consequences that may contribute to peripheral muscle dysfunction 1,2. Pulmonary Rehabilitation is useful Exercise training strategy employed in all pulmonary physical therapy treatment protocol 3,4. Training facilitating reduced muscle mass make

Effects of diet versus diet plus aerobic and resistance exercise on metabolic syndrome in obese young men

BackgroundDiet and physical activity are the most commonly recommended strategies for preventing and treating metabolic syndrome (MetS). This randomized trial aims to examine the effectiveness of a weight reduction intervention based on caloric restriction, low-impact aerobics (LIA), and a resistance-training program in improving body composition, metabolic parameters and cardiovascular disease (CVD) risk factors among obese students diagnosed with MetS. MethodsIn all, 23 male participants, aged 19–24 years, were randomly introduced to a dieting program (the diet group, or DG = 09) or to dieting associated with a supervised physical training program (the diet plus training group, or DTG = 14). Before and after the intervention, the participants’ anthropometric measures and cardiovascular disease risk factors were assessed. ResultsFollowing the diet-based intervention, significant improvements were noted in BMI (p = 0.39), PBF (p = 0.022) and LDL-c (p = 0.024). However, in response to the diet plus aerobic and resistance exercise intervention, obese participants had significant reductions in body weight (p = 0.018), WC (p = 0.042), BMI (p = 0.001), BFP (p < 0.001), DBP (p = 0.013), SBP (p = 0.016), TG level (p = 0.026), TC (p = 0.016), LDL-c (p = 0.001) and VLDL-c (p = 0.026). Notable differences were also observed between groups in terms of changes in WC (p = 0.003), BFP (p = 0.05), WHR (p = 0.029), FBG level (p = 0.022), TG level (p = 0.001), TC (p = 0.006), LDL-c (p = 0.014) and VLDL-c (p < 0.001). ConclusionDiet-based intervention could be an effective tool in reducing body composition and some MetS components. However, adding three weekly aerobic and resistance-training sessions to the dieting program may deliver better outcomes, particularly in terms of reducing WC, BFP, WHR, FBG level, TG level, TC, LDL-c, and VLDL-c.

Pengaruh Senam Hamil Terhadap Berat Badan Dan Kadar Gula Darah Ibu Hamil Trimester III Di Kota Pekanbaru

The prevalence of gestational diabetes mellitus in Indonesia is 1.8% in general pregnancy.One of the prevention of diabetes mellitus in pregnancy is sports interventions, including low impact aerobic exercise, such as swimming, jogging and pregnancy exercises. Benefits of pregnancy exercise reduces the risk of gestational obesity.The purpose of this study was to determine the effect of pregnancy exercise on body weight and blood sugar levels of third trimester pregnant women.The type of the study was a quasy experiment with a post test control group design.The study population was all trimester III pregnant women and the sample was 15 people for each intervention group and the control group was taken using a purposive sampling technique. Data collection in the form of weight measurements after pregnancy exercise which is measured 1 time / week for 3 consecutive weeks and measurement of blood sugar levels before and after pregnancy exercise. Bivariate analysis used the Independent T-test and Mann Whitney U. The results showed the influence of pregnancy exercises on body weight (p-value 0.04,) and there was no effect of pregnancy exercises on decreasing maternal blood sugar levels (p-value 0.404). It is recommended for midwives to socialize and improve health services, namely pregnancy exercises for pregnant women regularly and periodically, and provide counseling about the benefits and effects of pregnancy exercises on weight and blood sugar levels of third trimester pregnant women.

Pengaruh Senam Lansia Aerobic Low Impact Training Terhadap Penurunan Tekanan Darah Pada Lansia Penderita Hipertensi

Hypertension is a disease with a systolic &gt; 140 mmHg and a diastolic &gt; 90 mmHg. This disease often occurs in the elderly due to aging as cell, physiological, and psychological changes occur. Phenomenon found in Griya Usila Santo Yosef many elderly were hypertensive suferer. One non-pharmacological management for hypertension is low impact training aerobic exercise. This study aims to analyse effect of low impact training aerobic exercise on decreasing blood pressure in elderly with hypertension. Desiign of this study was a pre-experimental design with a one group pre-post test design. The independent variable in this study was low impact aerobic exercise, and the dependent variable was blood pressure. Respondents of this study were 32 elderly people with hypertension who fulfilled the inclusion criteria whom were collected by simple random sampling. Results of this study showed that mean of systolic and diastolic blood pressure before intervention was 149.84 ± 6.66 and 83.25 ± 11.41, mean systolic and diastolic blood pressure after intervention was 145.09 ± 5.71 and 79.44 ± 11, 55, and the results of paired T-Test statistical tests with SPSS 20 software were obtained p (0,000) &lt;α (α = 0.05) for the systolic and diastolic pressure. It meant that there was an influence of low impact aerobic exercise on blood pressure reduction. Based on the results of the research, elderly gymnastics aerobic low impact is important in which the training given to elderly patients hypertension to help in controling blood pressure. Keywords: Hypertension, Elderly, Aerobic Low Impact Exercise

