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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/17545

Title: Effects of hybrid cycle and handcycle exercise on cardiovascular disease risk factors in people with spinal cord injury: a randomized controlled trial
Authors: Bakkum, Arjan J.
Paulson, Thomas A.W.
Bishop, Nicolette
Goosey-Tolfrey, Victoria L.
Stolwijk-Swuste, J.M.
van Kuppevelt, D.J.
de Groot, Sonja
Janssen, Thomas W.
Keywords: Metabolic syndrome
Insulin resistance
Inflammation
Adiposity
Paralysis
Electric stimulation
Issue Date: 2015
Publisher: © 2015 The Authors (Journal compilation © Foundation for Rehabilitation Information)
Citation: BAKKUM, A.J. ... et al, 2015. Effects of hybrid cycle and handcycle exercise on cardiovascular disease risk factors in people with spinal cord injury: a randomized controlled trial. Journal of Rehabilitation Medicine, 47, pp.523-530.
Abstract: OBJECTIVE: To examine the effects of a 16-week exercise programme, using either a hybrid cycle or a handcycle, on cardiovascular disease risk factors in people with spinal cord injury. PARTICIPANTS: Nineteen individuals with spinal cord injury ≥ 8 years. DESIGN: Multicentre randomized controlled trial. Both the hybrid cycle group (n = 9) and the handcycle group (n = 10) trained twice a week for 16 weeks on the specific cycle. Outcome measures obtained pre and post the programme were: metabolic syndrome components (waist circumference, systolic and diastolic blood pressure, high-density lipoprotein cholesterol, triglycerides and insulin resistance), inflammatory status (C-reactive protein (CRP), interleukin (IL)-6 and -10), and visceral adiposity (trunk and android fat). RESULTS: For all outcome measures, there were no significant differences over time between the 2 training groups. Overall significant reductions were found for waist circumference (p = 0.001), diastolic blood pressure (p = 0.03), insulin resistance (p = 0.006), CRP (p = 0.05), IL-6 (p = 0.04), IL-6/IL-10 ratio (p = 0.03), and trunk (p = 0.04) and android (p = 0.02) fat percentage. No significant main effects for time were observed for systolic blood pressure, triglycerides, high-density lipoprotein cholesterol, IL-10, and trunk and android fat mass. CONCLUSION: The 16-week exercise programme, using either a hybrid cycle or a handcycle, found similar beneficial effects on metabolic syndrome components, inflammatory status and visceral adiposity, indicating that there were no additional benefits of functional electrical stimulation-induced leg exercise over handcycle exercise alone.
Sponsor: This study was financially supported by Zon-Mw Rehabilitation program and Fonds NutsOhra (grant no. 89000006).
Version: Published
DOI: 10.2340/16501977-1946
URI: https://dspace.lboro.ac.uk/2134/17545
Publisher Link: http://dx.doi.org/10.2340/16501977-1946
ISSN: 1650-1977
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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