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Cardiovascular effects of aerobic exercise with self-selected or predetermined intensity in adolescents with obesity |
Barros TAR, do Prado WL, Tenorio TRS, Ritti-Dias RM, Germano-Soares AH, Balagopal BP, Hill JO, Freitas-Dias R |
Pediatric Exercise Science 2021 Aug;33(3):125-131 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
This study compared the effects of self-selected exercise intensity (SEI) versus predetermined exercise intensity (PEI) on blood pressure (BP) and arterial stiffness in adolescents with obesity. A total of 37 adolescents, 14.7 (1.6) years old, body mass index >= 95th percentile were randomly allocated into SEI (n = 18; 12 boys) or PEI (n = 19; 13 boys). Both groups exercised for 35 minutes on a treadmill, 3 times per week, for 12 weeks. The SEI could set the speed at the beginning of the sessions and make changes every 5 minutes. The PEI adolescents were trained at an intensity set at 60% to 70% of heart rate reserve. Brachial and central BP, pulse pressure, augmentation index, and carotid-femoral pulse wave were determined at baseline and after 12 weeks. Both groups reduced brachial systolic BP (SEI, delta -9 mmHg; PEI, delta -4 mmHg; p < 0.01), central systolic BP (SEI, delta -4 mmHg; PEI, delta -4 mmHg; p = 0.01), and central pulse pressure (SEI, delta -4 mmHg; PEI, delta -3 mmHg; p = 0.02) without differences between groups. No changes in the augmentation index and carotid-femoral pulse wave were observed in either group. The SEI induced similar changes in various cardiovascular outcomes compared with PEI in adolescents with obesity.
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