The Effectiveness of 8 Weeks Low Impact Aerobics and Yoga Combination Program on Body Fat Percentage among Obese Female

The prevalence of obesity of adult women in Indonesia has increased recently. Obesity among adult women will lead to health problems such as diabetes until coronary heart disease. The aim of this quasy experimental study was to determine the effectiveness of the 8-week exercise program combining low impact aerobics and yoga on the percentage of body fat in women in 2017. The subjects of this study were 12 Unesa female studentss with criteria to have Body Mass Index (BMI) obese category with age 19-24 years. The effectiveness of the 8-week low-impact exercise program of aerobics and yoga on the percentage of body fat was measured using anthropometric methods with skinfold caliper techniques measured before and after the treatment of training programs. Based on the results of calculations using t test on the percentage of body fat then 8-week exercise program combination of low impact aerobics and yoga effective in reducing body fat with an average percentage decreased of 10.56%.

High-Low Impact Exercise Program Including Pelvic Floor Muscle Exercises Improves Pelvic Floor Muscle Function in Healthy Pregnant Women - A Randomized Control Trial.

Background: Pregnancy and high-impact activity are considered as risk factors for pelvic floor dysfunctions, including urinary incontinence.Aim: To investigate whether a structured exercise program, including high- and low-impact aerobics and supported by pelvic floor muscle exercises, improves the neuromuscular activity of the pelvic floor and does not reduce the quality of life in terms of urinary incontinence in healthy pregnant women.Methods: This was a randomized control trial among 97 Caucasian healthy nulliparas in uncomplicated pregnancies (age 30 ± 4 years, 21 ± 5 weeks of gestation; mean ± SD). Women were assessed for pelvic floor muscle functions with surface electromyography (EMG) using vaginal probes and using the Incontinence Impact Questionnaire (IIQ). Only women able to contract pelvic floor muscles and with good quality of life based on IIQ were included for the study. Seventy women in the experimental group took part in a supervised exercise program including high-low impact aerobics and pelvic floor muscle exercises three times a week. Twenty-seven controls did not receive any exercise intervention. After 6 weeks both groups were re-tested with EMG and IIQ. Post- and pre-exercise program changes in each group were analyzed using a repeated-measures ANOVA.Results: Women in the experimental group improved the neuromuscular activity of the pelvic floor in some motor tasks without any adverse outcomes of the intervention. After the exercise program we observed in the experimental group significantly higher EMG amplitude in the pelvic floor muscles during 3-s contractions (p = 0.014). We also noticed a beneficial trend in the increase of neuromuscular activity during 10- and 60-s contractions, but the changes were not statistically significant. The exercising women substantially improved their abilities for relaxation following 3- and 10-s contractions (p = 0.013 and p < 0.001). In controls, we reported no statistically significant improvement in either of the motor tasks. All study participants maintained good quality of life related to urinary incontinence.Conclusion: Prenatal exercise programs that include high- and low-impact aerobics and are supported by pelvic floor muscle exercises should be recommended for pregnant women, especially those who are accustomed to higher exercise intensity before pregnancy. Nevertheless, these recommendations can be directed to continent women who can properly contract pelvic floor muscles.ISRCTN. DOI: 10.1186/ISRCTN92265528: “Pelvic floor muscle training with surface electromyography”, retrospectively registered on the 25th of July, 2016.

