The effect of concurrent endurance and resistance training on cardio-respiratory capacity and cardiovascular risk markers among sedentary overweight or obese post-menopausal women

Shabani, Anahita; Shabani, Ramin; Dalili, Setila; Rad, Afagh Hassanzadeh

doi:10.4103/jnms.jnms_34_18

Cited by 6 publications

(9 citation statements)

References 3 publications

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“…In a study encompassing Iranian women, 22 participants were assigned to either a control group or a resistance training group (three times a week for eight weeks). The resistance training group exhibited significantly lower hs-CRP levels compared to the control group [ 76 ]. Moreover, the results of a study from Brazil demonstrated a substantial decrease in hs-CRP (−0.45 ± 0.43 mg/L) in 48 individuals with obesity who were given a fiber-rich diet combined with physical activity (mainly cycling and weight training) at least three times a week [ 77 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Dietary Fiber and Measures of Physical Fitness with High-Sensitivity C-Reactive Protein

Su,

Lee,

Shin

2024

Nutrients

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Dietary fiber intake and physical fitness are independently associated with high-sensitivity C-reactive protein (hs-CRP) levels. Nevertheless, the association between dietary fiber intake, measures of physical fitness, and hs-CRP levels has not yet been fully evaluated. We investigated the influence of a combination of dietary fiber intake and measures of physical fitness, including hand grip strength, resistance training, and metabolic equivalents of tasks, on hs-CRP levels. Data collected from the Korea National Health and Nutrition Examination Survey (KNHANES) spanning 2015 to 2018 were used in this study. A total of 16,934 participants (7434 men and 9500 women aged ≥19 years) were included in this study. After adjusting for confounding factors (age, education, income, marital status, smoking status, drinking habits, total energy intake, and aerobic physical activity), we employed a multivariable logistic model to examine the association of dietary fiber intake and measures of physical fitness with hs-CRP levels. Among women, the odds of high hs-CRP levels were lower in those with the highest dietary fiber intake and superior grip strength compared to in women with the lowest dietary fiber intake and weaker grip strength (odds ratio [OR] = 0.40, 95% confidence interval [CI] = 0.24–0.68). The highest dietary fiber intake who participated in resistance exercise at least three times per week had a reduced odds of high hs-CRP levels compared with those with the lowest dietary fiber intake who did not engage in resistance exercise in both men and women (OR = 0.53, 95% CI = 0.32–0.89; OR = 0.40, 95% CI = 0.19–0.84, respectively). Our findings indicate that dietary fiber intake and high levels of physical fitness were associated with reduced odds of elevated hs-CRP levels.

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Section: Discussionmentioning

confidence: 99%

Association of Dietary Fiber and Measures of Physical Fitness with High-Sensitivity C-Reactive Protein

Su,

Lee,

Shin

2024

Nutrients

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“…The results of the screening of four databases (PUBMED, COCHRANE, CINAHL, and OVID) and other sources of grey literature produced 28 studies with 21 randomised controlled trials 18,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] and 7 quasi-experimental studies [41][42][43][44][45][46][47][48] , with 1,117 MHO participants (Figure 1). The included studies can be stratified based on the duration of the studies: short-term exercise intervention (less than 6 weeks of exercise duration) 27,33,[39][40][41]43 , or long-term exercise intervention (more than 6 weeks) 18,[22][23][24][25][26][28][29][30][31][32]…”

Section: Narrative Review Of Study Characteristicsmentioning

confidence: 99%

“…Based on the Cochrane Collaboration's risk of bias tool for RCTs 12 , out of 21 studies, there were two studies 26,37 with low risk of bias, and 17 studies 18,[22][23][24][27][28][29][30][31][32][34][35][36][38][39][40][41] with some concerns regarding the randomization process and selection of outcome results, and two studies 25,33 with a high risk of bias. For the seven quasi-experimental studies, there were six studies [42][43][44][45]47,48 with only moderate risk of bias, and one study 46 with no information based on ROBINS-I tool 13 .…”

Section: Quality Of the Studies -Risk Of Bias Assessmentmentioning

confidence: 99%

“…There were 22 study arms with 624 participants included for the analysis of the effectiveness of exercise in changing BMI. Vigorous aerobic exercises (MD=-0.24, 95%CI, -0.32 to -0.15, p<0.00001, I 2 =0%, p for heterogeneity=0.75) [24][25][26]28,30,38,43,46 , and concurrent training (MD=-1.90, 95%CI, -3.48 to -0.31, p=0.02, I 2 =87%, p for heterogeneity<0.00001) 26,29,36,47,48 resulted in significant reduction of BMI compared to control group. In terms of exercise type comparison, it showed aerobic exercises to be more effective than resistance exercises (p<0.00001) in reducing BMI.…”

