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Antonio García-Hermoso, Mairena Sánchez-López and Vicente Martínez-Vizcaíno

The purpose of this meta-analysis of randomized trials was to determine the effectiveness of aerobic plus resistance exercise interventions on body composition related to variables in overweight and obese youth. A computerized search was made of 7 databases. The analysis was restricted to randomized controlled trials that examined the effect of aerobic and resistance exercise on body composition (body weight, body mass index, fat mass, fat-free mass, and waist circumference) in obese youth. Two independent reviewers screened studies and extracted data. Weighted mean differences (WMD) and 95% confidence intervals were calculated. Nine studies were selected for meta-analysis as they fulfilled the inclusion criteria (n = 365). Aerobic plus resistance exercise interventions (8–24 weeks duration) produced a decrease in body weight (WMD=-3.31 kg), body mass index (WMD=-1.05 kg/m2), and fat mass (WMD=-1.93% and 5.05 kg), but changes in fatfree mass and waist circumference were not observed. These changes were accentuated through programs of at least 60 min of exercise per session, generating greater reductions in body weight (WMD=-4.11 kg), fat mass (WMD=-4.07%), and increase in fat-free mass (WMD = 2.45 kg). This meta-analysis provides insight into the effectiveness of short-term aerobic plus resistance exercise interventions for decreasing body weight, body mass index, and fat mass in pediatric obesity.

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Rosemarie Martin and Elaine Murtagh

Background:

A cluster randomized controlled trial was conducted to assess the effectiveness of the Active Classrooms intervention, which integrates movement into academic lessons, on the moderate-to-vigorous physical activity levels (MVPA) of primary school children during class-time and throughout the school day.

Methods:

Ten classroom teachers and their students aged 8 to 12 years were recruited and randomized into the Active Classrooms intervention group (n = 131students, n = 5teachers) or a delayed-treatment controlled group (n = 117students, n = 5teachers). The intervention group participated in active academic lessons taught by the classroom teacher over an 8 week period. Accelerometers were used to gather physical activity data at baseline, postintervention and at 4 months follow-up. Teachers completed a questionnaire to evaluate the program.

Results:

A significant difference for change in daily class time MVPA levels was identified between the treatment (n = 95) and control (n = 91) groups from pre- to postintervention (P < .001) and this difference was maintained at follow-up (P < .001). No significant difference emerged between the treatment and control groups for change in school day MVPA levels from pre- to postintervention (P = .52) or follow-up (P = .09). Teachers reported that they were highly satisfied with the program.

Conclusions:

Movement integration has the potential to improve physical activity levels of primary school children in the classroom.

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Hadas Gabizon, Yan Press, Ilia Volkov and Itshak Melzer

Objectives:

To evaluate the effect of a group-based Pilates training program on balance control and health status in healthy older adults.

Design:

A single-blind, randomized, controlled trial.

Setting:

General community.

Participants:

A total of 88 community-dwelling older adults (age 71.15 ± 4.30 years), without evidence of functional balance impairment, were recruited and allocated at random to a Pilates intervention group (n = 44) or a control group (n = 44).

Intervention:

The Pilates intervention group received 36 training sessions over three months (3 sessions a week), while the control group did not receive any intervention.

Outcome measures:

Standing upright postural stability, performance-based measures of balance, and self-reported health status was assessed in both groups at baseline and at the end of the intervention period.

Results:

Compared with the control group, the Pilates intervention did not improve postural stability, baseline functional measures of balance, or health status.

Conclusions:

The results suggest that because Pilates training is not task specific, it does not improve balance control or balance function in independent older adults.

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Daniel L. Borges, Mayara Gabrielle Silva, Luan Nascimento Silva, João Vyctor Fortes, Erika Thalita Costa, Rebeca Pessoa Assunção, Carlos Magno Lima, Vinícius José da Silva Nina, Mário Bernardo-Filho and Danúbia Sá Caputo

Background:

Physical activity is beneficial in several clinical situations and recommended for patients with ischemic heart disease, as well as for those undergoing cardiac surgery.

Methods:

In a randomized controlled trial, 34 patients underwent coronary artery bypass grafting. A randomized control group (n = 15) submitted to conventional physiotherapy. The intervention group (n = 19) received the same protocol plus additional aerobic exercise with cycle ergometer. Pulmonary function by spirometry, respiratory muscle strength by manovacuometry, and functional capacity through 6-minute walking test was assessed before surgery and at hospital discharge.

