Aerobic Versus Resistance Exercises on Liver Enzymes Following Burn Injuries

Aya Gamal Fawzy El-Sayed, Amal Mohammed Abd El Baky, Ahmed Adel Nawar

Aya Gamal Fawzy El-Sayed, Amal Mohammed Abd El Baky, Ahmed Adel Nawar – Aerobic Versus Resistance Exercises on Liver Enzymes Following Burn Injuries . Fizjoterapia Polska 2020; 20(5);  66-70

Abstract

Objective. The current study was conducted to evaluate which was more effective aerobic or resistance exercises in reducing plasma liver enzymes level following burn injuries. Materials and Methods. Sixty burned patients with burned body surface area about 30% to 50% participated in this study. Their ages ranged from 20-45 years. They were selected from Orabi Hospital and were divided randomly into two equal groups. Group (A) composed of 30 patients who received aerobic exercise in form of treadmill exercise for 45 minutes at 60-75% of maximum heart rate, 3times/week for 8 weeks beginning after their release from intensive care unit in addition to their traditional physical therapy program (splinting, stretching ex. and ROM ex.) and medical treatment. Group (B) composed of 30 patients who performed seven resistance exercises using dumbbells, sand bags and body weight for 2 and 3 series of 10 repetitions at intensity of 50%-70% of 1 repetition maximum for 45 minutes/session, 3times/week for 8 weeks beginning after their release from intensive care unit in addition to their traditional physical therapy program (splinting, stretching ex. and ROM ex.) and medical treatment. Method of evaluation was measurements of alanine transaminase (ALT) and aspartate transaminase (AST) liver enzymes by spectrophotometer device. Results. There was a_significant decrease in ALT and AST plasma liver enzymes levels in aerobic exercise group compared to that in resistance exercise group. Conclusion. Aerobic exercise was more effective than resistance exercise in reducing plasma liver enzymes level (AST and ALT) following burn injuries.

Key words:
aerobic exercise, burn, liver enzymes, resistance exercises
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Impact of Aerobic Exercise on Visceral Adiposity Index in Pre-Diabetic Obese Men: A Randomized Controlled Trial

Magdy Mostafa Ahmed, Essam Qotb Abd allatif, Mohammed Naeem Mohamed, Ehab Kamal Zayed

Magdy Mostafa Ahmed, Essam Qotb Abd allatif, Mohammed Naeem Mohamed, Ehab Kamal Zayed – Impact of Aerobic Exercise on Visceral Adiposity Index in Pre-Diabetic Obese Men: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 32-35

Abstract
Purpose. The aim of this study was to evaluate the effect of aerobic exercise program on visceral adiposity index (VAI) in pre-diabetic obese men. Materials and methods. This study was conducted on 50 obese men (body mass index (BMI) between 30 and 34.9 kg/m²), pre-diabetic (fasting blood sugar (FBS) from 100 to 125 mg/dl) with an age ranged from 40 to 55 years. They were randomly assigned to two groups. Group (A) received only low caloric diet for 14 weeks (n = 25), while group (B) received low caloric diet plus aerobic exercise program for 14 weeks (n = 25). The outcome measures, including anthropometric measures, FBS, lipid profile and VAI, were measured pre- and post-treatment for all patients in both groups. Results. Statistical analysis using pre and post treatment design indicated that there was a significant decrease in anthropometric measurements (weight, BMI, and WC), (p < 0.05), a significant improvement of lipid profile (TG,TC, and LDLc), (p < 0.05) and significant decrease in VAI in both groups with favorite in group B. Comparing both groups post-treatment showed that there were statistically non-significant differences regarding anthropometric measures, FBS and lipid profile (p > 0.05), while there was a statistically significant reduction in VAI (p < 0.05) in favor of group (B). Conclusions. Low caloric diet plus aerobic exercise yield reduction in VAI in pre-diabetic obese men more than low caloric diet alone.

