Sports Medicine Commons^™

Exercise-Induced Gene Expression Profiles In Adults With Obesity: A Systematic Review Of Molecular Adaptation, Brandon Galvan, Luis Alberto Flores, Flor Isela Torres-Rojo, Natanael Cervantes-Hernández, Cinthia Verónica Villegas-Balderrama, Liliana Aracely Enríquez-Del-Castillo

Baltic Journal of Health and Physical Activity

Background: Obesity is a multifactorial and chronic condition characterized by excess adiposity and systemic low-grade inflammation. Exercise exerts metabolic and anti-inflammatory effects partly mediated through gene expression modulation in skeletal muscle and adipose tissue. However, heterogeneous responses among obese individuals suggest that genetic and epigenetic mechanisms shape exercise adaptation. Objective: This systematic review aimed to identify the genes and molecular pathways modulated by physical exercise in adults with obesity, and to classify them according to their biological functions across different exercise modalities. Methods: Following PRISMA guidelines, randomized controlled trials were searched in PubMed, SpringerLink, Science Direct, Cochrane, LILACS, Web of …

Cardiovascular Adaptation To Whole-Body Vibration Exercise In Obese Young Adults: A Systematic Review, Meta-Analysis, And Exploratory Analysis Of Sex Differences, Rafiu Okuneye, Abdulkareem Taiwo, Fatai Akinola Apalara, Okechukwu Kingsley Oforka, Isaiah Whenayon Ajoseh, Ogar Emmanuel Ekawu

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Obesity is strongly associated with hypertension and autonomic dysfunction. Whole-body vibration exercise (WBVE) has been proposed as a low-impact intervention for improving cardiovascular function in obese adults, but sex-specific responses remain unclear. Objective: This study aimed to evaluate the effects of whole-body vibration exercise on blood pressure, autonomic function, and cardiac output in adults with obesity, and to explore potential sex differences in cardiovascular adaptations. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials and quasi-experimental studies examining the effects of WBV on systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate variability (HRV), and …

Differences In Dieting Behavior In Athletic Trainers, Emily Madrak, Ki L. Cole, Bridget M. Miller, Jennifer L. Volberding

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Athletic trainers (ATs) have a foundational knowledge in many facets of health, including optimization of wellness. Though ATs may be actively trying to improve their own health, societal pressure can have a large impact on behavior. The purpose of this study was to identify differences between gender and years-certified in diet patterns in ATs. Methods: A cross-sectional survey was distributed to 2500 National Athletic Training Association members, It included a demographics section and five-item researcher-created questions regarding diet. Chi-square tests of independence were used to determine the relationship. Results: Significance was determined for gender and question 2, “Have …

Parental History Of Cardiovascular Risk Factors And Childhood Cardiometabolic Risk: The Preventive Effects Of Cardiorespiratory Fitness And Waist Circumference Within Offspring, Caroline Brand, Arieli Fernandes Dias, Camila F. Fochesatto, Anelise Reis Gaya, Sean Carroll, James P. Hobkirk, Jane D. Pollo Renner, Cezane P. Reuter

Baltic Journal of Health and Physical Activity

Introduction: In addition to childhood obesity status, the family history of cardiovascular disorders might be used as a tool for screening youth to identify those at the highest risk of developing metabolic impairments later in life. Thus, the aim of the present study was to examine associations between parental history of cardiovascular disease risk factors and childhood cardiometabolic risk, and to examine the role of cardiorespiratory fitness (CRF) and obesity in mediating the relationship between parental history and global cardiometabolic risk. Methods: A cross-sectional study was developed with 2,213 Brazilian youth. The cardiometabolic risk factor (CMRF) score, CRF, and waist …

Advancing Virtual At-Home Care For Community Health Center Patients Using Patient Self-Care Tools, Technology, And Education [Letter], Cheryl Modica, Joy H. Lewis, Curtis Bay

SOMA Faculty Publications

Abstract

Introduction

Health centers are community-based, patient directed primary care providers that offer accessible, high-quality primary care within medically underserved communities. Screening for cancer and managing complex chronic conditions such as diabetes, hypertension, obesity, and depression are vital services for the vulnerable populations seen by community health centers. Delivering care for complex chronic conditions and preventive services using virtual models that integrate self-care tools and technology is an important approach to increasing access for hard-to-reach patients served by health centers.