Pengaruh Senam Aerobic Low Impact terhadap Peningkatan V02max

This study aims to see the effect of low impact aerobic exercise on VO2Max capacity improvement. The population in this study were students of SMK Negeri 1 Curup who follow extracurricular aerobic exercise. Sampling was done by purposive randome sampling technique which amounted to 24 people. The analysis was done by measuring the ability of VO2Max through bleep test test before and after given low impact aerobic exercise. Data were analyzed by different test formula t test. The result of the research is thitung 6.04 greater than t table 1.714 H0 is rejected and Ha is accepted meaning hypothesis stating there is significant influence between low impact Aerobic aerobic exercise to increase VO2max student SMK Negeri 1 Curup accepted empirically truth. The result of research that there is significant influence by low impact aerobic gymnastics exercise to increase VO2Max Student SMK Negeri 1 Curup who follow extracurricularaerobicgymnastics. Keywords: Aerobic Low Impact, VO2Max&#x0D;

HATHA YOGA LEBIH EFEKTIF DALAM MENURUNKAN PERSENTASE LEMAK TUBUH DAN MENINGKATKAN FLEKSIBILITAS DIBANDINGKAN DENGAN SENAM AEROBIK LOW IMPACT PADA REMAJA PUTRI OVERWEIGHT DI DENPASAR

Overweight was one of the adolescent health problem in Indonesia. Aerobic exercise can reduce body fat, prevent overweight and increase flexibility. The purpose of this study was to identify the effect of Hatha Yoga and low impact aerobic exercise to the percentage of body fat and flexibility of adolescent girl in Denpasar. Research used randomized pre-test and post-test design involved 26 subject. Group 1 treated hatha yoga and Group 2 treated low impact aerobic. This intervention was given for 6 weeks, frequency 3 times a week, for 45 minute in Sanggar Senam Studio 88 Denpasar. The result shown that hatha yoga reduced the percentage of body fat with mean decrease of 4.91% and low impact aerobic exercise with a mean decrease of 1.41%. Increasing of flexibility hatha yoga with a mean 12.58 cm and low impact aerobic exercise with a mean 8.54 cm. The result from different test used independent t test found that mean decreased for the percentage of body fat after intervention equal to 4.28% with value of p = 0.032 and mean increased flexibility by 5 cm with value of p = 0.035. That result shown that there is a significant difference of body fat percentage and flexibility after intervention during 6 weeks (p&lt;0.05). Conclusion: hatha yoga more effective in reducing the percentage of body fat and increasing flexibility than low impact aerobic exercise of adolescent girl in Denpasar. It is suggested to individuals with overweight in order to do sports activities regularly and continuously. Hatha yoga as an alternative sport activities that can be used to reduce the percentage of body fat, increase flexibility and physical fitness.

Movement and muscle activation patterns following medial branch blocks for facet joint pain, and sacroiliac injections for sacroiliac joint pain

Introduction: Relaxation of the erector spinae often occurs in healthy individuals as full trunk flexion is achieved when bending forward from standing. This phenomenon, referred to as flexion relaxation is often absent or disrupted (EMG activity persists) in individuals reporting low back pain (LBP). While many studies have documented this association between chronic low back pain (LBP) and diminished muscular performance capacity, few studies have quantified the changes in these measures following interventions using objective measurement techniques or related them to changes in clinical outcome. A previous study compared the effects of active physiotherapy, muscle reconditioning devices, or low-impact aerobics on back muscle function in LBP patients. Significant changes in muscle performance were observed in all groups, due to presumed changes in neural activation of the lumbar muscles and psychological changes such as pain tolerance. Given the impact of pain tolerance on muscle performance, we aim to assess movement and EMG muscle activity before and after a pain relieving nerve block.

Update of the Swiss guidelines on post-treatment Lyme disease syndrome.

Lyme borreliosis is caused by Borrelia burgdorferi sensu lato infection, which responds well to antibiotic therapy in the overwhelming majority of cases. However, despite adequate antibiotic treatment some patients report persisting symptoms which are commonly summarised as post-treatment Lyme disease syndrome (PTLDS). In 2005, the Swiss Society of Infectious Diseases published a case definition for PTLDS. We aimed to review the scientific literature with a special emphasis on the last 10 years, questioning whether the definitions from 2005 are still valid in the light of current knowledge. Furthermore, we describe the clinical history of infection with Borrelia burgdorferi sensu lato, the estimated prevalence of PTLDS, the possible pathogenesis of PTLDS, and treatment options with an emphasis on clinical studies. In summary, we were unable to find a scientific reason for modification of the PTLDS definitions published in 2005. Thus, the diagnostic criteria remain unchanged, namely documented clinical and laboratory evidence of previous infection with B. burgdorferi, a completed course of appropriate antibiotic therapy, symptoms including fatigue, arthralgia, myalgia, cognitive dysfunction or radicular pain persisting for >6 months, a plausible timely association between documented B. burgdorferi infection and onset of symptoms (i.e., persistent or recurrent symptoms that began within 6 months of completion of a recommended antibiotic therapy for early or late Lyme borreliosis), and exclusion of other somatic or psychiatric causes of symptoms. The main therapeutic options remain cognitive behavioural therapy and low-impact aerobic exercise programmes. Growing and unequivocal evidence confirms that prolonged or repeated antibiotic therapy for PTLDS is not beneficial, but potentially harmful and therefore contraindicated. The Guidelines of the Swiss Society of Infectious Diseases offer an evidence based, diagnostic and therapeutic framework for physicians caring for patients suffering from presumptive PTLDS in Switzerland.