Key words:
Low caloric diet, Aerobic exercise, Visceral adiposity index, Obesity, Pre-diabetic men

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Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel

Basant H. El-Refaey, Olfat I. Ali, Hend H. El-Wakel – Effect of aerobic exercises on sleep and hormonal levels in elderly with chronic primary insomnia: A randomized controlled trial. Fizjoterapia Polska 2020; 20(1); 60-64

Streszczenie
Cel. Celem niniejszego badania była ocena skuteczności ćwiczeń aerobowych i ich wpływu na wskaźnik jakości snu Pittsburg, poziomy serotoniny, adrenaliny i noradrenaliny u osób starszych z przewlekłą bezsennością pierwotną. Materiał i metody. 40 starszych uczestników obu płci skarżących się na przewlekłą bezsenność pierwotną zostało losowo przydzielonych do dwóch równych grup: grupy kontrolnej i grupy badanej. Ich wiek wynosił od 60 do 70 lat. Grupa badana uczestniczyła w programie ćwiczeń aerobowych o umiarkowanym natężeniu przez 1 godzinę dziennie, trzy razy w tygodniu przez trzy miesiące, podczas gdy grupa kontrolna nie uczestniczyła w programie ćwiczeń, ale została poddana takiej samej ocenie jak grupa badana. Wskaźnik jakości snu Pittsburg, poziomy hormonów serotoniny, adrenaliny i noradrenaliny oceniano przed i po zastosowanym programie ćwiczeń.
Wyniki. Wskaźnik jakości snu Pittsburg (ang. Pittsburg Sleep Quality Index – PSQI) i poziom serotoniny wykazują znaczącą poprawę w grupie badanej oraz istotną różnicę między grupami na korzyści grupy badanej (p < 0,05). Jednakże, w zakresie poziomów epinefryny oraz norepinefryny nie zaobserwowano żadnych istotnych zmian. W grupie kontrolnej nie zaobserwowano istotnych zmian w zakresie mierzonych zmiennych (p > 0,05).
Wniosek. Wydaje się, że ćwiczenia aerobowe o umiarkowanej intensywności poprawiają sen, zwiększają poziom serotoniny u pacjentów z przewlekłą bezsennością pierwotną.

Słowa kluczowe:
Ćwiczenia aerobowe, osoby starsze, bezsenność pierwotna

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Acute aerobic Exercise Induced Irisin Release in Type 2 Diabetic patients: Randomized Clinical Trial

Basant Hamdy Elrefaey, Heba Ali Abd EL-Ghaffaar,Doaa Mohammed Mahmoud Allam, Mohamed Abd EL-Motaal Safa

Basant Hamdy Elrefaey, Heba Ali Abd EL-Ghaffaar,Doaa Mohammed Mahmoud Allam, Mohamed Abd EL-Motaal Safa – Acute aerobic Exercise Induced Irisin Release in Type 2 Diabetic patients: Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 58-63

Abstract
Background. Type 2 diabetic subjects have lower irisin level, irisin discovery has provides a modern track for energy homeostasis and opens a chance for development of curative components to manage metabolic disorders. Purpose: The Objective of this study was to explore acute irisin response to two different types of aerobic training modes in type 2 diabetics. Methods. Thirty-one type 2 diabetic patients aged between 45 and 60 years, were randomly assigned into two exercise groups: (EX1) group (n = 16) who received continuous aerobic exercise and (EX2) group (n = 15) who received interval aerobic exercise. The program in both groups was in the form of treadmill walking for 60 min. Blood collection of primary outcome (irisin) and assessment of oxygen saturation (SpO2) and heart rate (HR) were done at baseline and immediately after single aerobic bout. 6MWT was used to determine individual training intensity for each subject.
Results. After single aerobic exercise bout, there was significant improvement in irisin in both groups (p = 0.0001, 0.01 respectively), increase in HR (p = 0.0001 in both groups) & decrease in SPO2 in EX1 (p = 0.002) with non significant difference between groups in the mean values of HR & SpO2 post exercise (p < 0.05),however there was significant difference between groups in the mean values of irisin level favoring EX1 group (p = 0.03). Conclusion. Acute aerobic exercise is effective in improving irisin level in type 2 diabetes and the superiority in irisin improvement was to continuous exercise than interval exercise. Further studies are required to discover irisin response in type 2 diabetes with different types of exercise protocols rather than aerobics.

Key words:
acute, aerobic exercise, irisin, type 2 diabetes

 

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