Comparative effectiveness study of low versus high-intensity aerobic training with resistance training in community-dwelling older men with post-COVID 19 sarcopenia: A randomized controlled trial.

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Title: Comparative effectiveness study of low versus high-intensity aerobic training with resistance training in community-dwelling older men with post-COVID 19 sarcopenia: A randomized controlled trial.
Authors: Nambi, Gopal, Abdelbasset, Walid Kamal, Alrawaili, Saud M., Elsayed, Shereen H., Verma, Anju, Vellaiyan, Arul, Eid, Marwa M., Aldhafian, Osama R., Nwihadh, Naif Bin, Saleh, Ayman K.
Source: Clinical Rehabilitation. Jan2022, Vol. 36 Issue 1, p59-68. 10p.
Subjects: Muscle physiology, Resistance training, Patient aftercare, Grip strength, Exercise tests, Statistics, Aerobic exercises, Phobias, Analysis of variance, Muscle contraction, Physical therapy, Time, Multivariate analysis, Sarcopenia, Exercise physiology, Clinics, Fear, Treadmills, Treatment effectiveness, Randomized controlled trials, T-test (Statistics), Independent living, Exercise intensity, Muscle strength, Body movement, Quality of life, Blind experiment, Heart rate monitoring, Questionnaires, Descriptive statistics, Repeated measures design, Research funding, Statistical sampling, Data analysis, Statistical correlation, Longitudinal method
Abstract: Objective: To find and compare the clinical and psychological effects of low and high-intensity aerobic training combined with resistance training in community-dwelling older men with post-COVID-19 sarcopenia symptoms. Design: Randomized control trial. Setting: University physiotherapy clinic. Participants: Men in the age range of 60–80 years with post-COVID-19 Sarcopenia. Intervention: All participants received resistance training for whatever time of the day that they received it, and that in addition they were randomized into two groups like low-intensity aerobic training group (n = 38) and high-intensity aerobic training group (n = 38) for 30 minutes/session, 1 session/day, 4 days/week for 8 weeks. Outcomes: Clinical (muscle strength and muscle mass) and psychological (kinesiophobia and quality of life scales) measures were measured at the baseline, fourth week, the eighth week, and at six months follow-up. Results: The 2 × 4 group by time repeated measures MANOVA with corrected post-hoc tests for six dependent variables shows a significant difference between the groups (P < 0.001). At the end of six months follow up, the handgrip strength, −3.9 (95% CI −4.26 to −3.53), kinesiophobia level 4.7 (95% CI 4.24 to 5.15), and quality of life −10.4 (95% CI −10.81 to −9.9) shows more improvement (P < 0.001) in low-intensity aerobic training group than high-intensity aerobic training group, but in muscle mass both groups did not show any significant difference (P > 0.05). Conclusion: Low-intensity aerobic training exercises are more effective in improving the clinical (muscle strength) and psychological (kinesiophobia and quality of life) measures than high-intensity aerobic training in post-COVID 19 Sarcopenia. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Objective: To find and compare the clinical and psychological effects of low and high-intensity aerobic training combined with resistance training in community-dwelling older men with post-COVID-19 sarcopenia symptoms. Design: Randomized control trial. Setting: University physiotherapy clinic. Participants: Men in the age range of 60–80 years with post-COVID-19 Sarcopenia. Intervention: All participants received resistance training for whatever time of the day that they received it, and that in addition they were randomized into two groups like low-intensity aerobic training group (n = 38) and high-intensity aerobic training group (n = 38) for 30 minutes/session, 1 session/day, 4 days/week for 8 weeks. Outcomes: Clinical (muscle strength and muscle mass) and psychological (kinesiophobia and quality of life scales) measures were measured at the baseline, fourth week, the eighth week, and at six months follow-up. Results: The 2 × 4 group by time repeated measures MANOVA with corrected post-hoc tests for six dependent variables shows a significant difference between the groups (P < 0.001). At the end of six months follow up, the handgrip strength, −3.9 (95% CI −4.26 to −3.53), kinesiophobia level 4.7 (95% CI 4.24 to 5.15), and quality of life −10.4 (95% CI −10.81 to −9.9) shows more improvement (P < 0.001) in low-intensity aerobic training group than high-intensity aerobic training group, but in muscle mass both groups did not show any significant difference (P > 0.05). Conclusion: Low-intensity aerobic training exercises are more effective in improving the clinical (muscle strength) and psychological (kinesiophobia and quality of life) measures than high-intensity aerobic training in post-COVID 19 Sarcopenia. [ABSTRACT FROM AUTHOR]
ISSN:02692155
DOI:10.1177/02692155211036956