Effect of low-impact aerobic exercise combined with music therapy on patients with fibromyalgia. A pilot study

ObjectiveFibromyalgia is a pathological entity characterized by chronic widespread musculoskeletal pain and the presence of “tender points”. It constitutes a significant health problem because of its prevalence and economic impact. The aim of the present study was to determine the therapeutic benefits of low impact aerobic exercise alone or in combination with music therapy in patients with fibromyalgia. MethodsA single-blind randomized controlled pilot trial was performed. Thirty-five individuals with fibromyalgia were divided into three groups: (G1) therapeutic aerobic exercise with music therapy (n=13); (G2) therapeutic aerobic exercise at any rhythm (n=13) and (CG) control (n=9). The intervention period lasted eight weeks. Depression, quality of life, general discomfort and balance were assessed before and after intervention. ResultsAt post-intervention, group G1 improved in all variables (depression (p=0.002), quality of life (p=0.017), general discomfort (p=0.001), and balance (p=0.000)), while group G2 improved in general discomfort (p=0.002). The change observed in balance was statistically different between groups (p=0.01). ConclusionTherapeutic aerobic exercise is effective in improving depression and general discomfort in individuals with fibromyalgia. However, effectiveness is higher when combined with music therapy, which brings about further improvements in quality of life and balance.

High and low impact aerobic exercise as a method of early prevention of hypercholesterolaemia development among young women

PurposeHypercholesterolaemia is a highly prevalent condition that has major health- and cost-related implications for the society. Aerobic-type exercise improves lipoprotein-lipid profiles, cardiorespiratory fitness and body composition in healthy young women. Thus, the aim of the study was to assess the impact of 9 weeks of low-high aerobic-type exercise on the lipid profile among young women.MethodsOn the basis of the lipid profile, 64 women (median age, 21.8 years; range, 19.0–24.7 years) were divided into two groups: with low (LRH) and intermediate (IRH) risk of developing hypercholesterolaemia. The participants completed a 9-week-long low-high aerobic exercise programme. Before and after the training programme, we determined the lipid profile: triglycerides (TG), total cholesterol (TC), lipoprotein cholesterol: HDL-C and LDL-C, and glucose levels. Selected cardiorespiratory fitness variables and body composition were also determined.ResultsIt was found that aerobic-type fitness exercise in the IRH group caused statistically significant decreases in TC and TG levels in comparison with baseline values. Significant increase in maximum oxygen uptake and decrease in HDL-C in the LRH group were also observed.ConclusionsAerobic fitness exercises, a combination of two alternating styles, could influence the blood lipid profile by decreasing plasma TC and TG levels. In non-athlete women, physical activity may be a good tool to prevent cardiovascular diseases.

Pregnancy and Exercise Guidelines

Pregnancy and Exercise Guidelines

Effects of high-impact aerobics vs. low-impact aerobics and strength training in overweight and obese women

Regular exercise is one of the factors determining weight reduction and fat loss, and at the same time it is associated with important health benefits. The purpose of this study was to compare the effects of two different modalities of exercise on changes in body composition, physical fitness, and CVR factors in healthy overweight and obese women. Thirty-two women were randomly assigned in 2 groups: a high-impact aerobics group (HIA, N.=16) and a low-impact aerobics combined with a strength training program group (LIAS, N.=16). Body weight (BW), body composition, aerobic fitness (AF), speed and agility, vertical-jump distance (VJ), abdominal muscle endurance (AME), the flexibility of the lower back and hamstrings, heart rate (HR), systolic (SBP) and diastolic blood pressure (DBP), total cholesterol (TC), triglyceride (TG), HDL-c, LDL-c, apolipoprotein A-I (Apo A-I) and B (Apo B) were measured at baseline and at the end of the training period. A significant decrease was noted in all anthropometric variables excepting fat-free mass (FFM) which increased in LIAS group (P<0.05). Comparisons between groups noted significant differences in favor of HIA group in BW, fat percentage and FM, and in favor of LIAS group in FFM (P<0.05 for all). DBP, HR, TC, LDL-c, TG, and Apo B significantly decreased, and HDL-c and Apo A-I significantly increased in both groups. No significant modifications were noted in SBP and glucose concentrations. Significant improvements in all physical fitness components were also noted in HIA group (P<0.05), however, only the AF, VJ, AME, and the flexibility were improved in LIAS group (P<0.01). Comparison between groups reported that values related to VJ and AME were higher in LIAS compared to HIA group (P<0.01). Our findings noted that a 24-week of HIA or LIAS training improved body composition, physical fitness and CVR factors in overweight and obese women. Nevertheless, the use of each training method remains tributary to wished effects. In fact, HIA training method is more effective in body weight reduction and fat loss, however, LIAS training method is more appropriate when the improvement of FFM, aerobic fitness and muscle strength is claimed.