Objective

This study aimed to explore the use of a virtual care model, applied using a systems approach and patient-driven …

Association Of The G>A (Rs6265) Polymorphism In The Brain Derived Neurotrophic Factor Gene (Bdnf) With Post-Training Changes In Caucasian Women, Katarzyna Świtała, Agata Leońska-Duniec, Monika Michałowska-Sawczyn, Andrzej Brodkiewicz, Kinga Łosińska, Anna Grzywacz

Baltic Journal of Health and Physical Activity

The brain-derived neurotrophic factor (BDNF) rs6265 (G196A; Val66Met) polymorphism has been associated with obesity and type 2 diabetes, with contradictory results involving either A or G as the risk allele. The main aim of this study was to examine whether the BDNF rs6265 polymorphism would influence the efficiency of a training program. An additional aim was to determine whether selected polymorphism can be used as a genetic marker for obesity-related parameters. We studied the genotype distribution in a group of 160 Caucasian females in whom body mass and composition parameters, lipid profile, and glucose levels were measured before …

Resistance Training Effectiveness On Body Composition And Body Weight Outcomes In Individuals With Overweight And Obesity Across The Lifespan: A Systematic Review And Meta-Analysis, Pedro Lopez, Dennis R. Taaffe, Daniel A. Galvão, Robert U. Newton, Elisa R. Nonemacher, Victória M. Wendt, Renata N. Bassanesi, Douglas J. P. Turella, Anderson Rech

Research outputs 2022 to 2026

To systematically review and analyze the effects of resistance-based exercise programs on body composition, regional adiposity, and body weight in individuals with overweight/obesity across the lifespan. Using PRISMA guidelines, randomized controlled trials were searched in nine electronic databases up to December 2020. Meta-analyses were performed using random-effects model. One-hundred sixteen articles describing 114 trials (n = 4184 participants) were included. Interventions involving resistance training and caloric restriction were the most effective for reducing body fat percentage (ES = −3.8%, 95% CI: −4.7 to −2.9%, p < 0.001) and whole-body fat mass (ES = −5.3 kg, 95% CI: −7.2 to −3.5 kg, p < 0.001) compared with groups without intervention. Significant results were also observed following combined resistance and aerobic exercise (ES = −2.3% and −1.4 kg, p < 0.001) and resistance training alone (ES = −1.6% and −1.0 kg, p < 0.001) compared with no training controls. Resistance training alone was the most effective for increasing lean mass compared with no training controls (ES = 0.8 kg, 95% CI: 0.6 to 1.0 kg, p < 0.001), whereas lean mass was maintained following interventions involving resistance training and caloric restriction (ES = ~ − 0.3 kg, p = 0.550–0.727). Results were consistently observed across age and sex groups (p = 0.001–0.011). Reductions in regional adiposity and body weight measures were also observed following combined resistance and aerobic exercise and programs including caloric restriction (p < 0.001). In conclusion, this study provides evidence that resistance-based exercise programs are effective and should be considered within any multicomponent therapy program when caloric restriction is utilized in individuals with overweight or obesity.

Effect Of Different Diet Methods On Body Composition And Insulin, Leptin, And Ghrelin Levels In Overweight Women, Begum Sarica, Gulbin Rudarli Nalcakan, Ece Onur

Baltic Journal of Health and Physical Activity

Introduction. This study aims to compare the effects of similar calorie-restricted intermittent overnight fasting diet (OFD) and frequent-meal diet (FMD) on body composition and insulin, leptin, and ghrelin levels in overweight women. Materials and Methods: While the FMD was administered as six mealtimes, the OFD was administered as five mealtimes and at least 12 hours overnight fasting for four weeks. Some parameters regarding the metabolic rate and fat metabo-lism (glucose, insulin, HOMA-IR, leptin, ghrelin levels), body composition, resting metabolic rate, and physical activity level were measured before and after the diet. Results: There was no sig-nificant difference in the resting …

Physical Activity And Spatial Use During School Breaks In Children Aged Four, Oscar Romero Ramos, Emilio Fernández Rodríguez, Antonio Matas Terrón, Gloria GonzáLe Campos, Robert Podstawski

