The growing prevalence of metabolic syndrome (MetS) in the worldwide is becoming a serious health problem and economic burden. MetS has become a crucial risk factor for the development of type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD). The rising rates of CVD and diabetes, which are the two leading causes of death. To prevent the progression of MetS to diabetes and CVD, regular physical activity is required. Elliptical trainer device is a relatively new modality of exercise and is advertised to be superior to a treadmill because of the low joint impact and the more reasonable costs of an elliptical trainer compared to a treadmill. Additional quantitative research is needed to further evaluate the effectiveness of elliptical trainers and the physiological and perceptual responses to the machine.
Forty sedentary MeTS patients (from both sexes) will be randomly divided to group A and group B. -Group A (Elliptical training group): This group (n=20) will receive aerobic training on an elliptical trainer for 16 weeks (3 sessions per week). The session will start with 5 minutes warming up at 50 % of maximal heart rate (MHR), 20-minute continuous ET at 70% of MHR, 12 minutes (4×3) intervals at 90% of MHR with a 3-minute active recovery at 70% of MHR between intervals, and finally 5-minute cool-down period at 50% of MHR. Group B: this group will continue their normal daily physical activities without any additional training
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
This group (n=30) will receive aerobic training on an elliptical trainer for 16 weeks (3 sessions per week). The session will start with 5 minutes warming up at 50 % of maximal heart rate (MHR), 20-minute continuous ET at 70% of MHR, 12 minutes (4×3) intervals at 90% of MHR with a 3-minute active recovery at 70% of MHR between intervals, and finally 5-minute cool-down period at 50% of MHR
this group will receive general advises on maintaining physical activities for 16 weeks without any additional supervised training
Faculty of Physical Therapy Cairo University
Giza, Dokki, Egypt
RECRUITINGTriglycerides
Triglycerides is one of lipid profile indicators
Time frame: It will be measured after 16 weeks of training
high density lipoprotein
high density lipoprotein is one of lipid profile indicators
Time frame: It will be measured after 16 weeks of training
Systolic blood pressure
It will be measured via Sphygmomanometer
Time frame: It will be measured after 16 weeks of training
diastolic blood pressure
It will be measured via Sphygmomanometer
Time frame: It will be measured after 16 weeks of training
Fasting blood glucose
It will be measured via a blood glucose meter
Time frame: It will be measured after 16 weeks of training
Insulin
it will be measured via a blood sample
Time frame: It will be measured after 16 weeks of training
The HOMA-IR (Homeostatic Model Assessment for Insulin Resistance
HOMA-IR = \[fasting insulin (μU/mL) × fasting glucose (mmol)\]/22.5
Time frame: It will be measured after 16 weeks of training
Waist circumference
it will be measured by inelastic tape at the umbilicus level
Time frame: It will be measured after 16 weeks of training
weight
the weight scale will be used
Time frame: It will be measured after 16 weeks of training
Leg strength test
will be assessd by leg dynamometer
Time frame: It will be measured after 16 weeks of training
% body fat
percentage of body fat composition
Time frame: It will be measured after 16 weeks of training
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