The Effects of Aerobic and Resistance Exercise on Markers of Large Joint Health in Stable Rheumatoid Arthritis Patients: A Pilot Study

Exercise is beneficial for people with rheumatoid arthritis (RA). However, patients and health professionals have expressed concern about the possible detrimental effects of exercise on joint health. The present study investigated the acute and chronic effects of high-intensity, low-impact aerobic and resistance exercise on markers of large joint health in RA. Eight RA patients and eight healthy, matched control (CTL) participants performed 30 minutes' high-intensity, low-impact aerobic and lower-body resistance exercise, one week apart. Primary outcome measures assessing joint health were serum cartilage oligomeric matrix protein (sCOMP) and knee joint synovial inflammation (Doppler ultrasound colour fraction; CF). These measures were taken at baseline, immediately after and 0.5, one, two, six and 24 hours post-exercise. In a separate study, nine RA patients completed eight weeks of progressive exercise training. The same outcome measures were reassessed at baseline, and at one hour post-exercise of training weeks 0, 1, 4 and 8. RA patients showed higher overall sCOMP [RA: 1,347 ± 421, CTL: 1,189 ± 562 ng/mL; p < 0.05; effect size (ES) = 0.32] and CF when scanned longitudinally (RA: 0.489 ± 0.30 × 10(-3) , CTL: 0.101 ± 0.13 × 10(-3) ; p < 0.01; ES = 1.73) and transversely (RA: 0.938 ± 0.69 × 10(-3) , CTL: 0.199 ± 0.36 × 10(-3) ; p < 0.01; ES = 1.33) than CTL. However, no acute effects on joint health were observed post-exercise. Similarly, no chronic effects were observed over eight weeks of combined aerobic and resistance training in RA, with positive effects on physical fitness and function. RA patients on stable treatment with low disease activity were able to perform an individually prescribed high-intensity, low-impact aerobic and resistance exercise without changes in markers of large joint health. Copyright © 2015 John Wiley & Sons, Ltd.

The Effect of Low Impact and Mixed Impact Aerobic Exercise on Percentage of Body Fat

This study aimed to investigate the effect of low impact aerobic exercise and mixed impact aerobic exercise on lowering percentage of body fat. Many people have difficulty to stay away from overweight (obesity). It is widely known that obesity is commonly caused by over fat in the body. The populations of this research were female students of Faculty of Sport Science, Universitas Negeri Padang, while the samples were female students Department of Coaching Education. 20 female students were selected using purposive sampling technique to be the samples. Group 1 was treated with low impact aerobic exercises and group 2 was treated with mixed impact aerobic exercise. A total of 16 exercise sessions were given to the groups as treatments. The instrument used to find out the decrease of fat was Fitness Calculator. Data analysis and interpretation indicate that low impact aerobic exercise can lower body fat percentage (t=4.910, p < 0.05), mixed impact aerobic exercise can lower body fat percentage (t=5.110, p < 0.05), and there is no difference between the effect of low impact aerobic exercises and the mixed impact aerobic exercise on declining the percentage of body fat (t=1.020, p > 0.05).

The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on

Jevsevar, David S. MD, MBA; Brown, Gregory Alexander MD, PhD; Jones, Dina L. PT, PhD; Matzkin, Elizabeth G. MD; Manner, Paul A. MD, FRCSC; Mooar, Pekka MD; Schousboe, John T. MD, PhD; Stovitz, Steven MD; Sanders, James O. MD; Bozic, Kevin J. MD, MBA; Goldberg, Michael J. MD; Martin, William Robert III MD; Cummins, Deborah S. PhD; Donnelly, Patrick MA; Woznica, Anne MLIS; Gross, Leeaht MPH