Study Results
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Basic Information
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COMPLETED
NA
88 participants
INTERVENTIONAL
2018-05-06
2020-01-10
Brief Summary
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Detailed Description
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MetS treatment is essentially founded on implementing lifestyle changes which involve regular physical activity and healthy dietary habits. Systematically undertaking exercise has a beneficial influence on health, particularly on cardiovascular system functions as well as the quality of life and depression status in middle-aged and older women with MetS.
Previous work has shown moderate or high intensity exercise to be optimal for the treatment of MetS. Nevertheless, many patients with MetS have hypertension and obesity. Therefore, for safety reasons, the patient's condition during intensive group exercises should be constantly monitored by a physician or specialized equipment, which generates costs and may limit the availability of this type of intervention.
Hence, the investigator's aim was to determine the impact of 12 weeks of low-intensity exercise, combined with psychoeducation, on the severity of depression symptoms and self-perceived stress in women with MetS.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Metabolic Syndrome
Elderly women with Metabolic Syndrome
24 sessions of low-intensity exercise and psychoeducation, twice a week over 12 weeks.
Low-intensity, general-fitness exercises
24 session of low-intensity, general-fitness exercises (12 weeks, twice a week)
A single session of exercise lasted 40 minutes and consisted of 42 low-intensity, general-fitness exercises. Perception of effort was monitored using the Borg 6-20 rating the perceived exertion (RPE).
Thirty-three exercises were done sitting down, seven standing, and two in the hand-and-knees position. The exercises were classified as either aerobic, musculo-articular, or stabilising. The aerobic portion served as a general warm-up for the subsequent exercises, and the musculo-articular section focused on strengthening muscles and enhancing the mobility of joints in the upper limbs, the lower limbs and the torso. Stabilising exercises were designed to improve the stability of the body and to augment spatio-visual coordination.
Psychoeducation
A psychoeducation provided by psychotherapist. Twenty minutes of psychoeducation, which contained mini lectures about mental well-being, psychohygiene and healthy dietary habits.
Non-Metabolic Syndrome
Elderly women without Metabolic Syndrome.
24 sessions of low-intensity exercise and psychoeducation, twice a week over 12 weeks.
Low-intensity, general-fitness exercises
24 session of low-intensity, general-fitness exercises (12 weeks, twice a week)
A single session of exercise lasted 40 minutes and consisted of 42 low-intensity, general-fitness exercises. Perception of effort was monitored using the Borg 6-20 rating the perceived exertion (RPE).
Thirty-three exercises were done sitting down, seven standing, and two in the hand-and-knees position. The exercises were classified as either aerobic, musculo-articular, or stabilising. The aerobic portion served as a general warm-up for the subsequent exercises, and the musculo-articular section focused on strengthening muscles and enhancing the mobility of joints in the upper limbs, the lower limbs and the torso. Stabilising exercises were designed to improve the stability of the body and to augment spatio-visual coordination.
Psychoeducation
A psychoeducation provided by psychotherapist. Twenty minutes of psychoeducation, which contained mini lectures about mental well-being, psychohygiene and healthy dietary habits.
Interventions
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Low-intensity, general-fitness exercises
24 session of low-intensity, general-fitness exercises (12 weeks, twice a week)
A single session of exercise lasted 40 minutes and consisted of 42 low-intensity, general-fitness exercises. Perception of effort was monitored using the Borg 6-20 rating the perceived exertion (RPE).
Thirty-three exercises were done sitting down, seven standing, and two in the hand-and-knees position. The exercises were classified as either aerobic, musculo-articular, or stabilising. The aerobic portion served as a general warm-up for the subsequent exercises, and the musculo-articular section focused on strengthening muscles and enhancing the mobility of joints in the upper limbs, the lower limbs and the torso. Stabilising exercises were designed to improve the stability of the body and to augment spatio-visual coordination.
Psychoeducation
A psychoeducation provided by psychotherapist. Twenty minutes of psychoeducation, which contained mini lectures about mental well-being, psychohygiene and healthy dietary habits.
Eligibility Criteria
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Inclusion Criteria
* "mandatory" central obesity (defined as waist circumference ≥ 80 cm in females),
and any two of the following:
* raised triglycerides (\>150 mg/dL),
* reduced HDL cholesterol (50 mg/dL in females),
* elevated blood pressure (BP; systolic BP \> 130 or diastolic BP \> 85 mm Hg) ,
* increased fasting plasma glucose (\>100 mg/dL),
Exclusion Criteria
* the inability to move independently or a motor disability precluding exercise,
* serious neurological or orthopaedic conditions (e.g., advanced Parkinson's disease, severe stroke consequences),
* attending fewer than 13 intervention sessions.
60 Years
85 Years
FEMALE
Yes
Sponsors
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Foundation for Senior Citizen Activation SIWY DYM
OTHER
Wroclaw University of Health and Sport Sciences
OTHER
Responsible Party
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Joanna Szczepańska-Gieracha
Professor
Principal Investigators
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Joanna Szczepańska-Gieracha, Prof.
Role: STUDY_CHAIR
University School of Physical Education in Wroclaw, Poland
Locations
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Foundation for Senior Citizen Activation SIWY DYM
Wroclaw, Lower Silesian Voivodeship, Poland
Countries
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References
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Alberti KG, Zimmet P, Shaw J. Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med. 2006 May;23(5):469-80. doi: 10.1111/j.1464-5491.2006.01858.x.
Archer T, Josefsson T, Lindwall M. Effects of physical exercise on depressive symptoms and biomarkers in depression. CNS Neurol Disord Drug Targets. 2014;13(10):1640-53. doi: 10.2174/1871527313666141130203245.
Baert V, Gorus E, Mets T, Geerts C, Bautmans I. Motivators and barriers for physical activity in the oldest old: a systematic review. Ageing Res Rev. 2011 Sep;10(4):464-74. doi: 10.1016/j.arr.2011.04.001. Epub 2011 May 5.
Greenberg SA. How to try this: the Geriatric Depression Scale: Short Form. Am J Nurs. 2007 Oct;107(10):60-9; quiz 69-70. doi: 10.1097/01.NAJ.0000292204.52313.f3.
Hearing CM, Chang WC, Szuhany KL, Deckersbach T, Nierenberg AA, Sylvia LG. Physical Exercise for Treatment of Mood Disorders: A Critical Review. Curr Behav Neurosci Rep. 2016 Dec;3(4):350-359. doi: 10.1007/s40473-016-0089-y. Epub 2016 Oct 14.
Holzel LP, Harter M, Hull M. [Multiprofessional outpatient psychosocial treatment for elderly patients with mental disorders]. Nervenarzt. 2017 Nov;88(11):1227-1233. doi: 10.1007/s00115-017-0407-y. German.
Hsieh PL. A school-based health promotion program for stressed nursing students in Taiwan. J Nurs Res. 2011 Sep;19(3):230-7. doi: 10.1097/JNR.0b013e318228d010.
Other Identifiers
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59/0203/S/04
Identifier Type: -
Identifier Source: org_study_id
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