Baltic Journal of Health and Physical Activity

Background:‪The latest studies warn of obesity levels and sedentary lifestyles in children, and of the impact this has on health. This study analyses the quantity of physical activity and the use of space during school breaks, according to gender, in four-year-old pupils. Material and methods:‪Pedometers and behavioural mapping were used as recording tools. Four behavioural categories were identified and 10 spatial categories. The procedure involves the development of primary measures (frequencies of appearance of each category and duration), as well as secondary measures (relative frequency, rate, relative duration and average duration). In addition to these descriptive measures, a correlation analysis …

Changes In Body Composition Of Children Aged Of 9 To 12 Years With Excess Body Weight Under The Influenceof Eight-Week Workout, Tomasz Dudziak, Zbigniew Czubek, Mirosław Grabowski, Robert Urbanski

Baltic Journal of Health and Physical Activity

Background:‪The increasing problem of overweight and obesity in children is the reason for taking further actions leading to mass reduction, because, in contrast to adults, the consequences of this pathology in young people are still not well known. The intervention actions that can lead to reduction in mass are not easy to find in literature, and their long-term effects are unknown. The aim of this research was to define the changes in body composition of children with excess body mass after eight-week high intensity workout.Material and methods:‪The study was conducted on 47 children aged 9‒12 years who were overweight or …

Strategies Of Return To Self-Regulation Among Obese People: Implementation Of Goal’S Intention And Motivation To Weight Reduction, Malgorzata Obara-Golebiowska, Hanna Brycz

Baltic Journal of Health and Physical Activity

Background: Implementation intentions is one of self-regulation strategies enabling priority goals achieving. This method is based on accurate planning of a variety of activities by which goal’s realization is more probable. The aim of the research was to evaluate the impact of the implementation intention technique on motivational and behavioral aspects of eating self-regulation among obese people. Material/Methods: A total of 100 obese people, abiding by a slimming program organized in an obesity clinic in Olsztyn in Poland, participated in the research. In the experimental group an implementation intentions technique for eating habit were applied. The impact of the applied …

Examining The Correlates Of Out-Of-School Television Viewing, Computer Use And Overall Time In Sedentary Behaviors Among Finnish 11-Year-Old Children, Suvi Määttä, Teija Nuutinen, Carola Ray, Johan G. Eriksson, Elisabete Weiderpass, Eva Roos

Baltic Journal of Health and Physical Activity

Background: This study aimed to examine the associations between individual, social and environmental characteristics and out-of-school television viewing, computer use, and overall time spent in sedentary behaviors. Material/Methods: A sample of 11-year-old children (N = 155) in Finland wore an accelerometer (Actigraph GT3X) for seven days. Before the accelerometer-use, questionnaire assessments of television viewing, computer use, reported PA, bedtimes, wake-up times, perceived parental PA and PA encouragement and measurements of weight and height were obtained. Weather data were obtained for the 7 days of accelerometer use and parents reported their educational background. Associations between the studied correlates and average minutes …

Evaluation Of Global Physical Activity Questionnaire (Gpaq) Among Healthy And Obese Health Professionals In Central India, Abhinav Singh, Bharathi Purohit

Baltic Journal of Health and Physical Activity

Background: To assess physical activity using the Global Physical Activity Questionnaire (GPAQ) among healthy, overweight and obese Indian health professionals. Materials and methods: The Global Physical Activity Questionnaire (GPAQ) was used to assess physical activity among 324 dental health care professionals (third-year students, final-year students, interns, and faculty). Metabolic Equivalents (MET) were used to express the intensity of physical activities, and are also used for the analysis of GPAQ data. The analysis of Variance (ANOVA) was used to compare the mean physical activity scores among dental health care professionals. The Chi Square test was used to compare categorical risk indicators …

Fundamental Movement Skills And Weight Status In Children: A Systematic Review, Sari Slotte, Arja Sääkslahti, Katriina Kukkonen-Harjula, Pauli Rintala

Baltic Journal of Health and Physical Activity

Obesity has become a major health challenge in children. Fundamental movement skills(FMS) are suggested to have an important role for being physically active and decreasing the risk of obesity. This systematic review aimed to give an overview of studies providing evidence for a relationship between FMS and the weight status in children. A systematic search of five electronic databases (MEDLINE (PubMed), SportDiscus, ERIC, PsycInfo and SCOPUS) was conducted in January 2015. Studies examining associations between FMS and weight status in children aged 3–12 years were included. The final sample included 12 cross-sectional studies. Seven studies found statistically significant inverse association …

