Impact of upper-body ergometer rowing exercise on aerobic fitness and cardiometabolic disease risk in individuals with spinal cord injury: A 6-month follow-up study.

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Journal of Spinal Cord Medicine Pub Date : 2024-11-01 Epub Date: 2023-08-03 DOI:10.1080/10790268.2023.2233820
Rasmus Kopp Hansen, Uffe Laessoe, Afshin Samani, Maiken Mellergaard, Rikke Wehner Rasmussen, Aase Handberg, Ryan Godsk Larsen
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Abstract

Objective: We recently demonstrated that upper-body rowing exercise (UBROW) improved aerobic fitness in individuals with spinal cord injury (SCI), with no effect on traditional cardiometabolic risk factors. Here, we tested the hypothesis that the exercise-induced increase in aerobic fitness was maintained at 6-month (6M) follow-up.Design: Six-month follow-up.Setting: University/hospital.Participants: Seventeen wheelchair-dependent participants with SCI.Interventions: 12-week of exercise training (UBROW) or control (CON).Outcome Measures: Aerobic fitness (POpeak and V̇O2peak), body composition, blood pressure, and blood biomarkers of cardiometabolic risk were assessed at 6M follow-up and compared to baseline (BL) and immediately post-intervention (12-week). Minutes of mild, moderate, and heavy intensity leisure time physical activity (LTPA) were assessed by self-report.Results: Fourteen participants returned at 6M follow-up (CON, n = 6; UBROW, n = 8). In UBROW, POpeak (median (Q1-Q3)) increased from BL (70 W (37-84)) to 12-week (77 W (58-109), P = 0.01) and 6M follow-up (81 W (51-96), P = 0.01), with no difference between 12-week and 6M follow-up (P = 0.21). Similarly, V̇O2peak increased from BL (15.4 ml/kg/min (10.5-19.4)) to 12-week (16.6 ml/kg/min (12.8-21.3), P = 0.01) with no difference between 12-week and 6M follow-up (16.3 ml/kg/min (12.9-19.7), P = 0.74). No differences were found in CON for either POpeak (P = 0.22) or V̇O2peak (P = 0.27). There were no changes over time in traditional cardiometabolic risk factors or for minutes of different LTPA intensities.Conclusion: We demonstrate that improvements in aerobic fitness are maintained for at least six months after completion of a 12-week exercise intervention, supporting the use of periodic exercise interventions to boost aerobic fitness level in individuals with SCI.Trial registration: ClinicalTrials.gov identifier: NCT04390087..

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上体测力计划船运动对脊髓损伤患者有氧健身和心脏代谢疾病风险的影响:为期 6 个月的随访研究。
目的:我们最近证实,上半身划船运动(UBROW)可提高脊髓损伤(SCI)患者的有氧健身能力,但对传统的心脏代谢风险因素没有影响。在此,我们测试了运动引起的有氧体能提高在 6 个月的随访中能否保持的假设:设计:6 个月随访:参与者17名依赖轮椅的 SCI 患者:干预措施:为期 12 周的运动训练(UBROW)或对照组(CON):有氧体能(POpeak 和 V̇O2peak)、身体成分、血压和心血管代谢风险的血液生物标志物在 6M 随访时进行评估,并与基线(BL)和干预后(12 周)进行比较。轻度、中度和重度业余体力活动(LTPA)的分钟数则通过自我报告进行评估:14名参与者在6个月的随访中返回(CON,n = 6;UBROW,n = 8)。在 UBROW 中,POpeak(中位数(Q1-Q3))从 BL(70 W (37-84))增加到 12 周(77 W (58-109),P = 0.01)和 6M 随访(81 W (51-96),P = 0.01),12 周和 6M 随访之间没有差异(P = 0.21)。同样,V̇O2peak 从 BL(15.4 毫升/千克/分钟(10.5-19.4))增加到 12 周(16.6 毫升/千克/分钟(12.8-21.3),P = 0.01),12 周和 6M 随访之间无差异(16.3 毫升/千克/分钟(12.9-19.7),P = 0.74)。在 CON 中,POpeak(P = 0.22)或 V̇O2peak(P = 0.27)均无差异。随着时间的推移,传统的心脏代谢风险因素或不同LTPA强度的分钟数没有变化:我们的研究表明,在完成为期12周的运动干预后,有氧体能的改善至少能维持6个月,这支持使用定期运动干预来提高SCI患者的有氧体能水平:试验注册:ClinicalTrials.gov identifier:NCT04390087.
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来源期刊
Journal of Spinal Cord Medicine
Journal of Spinal Cord Medicine 医学-临床神经学
CiteScore
4.20
自引率
5.90%
发文量
101
审稿时长
6-12 weeks
期刊介绍: For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.
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