Comparison of the Effect of Aerobic and Resistance Training on Cardiovascular Risk Factors in Parkinson's Women

Background:

People with low-mobility are at increased risk for cardiovascular disease. Patients with Parkinson's Disease (PD) are less interested in participating in exercise activities due to the nature of the disease. Regular exercise and physical activity can play protective roles against heart disease by reducing risk factors. This study aimed to compare the effects of aerobic and resistance training on cardiovascular risk factors in women with PD.

Materials and Methods:

This quasi-experimental study was carried out on 45 women with PD who were randomly assigned to one of three groups: aerobic, resistance groups, and control group. Before and after training sessions, variables of weight, Body Mass Index (BMI), heart rate at rest state, maximum oxygen consumption, blood pressure, and lipid profiles of participants were measured. Data were analyzed using SPSS software version 21 and Paired Sample t-test, ANOVA and Bonferroni post-hoc test. A significant level of P≤0.05 was considered.

Results:

Demographics of physiological characteristics of subjects was congruent in all three groups in the baseline. After aerobic and resistance training, levels of triglyceride, LDL, total cholesterol, fat percentage, resting heart rate, weight, BMI and systolic blood pressure were significantly decreased (p<0.05). This change was more pronounced in the aerobic group; in contrast, variables of maximum oxygen consumption and HDL were meaningfully increased in participants of both experimental groups (p<0.05).

Conclusion:

The results showed that both types of aerobic and resistance training can reduce the risk factors of cardiovascular disease in women with PD, while the effect of aerobic training on reducing risk factors was more than resistance training.

Urban-rural disparity in physical fitness of elementary schoolchildren in Taiwan

BACKGROUND

Childhood fitness is generally evaluated by a battery of health-related estimators to assess pediatric health status. More so than the fitness level at any other stage of life, the level of physical fitness in childhood will have a marked effect on an individual's physical development and overall health in adolescence and adulthood. This paper contributes to this issue by investigating the differences in the distribution of the physical fitness of elementary schoolchildren aged 9-12 by gender, region and ethnicity.

METHODS

Data were drawn from a nationwide dataset of physical fitness test profiles of elementary school students, conducted by the Ministry of Education in Taiwan in 2008. In total, 134,546 schoolchildren in fourth to sixth grade aged from 9 to 12 were included. Three components of physical fitness are measured: explosive power; muscle strength; and flexibility. Each fitness test was carried out by the school teachers during physical education classes. A statistical test procedure was then used to test the distribution differences in each category of physical fitness by age, gender and region. By further using the official recommended levels, the proportions of schoolchildren who have poor physical fitness performance were also examined.

RESULTS

In general, boys have better physical fitness than girls except in the area of flexibility. In addition to gender differences, the present results are supportive of there being differences in the rural and urban populations. The rural children perform better than urban children in bent-leg curl-ups and standing long jump tests.

CONCLUSIONS

Physical fitness has been recognized not only as an integrated predictor of the body's functional status, but also as an important marker of health outcomes. Although considerable attention had been paid to examining the urban-rural differences in physical fitness, it is necessary to further consider the differences in ethnicity.

School Physical Education: The Pill Not Taken

Physical education programs in schools have the potential to promote healthy, active lifestyles by providing children with some of their recommended physical activity, increasing their physical fitness levels, and teaching them generalizable movement and behavioral skills. If “exercise is medicine,” physical education is the pill not taken. Numerous barriers, including limited curriculum time allocations, low subject status, and inadequate resources hinder physical education from playing a major role in providing and promoting physical activity. This article profiles physical education as it relates to physical activity, describes its current status from both historical and contextual standpoints, and concludes with recommendations for improving it.

Exercise for Primary Care

This review discusses physical activity counseling in primary care, including evidence-based perspectives on optimizing the risk-benefit ratio for the majority of patients who are not physically fit.