Obesity And Overweight Among Children And Adolescents In The Light Of Health Education Principles, Adam Wiek, Katarzyna Tkacz, Waclaw Mozolewski, Malgorzata E. Kusmierczyk, Sylwester Rybaczek

Baltic Journal of Health and Physical Activity

Pedagogical and educational institutions play an important role in health education. The proposed systemic principles should account for biological, environmental and cultural factors that determine the health of children and adolescents. Young people’s individual needs should constitute the framework of educational policy in the prevention of obesity and overweight. An analysis of health education practice in the Polish educational system indicates that the adopted measures, their practical applications and educational goals are adequate. Despite the above, the proposed systemic solutions are not always deployed or correctly implemented by the responsible institutions at various levels of local or social governance. The …

Effect Of The Depletion Of Self-Control Strength On The Self-Regulation Of The Nutritional Process In Obese Individuals, Malgorzata Obara-Golebiowska, Hanna Brycz

Baltic Journal of Health and Physical Activity

Self-strength can be depleted as a result of previous acts of self-control. The depletion of these resources is reflected by decreased effectiveness of controlling other behaviors. The aim of the research was to evaluate the impact of the depletion of self-control resources on the motivational and behavioral aspects of eating self-regulation among obese people. A total of 100 obese people participated in the research. In the experimental group a depletion of self-control resources technique was applied. The impact of the above method on motivational and behavioral aspects of eating self-regulation was verified through participants’ answers to two items on the …

Effectiveness Of The “Slimming Down Olsztyn Residents” Health Program – Motivation To Participate And Withdraw, Robert Podstawski, Dariusz Choszcz, Patrycja Polakowska

Baltic Journal of Health and Physical Activity

This study aimed to determine the motivation of overweight/obese persons to participate in and withdraw from a health promotion program, and to determine the program’s effectiveness. 91 women and 89 men enrolled in the program. Their motivation was described with modified EMI-2. The reasons for withdrawal were given by the participants. Body composition was determined with Tanita BC 418 MA. Improved appearance, weight loss and health were the main reasons why overweight/obese persons decided to become physically active. Approximately 56% women and 60% men quit the program because they were unable to cope with the fitness regime, lost interest or …

The Role Of Physical Activity In Instilling Healthy Lifestyle Habits In Children, Malgorzata Kostecka, Monika Bojanowska, Monika Stoma

Baltic Journal of Health and Physical Activity

Background: Habitual physical activity adapted to a child’s individual needs, ability, health, gender and age has positive implications for cognitive and physical growth and maturation. Childhood physical activity is a predictor of better health and general well-being in adulthood. Material/Methods: A questionnaire study was conducted on a population of 371 randomly selected primary school students in Lublin county. Correlations were determined between the student’s levels of physical activity and leisure time activities vs. age, gender, BMI score and the parents’ levels of physical activity. Results: The students’ attitudes towards PE differentiated subjects as to gender and the BMI score, whereas …

Exercise − A Unique Endogenous Regulator Of Irisin, Bdnf, Leptin And Cortisol Against Depression, Gilmara Gomes De Assis, Pawel Cieszczyk

Baltic Journal of Health and Physical Activity

Depression is the most prevalent stress-related disorder affecting the population world-wide with potential for an eminent increase after the 2020 pandemic. The mechanisms through which metabolism is involved in depression and stress disorders have been extensively investigated. However, their assessment using exogenous measures is a current limitation. Exercise, as is well reported in animal studies, exerts a critical regulatory influence on the main factors known to participate in these mechanisms. This overview describes the role of cortisol, leptin, irisin and BDNF in the exercise physiology and the known mechanism through which these factors act in anti-depressant mechanisms. Furthermore, the exercise …

Physical Activity Patterns And Dietary Habits Of Undergraduate Students, Ebenezer Essaw, Monday Omoniyi Moses, Daniel Afrifa, Isaac Kwaku Acheampong, Winifred Mensah, Lemuel Owusu

