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Efficacy of aerobic and core exercise training on improving muscle mass and physical performance in postmenopausal women with sarcopenic obesity
el-Hak MGE-HIG, el-Badry SM, el-Mekawy HE-S, Moustafa MH
Journal of Cardiovascular Disease Research 2021;12(5):802-813
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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 AND OBJECTIVE: Sarcopenia and obesity may interact and have a synergistic effect, lead to negative health outcomes such as increased prevalence of chronic diseases and functional decline, which resulting in frailty, poor quality of life, physical disability, and death. Exercise and nutrition remain the cornerstone for good health, treat or prevention of sarcopenia. So, this study had been conducted to determine the efficacy of aerobic and core exercise training on improving muscle mass and physical performance in postmenopausal women with sarcopenic obesity. METHODS: Randomized controlled trial. Forty postmenopausal women with sarcopenic obesity, aged from 55 to 65 years participated in this study. They were randomly assigned into two groups: control group consisted of 20 patients. They followed low caloric diet (1,200 kcal/day) for 3 months and they were encouraged to perform physical activity in the form of walking for 30 mins 3 times/week. Study group consisted of 20 patients. They followed the same low caloric diet (1,200 kcal/day) for 3 months and performing physical activity in the form of walking for 30 mins 3 times/week in addition to core exercises for 3 session/week for 3 months. Dietary program was modified every week for all women in both groups. Assessment was performed before the start and after the end of the treatment program. All participants in both groups were assessed for weight, BMI, waist circumference, waist/hip ratio, muscle mass, gait speed, hand grip and chair stand. RESULTS: Comparison betweenthe control and the study groups showed an improvement following treatment in both groups. This improvement showed a non-significant difference in BMI, waist circumference, muscle mass, gait speed and chair stand with p-value (p = 0.66), (p = 0.91), (p = 0.58), (p = 0.48) and (p = 0.10) respectively. The results showed a statistical significant increase (p = 0.007) in hand grip favoring the study group. CONCLUSION: Following low caloric diet, physical activity and core exercises can improve BMI, waist circumference, physical performance and prevent or treat SO. Core exercises has a beneficial effect on increase hand grip in SO postmenopausal women.

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