Section: Body Mass Indexmentioning

confidence: 99%

“…However, concurrent training had no significant effect in reducing WHR (MD=-0.01, 95%CI, -0.05 to 0.03, p=0.56, I 2 =53%, p for heterogeneity=0.12). 29,36,47 Body fat composition There were 24 study arms with 580 participants included for the analysis of the effectiveness of exercises in changing body fat mass. Only long-term vigorous aerobic exercises 23,24,26,28,30,31,38,42,44,46 (MD=-1.72, 95% CI, -2.70 to -0.74, p=0.0006, I 2 =85%, p for heterogeneity<0.00001), and concurrent training 18,26,47 (MD=-1.19, 95% CI, -1.36 to -1.02, p<0.00001, I 2 =0%, p for heterogeneity=0.55) were found to be effective in decreasing body fat mass compared to control groups.…”

Section: Waist-hip Ratiomentioning

confidence: 99%

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The Effect of Resistance, Aerobic, and Concurrent Aerobic and Resistance Exercises on Inflammatory Markers of Metabolically Healthy Overweight or Obese Adults: A Systematic Review and Meta-analysis

2023

Acta Med Philipp

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Objectives. To compare the effectiveness of different exercise interventions on improving adiposity-related inflammatory markers of metabolically healthy obese (MHO) adults.Methods. This is a systematic review with meta-analysis of randomized controlled trials (RCTs) and quasi-experimental studies on the effects of exercise interventions in the inflammatory markers of sedentary adults with MHO phenotype. Systematic searches were performed in PubMed, Cochrane, CINAHL, and OVID from January 2021 to January 2022. The included studies were from 2000 to 2021. The inclusion criteria included: a) adults with obese phenotype, b) has physical activity or exercise as intervention, and c) inflammatory markers as outcome measure. Exclusion criteria included: a) pregnant women, b) adults with cardiovascular conditions or taking medications, c) participants having central obesity. The review was registered on PROSPERO (CRD42021249661). Risk of bias (RoB) assessment was performed using Revised Cochrane RoB tool for RCTs, and ROBINS-I tool for quasi-experimental studies. A metaanalysis was performed for inflammatory markers and body composition measurements using random effects model with forest plots presenting mean differences (MD) of outcome measures with 95% CI.Results. Twenty-one RCTs and seven quasi-experimental studies with 1,117 participants were included in the review. For short-term intervention, aerobic exercises showed an increased trend in IL-6 levels, and both resistance and aerobic exercises reduced TNF-alpha and CRP levels, respectively. For long-term exercises, aerobic exercises showed a significant reduction in CRP (MD= -0.33, 95%CI, -0.57 to -0.09, p=0.006). Long-term concurrent training also showed a significant reduction in TNF-alpha (MD= -2.65, 95%CI, -4.13 to -1.18; p=0.0004). Meta-regression also found no direct association between body weight and fat mass, and changes in inflammatory markers. Conclusion.Concurrent and aerobic exercises were both effective in reducing pro-inflammatory markers. Concurrent training was more effective in reducing BMI, body fat composition, and CRP compared to aerobic and resistance exercises. Furthermore, middle-aged women benefited from aerobic exercises to reduce IL-6 levels. These results indicate the need for both resistance and aerobic exercise in improving inflammatory levels of the body. This review has limitations in terms of degree of heterogeneity brought by different exercise protocol and assessment of inflammatory markers. More research is needed to identify possible outcome measures that can predict chronic inflammation in MHO people.

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The impact of exercise training on inflammatory markers in postmenopausal women: A systemic review and meta-analysis

Khalafi

Malandish

Rosenkranz

2021

Experimental Gerontology

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The effect of concurrent endurance and resistance training on cardio-respiratory capacity and cardiovascular risk markers among sedentary overweight or obese post-menopausal women

Cited by 6 publications

References 3 publications

Association of Dietary Fiber and Measures of Physical Fitness with High-Sensitivity C-Reactive Protein

Association of Dietary Fiber and Measures of Physical Fitness with High-Sensitivity C-Reactive Protein

The Effect of Resistance, Aerobic, and Concurrent Aerobic and Resistance Exercises on Inflammatory Markers of Metabolically Healthy Overweight or Obese Adults: A Systematic Review and Meta-analysis

The impact of exercise training on inflammatory markers in postmenopausal women: A systemic review and meta-analysis

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