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Effect of moderate-intensity exercise bouts lasting < 10 minutes on body composition in sedentary Kenyan adults aged >= 50 years [with consumer summary]
Magutah K, Patel NB, Thairu K
BMJ Open Sport & Exercise Medicine 2018;4(1):e000403
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Sedentary lifestyles and related morbidities are rising among adults despite existing exercise recommendations. Appealing exercise regimes yielding similar/better body composition should be sought. OBJECTIVE: We investigated the effect of moderate-intensity exercise bouts of < 10 min on body composition in previously sedentary adults. METHODS: This unblinded study enrolled 53 healthy sedentary volunteers aged >= 50 years, randomised into one of two gender-balanced exercise interventions: (1) male and (2) female short-duration bouts (MS n = 14; FS n = 13), and (3) male and (4) female long-duration bouts (ML n = 13; FL n = 13). Short-duration bouts entailed 5 to 10 min of jogging thrice daily; long-duration bouts, 30 to 60 min 3 to 5 days weekly. Body composition was determined at recruitment and 8-weekly thereafter, for 24 weeks. RESULTS: At baseline, 14.3% of MS, 38.5% of ML, 92.3% of FS and 69.2% of FL were obese, dropping to 7.1%, 15.4%, 61.5% and 30.8%, respectively. For waist:height ratio, 64.3% of MS, 76.9% of ML, 100% of FS and 84.6.3% of FL had ratios > 0.5, dropping to 42.9%, 30.8%, 92.9% and 26.2%, respectively. While baseline MS and ML waist:hip ratio (WHR) >= 0.9 were 64.3% and 69.2%, respectively, they correspondingly dropped to 23.1% and 21.4%. The FS and FL with WHR >= 0.85 dropped from 46.2% to 15.4% and from 30.8% to 7.7%, respectively. Body composition variables improved for both sexes (all p < 0.05) and mean change between exercise regimes was comparable for both sexes. CONCLUSION: In equal cumulative times, moderate-intensity exercise bouts lasting < 10 min are comparable with current 30 to 60 min bouts in body composition modification for adults of >= 50 years.

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