Article

OBJECTIVE: To test the effect of 8 weeks of lower body resistance training on
hyperglycemia and dyslipidemia, which may be prevalent among nonelderly,
nondiabetic, chronically disabled stroke patients. DESIGN: Randomized controlled
study. SETTING: Outpatient clinics of rehabilitation centers. PARTICIPANTS:
Nonelderly, nondiabetic, chronically disabled stroke subjects (N=56) were
enrolled and randomly assigned to an experimental group (n=28) and a control
group (n=28). INTERVENTIONS: Lower body resistance training was performed by
subjects in the experimental group 3 times a week for 8 weeks. The control group
was given duration-matched stretch exercises. MAIN OUTCOME MEASURES: Fasting
glucose level, fasting insulin level, 2-hour blood glucose level during oral
glucose tolerance test, homeostasis model assessment of insulin resistance
(HOMA-IR), glycosylated hemoglobin (Hb A1c), total triglyceride level, total
cholesterol level, high-density lipoprotein (HDL) cholesterol level, low-density
lipoprotein (LDL) cholesterol level, body mass index, lower limb muscle strength,
and Fugl-Meyer motor score. RESULTS: Before the intervention, 34 subjects (60.7%)
had hyperglycemia and 38 (67.9%) had dyslipidemia. Fifty-one subjects finished
the study. Subjects in the experimental group (n=26) showed significant
improvements in fasting insulin and 2-hour blood glucose levels; HOMA-IR; total
cholesterol, HDL cholesterol, and LDL cholesterol levels; and muscle strength
compared with control subjects (n=25) after the intervention (P<.05).
CONCLUSIONS: Resistance training may play a significant role in improving
hyperglycemia and dyslipidemia, which are frequently present among nonelderly,
nondiabetic, chronically disabled stroke patients.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS