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Title: | Impact of 24 Weeks of Resistance and Endurance Exercise on Glucose Tolerance in Persons with Multiple Sclerosis | Authors: | WENS, Inez HANSEN, Dominique VERBOVEN, Kenneth Deckx, Nathalie Kosten, Lauren STEVENS, An Cools, Nathalie OP 'T EIJNDE, Bert |
Issue Date: | 2015 | Source: | AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 94 (10), pag. 838-847 | Abstract: | Background: Recently, the authors reported an elevated prevalence of impaired glucose tolerance in individuals with multiple sclerosis (MS), compared with matched healthy controls, indicating metabolic defects that may increase comorbidity. MS also leads to a more inactive lifestyle, increasing the likelihood to develop fat accumulation, muscle wasting/weakness, and exercise intolerance. In other populations, these health complications can partly be reversed by physical exercise. Objective: The aim of this study was to determine the impact of a mild-tomoderateYintensity exercise program on glucose tolerance, ranging between normal and impaired, in persons with MS. Design: Persons with MS (mean expanded disability status scale, 3.3 T 0.2; mean age, 48 T 15 yrs) were randomized to an exercise group (n = 29) or a nonexercise control group (n = 15). Glucose tolerance, as well as muscle strength, exercise tolerance, and body composition to validate the applied exercise program, was determined in both groups at baseline and after 6, 12, and 24 wks of mild-tomoderateYintensity combined endurance and resistance training. Results: No effects on blood glucose and serum insulin were detected. However, 6 mos of exercise improved muscle strength, exercise tolerance, and lean tissue mass within the intervention group as compared with baseline. In the control group, no changes were detected. Conclusion: Twenty-four weeks of mild-to-moderateYintensity combined endurance and resistance training was not able to improve glycemic control in this cohort of persons with MS. Future research is warranted to investigate the influence of higher exercise intensities on glucose tolerance, in an attempt to remediate metabolic deficits and to decrease the prevalence of comorbidities in MS. | Notes: | All correspondence and requests for reprints should be addressed to: Inez Wens, PhD, REVALYRehabilitation Research Center, Biomedical Research Institute (BIOMED) Hasselt University, Agoralaan building A, B-3590 Diepenbeek, Belgium. | Keywords: | multiple sclerosis; glucose tolerance; aerobic exercise; resistance training; body composition | Document URI: | http://hdl.handle.net/1942/18511 | ISSN: | 0894-9115 | e-ISSN: | 1537-7385 | DOI: | 10.1097/PHM.0000000000000257 | ISI #: | 000370519300003 | Rights: | Copyright © 2015 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2017 |
Appears in Collections: | Research publications |
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Wens et al Am J Phys Med Rehabil 2015.pdf Restricted Access | 2 MB | Adobe PDF | View/Open Request a copy |
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