Results:

There was significant reduction in pulmonary function in both groups. In both groups, inspiratory muscle strength was maintained while expiratory muscle strength significantly decreased. Functional capacity was maintained in the intervention group (364.5 [324.5 to 428] vs. 348 [300.7 to 413.7] meters, P = .06), but it decreased significantly in control group patients (320 [288.5 to 393.0] vs. 292 [237.0 to 336.0] meters, P = .01). A significant difference in functional capacity was also found in intergroup analyses at hospital discharge (P = .03).

Conclusion:

Aerobic exercise applied early on coronary artery bypass grafting patients may promote maintenance of functional capacity, with no impact on pulmonary function and respiratory muscle strength when compared with conventional physiotherapy.

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Adam B. Lloyd, David R. Lubans, Ronald C. Plotnikoff and Philip J. Morgan

Background:

This study examined potential parenting-related mediators of children’s physical activity and dietary behavior change in the Healthy Dads, Healthy Kids (HDHK) community program.

Methods:

A randomized controlled trial was conducted with 45 overweight/obese (mean [SD] age = 39.8 [5.4] years; BMI = 32.4 [3.8]) fathers and their children (n = 77; 58% boys; mean [SD] age = 7.7 [2.5] years). Families were randomized to either the HDHK program or wait-list control group. The program involved 7 sessions. Fathers and their children were assessed at baseline and at 14 weeks for physical activity (pedometery) and core food intake (Questionnaire). Fathers’ lifestyle-related parenting practices included; self-efficacy, beliefs, modeling, logistic support, rules, cophysical activity, shared mealtime frequency and intentions.

Results:

Significant intervention effects were found for cophysical activity and modeling physical activity. Cophysical activity mediated children’s physical activity in the intervention (‘mediated effect,’ AB = 653, 95% CI = 4–2050) and was responsible for 59.5% of the intervention effect. Fathers’ beliefs mediated children’s percent energy from core foods (AB = 1.51, 95% CI = 0.05–5.55) and accounted for 72.9% of the intervention effect.

Conclusions:

Participation in the HDHK program positively impacted on fathers’ cophysical activity with their child and beliefs about healthy eating which mediated changes in children’s diet and physical activity behaviors.

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Rochelle R. Costa, Adriana C.K. Buttelli, Leandro Coconcelli, Laura F. Pereira, Alexandra F. Vieira, Alex de O. Fagundes, Juliano B. Farinha, Thais Reichert, Ricardo Stein and Luiz F.M. Kruel

. The results of this randomized controlled trial show that water-based training can be adopted as an effective nonpharmacological treatment alternative for elderly women with dyslipidemia. The improvements in lipid profile due to WA and WR are similar and may contribute to reducing the risk of

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Gregory A. Hand, Robin P. Shook, Daniel P. O’Connor, Madison M. Kindred, Sarah Schumacher, Clemens Drenowatz, Amanda E. Paluch, Stephanie Burgess, John E. Blundell and Steven N. Blair

aerobic exercise and weight loss: a systematic review and meta-analysis of randomized controlled trials . Am J Med . 2011 ; 124 ( 8 ): 747 – 755 . PubMed ID: 21787904 doi:10.1016/j.amjmed.2011.02.037 10.1016/j.amjmed.2011.02.037 21787904 2. Dhurandhar EJ , Kaiser KA , Dawson JA , Alcorn AS

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Sabrine N. Costa, Edgar R. Vieira and Paulo C. B. Bento

falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial . Archives of Physical Medicine and Rehabilitation, 87 ( 7 ), 885 – 896 . PubMed ID: 16813773 doi:10.1016/j.apmr.2006.04.005 10.1016/j.apmr.2006.04.005 Ferrucci , L. , Guralnik , J.M. , Studenski

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Jacob D. Meyer, Mary S. Hayney, Christopher L. Coe, Cameron L. Ninos and Bruce P. Barrett

circulation ( Gleeson, McFarlin, & Flynn, 2006 ). While the specific pathways linking exercise to inflammatory activity are unclear, population-based studies and randomized controlled trials (RCTs) have consistently demonstrated significant associations between physical activity or fitness and lower levels of

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Maria À. Cebrià i Iranzo, Mercè Balasch-Bernat, María Á. Tortosa-Chuliá and Sebastià Balasch-Parisi

-group randomized controlled trial in which 81 institutionalized older Spanish adults with sarcopenia were randomized in a single sequence (simple randomization) to one of three balanced groups: one control group (CG) and two resistance training groups (peripheral muscle training group [PMTG] and respiratory muscle