Baltic Journal of Health and Physical Activity

Background: ‪Data about physical activity report card for Ghanaian children and youth are available but reports on physical activity patterns and dietary habits of undergraduates are scarce. Material and methods: ‪This cross-sectional study sampled 278 participants (161 males, 117 females, mean age = 20.73 ± 1.72 years). Blood pressure, heart rate, physical activity patterns and dietary habits were measured. Results: ‪Most (83.1%) of the sample predominantly engaged in household activities. Time spent on treadmill/ cycling activities is significantly higher in females than males (P = 0.018). Day/week for high intensity sports was higher in males (P = 0.005), while household …

Level Of Obesity Is Directly Associated With Complications Following Arthroscopic Rotator Cuff Repair, Alireza K. Nazemi, Kevin I. Kashanchi, David E. Komatsu, Edward D. Wang

Stony Brook Orthopaedic and Musculoskeletal Journal

Background: The purpose of this study was to investigate the association between increasing levels of obesity and post-operative complications within 30 days of arthroscopic rotator cuff repair (ARCR).

Methods: We queried the American College of Surgeons National Surgical Quality Improvement Program database for all patients who underwent ARCR from 2015 to 2017. Patients were stratified into 3 cohorts according to their body mass index (BMI). Patients with a BMI < 30 kg/m2 were placed in the non-obese cohort, patients with a BMI between 30 and 40 kg/m2 were placed in the obese cohort, and patients with a BMI > 40 kg/m2 were placed in the morbidly obese cohort. Postoperative complications within 30 days of the procedure were collected. Multivariate logistic regression was used to investigate the relationship between increasing levels …

Adipose Tissue As Pain Generator In The Lower Back And Lower Extremity: Application In Musculoskeletal Medicine, Se Won Lee, Craig Van Dien, Sun Jae Won

HCA Healthcare Journal of Medicine

Adipose tissue (AT) has diverse and important functions in body insulation, mechanical protection, energy metabolism and the endocrine system. Despite its relative abundance in the human body, the clinical significance of AT in musculoskeletal (MSK) medicine, particularly its role in painful MSK conditions, is under-recognized. Pain associated with AT can be divided into intrinsic (AT as a primary pain generator), extrinsic (AT as a secondary pain generator) or mixed origin. Understanding AT as an MSK pain generator, both by mechanism and its specific role in pain generation by body region, enhances the clinical decision-making process and guides therapeutic strategies in …

Rising Rural Body-Mass Index Is The Main Driver Of The Global Obesity Epidemic In Adults, Con Burns, Tara Coppinger, Janette Walton, Et Al

Publications

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3,4,5,6. Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to …

The Validity Of Submaximal Exercise Testing In Obese Women, Gabrielle Ringenberg

Mahurin Honors College Capstone Experience/Thesis Projects

Background: Submaximal exercise tests use heart rate responses to low-to-moderate intensity activity in order to predict cardiorespiratory fitness (VO_2max). Currently used tests may be inappropriate for obese populations as obese women have altered heart rate responses to exercise. The purpose of this project is to test the validity of the Modified Bruce Protocol submaximal treadmill test in obese women. Methods: Normal-weight (NWG) and obese women (OBG) completed the Modified Bruce submaximal treadmill test (to predict VO_2max using previously validated equations) and a maximal graded exercise test on a treadmill using the Standard Bruce Protocol (to obtain an …

Pre-Training Muscle Characteristics Of Subjects Who Are Obese Determine How Well Exercise Training Will Improve Their Insulin Responsiveness, Charles A. Stuart, Michelle L. Lee, Mark A. South, Mary E. A. Howell, Brian M. Cartwright, Michael W. Ramsey, Michael H. Stone

ETSU Faculty Works

Pre-training muscle characteristics of subjects who are obese determine how well exercise training will improve their insulin responsiveness. J Strength Cond Res 31(3): 798–808, 2017—Only half of prediabetic subjects who are obese who underwent exercise training without weight loss increased their insulin responsiveness. We hypothesized that those who improved their insulin responsiveness might have pretraining characteristics favoring a positive response to exercise training. Thirty nondiabetic subjects who were obese volunteered for 8 weeks of either strength training or endurance training. During training, subjects increased their caloric intake to prevent weight loss. Insulin responsiveness by euglycemic clamps and muscle fiber composition, …