Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
JMERC
0.3
Volume 15, Issue 3 (2023)                   Iran J War Public Health 2023, 15(3): 213-218 | Back to browse issues page

Print XML PDF HTML Full-Text (HTML)


History

How to cite this article
Heydary M, Keshavarz S, Kargarfard M, Porheidar B. Effect of Aerobic and Combined Upper Body Exercise on the Heart Structure and Function in Lower Limb Amputation Veterans. Iran J War Public Health 2023; 15 (3) :213-218
URL: http://ijwph.ir/article-1-1352-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- Department of Physical Education and Sports Sciences, Najafabad Branch, Islamic Azad University, Najafabad, Iran
2- Sports Medicine Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran
3- Department of Sports Physiology, Faculty of Physical Education and Sports Sciences, Isfahan University, Isfahan, Iran
4- Department of Heart, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
* Corresponding Author Address: Sports Medicine Research Center, Najafabad Branch, Islamic Azad University, University Boulevard, Najafabad, Iran. Postal Code: 8814143131 (keshavarz1357@gmail.com)
Abstract   (451 Views)
Aims: Lower limb amputee veterans are at high risk of cardiovascular disease due to physical problems and depression after the accident caused by amputation. Aerobic and resistance training are effective interventions in improving heart structure and function. This study aimed to evaluate the effect of 12 weeks of aerobic and combined exercises on the structure and function of the heart of lower limb amputation veterans.
Materials & Methods: This semi-experimental pre-test/post-test study was designed with two interventions and one control group. 45 randomly selected samples were divided into three groups: Aerobic training (15 people), combined training (15 people) and control (15 people). The experimental groups received the relevant intervention for 12 weeks. One-way analysis of variance, Tukey's post hoc test, and paired T-test were used in SPSS 25 software to analyze the data.
Findings: After 12 weeks of intervention, the groups had significant differences in weight (p=0.001) and body mass index (p=0.001). There were significant weight losses in the aerobic (p=0.001) and combined (p=0.001) training groups compared to the control group. Also, a significant decrease in body mass index was observed in the aerobic (p=0.001) and combined (p=0.001) training groups compared to the control group. A significant decrease in weight and body mass index was observed in the aerobic (p=0.001) and combined (p=0.003) training groups from pre-test to post-test.
Conclusion: Upper-body aerobic training alone and in combination with resistance training affects the functional and structural indicators of the heart in lower-limb amputees.

Keywords:

References
1. Kirkham AA, Power C, Pituskin E. Physical Inactivity, Adverse body composition, and cardiac function in breast cancer survivors: Triple Jeopardy?. JACC Cardio Oncol. 2022;4(2):192-4. [Link] [DOI:10.1016/j.jaccao.2022.03.001]
2. Mardaniyan Ghahfarrokhi M, Habibi A, Alizadeh AA, Negaresh R, Mohammad Shahi M, Earnest CP. BDNF and orexin-A response to aerobic exercise are moderated by the meal consumption before exercise in overweight men: Effect of high-carbohydrate, high-protein and high-fat meals. Sci Sport. 2020;35(4):228-36. [Link] [DOI:10.1016/j.scispo.2020.01.011]
3. Rohi H, Shad N, Dabidi Roshan V. Design and evaluation of effect 8-week home-base combined exercise on visceral obesity and cardiovascular function of veterans from different regions of Mazandaran province and their wives: A strategy to reduce inactivity during the Covid-19 pandemic. J Mil Med. 2022;23(11):901-12. [Persian] [Link]
4. Pedrinolla A, Cavedon V, Milanese C, Barbi C, La Ginestra F, Giuriato G, et al. Vascular and skeletal muscle remodeling: Beyond physical inactivity. FASEB J. 2022;36(S1). [Link] [DOI:10.1096/fasebj.2022.36.S1.R4715]
5. Naschitz J, Lenger R. Why traumatic leg amputees are at increased risk for cardiovascular diseases. QJM. 2008;101(4):251-9. [Link] [DOI:10.1093/qjmed/hcm131]
6. Mann S, Beedie C, Jimenez A. Differential effects of aerobic exercise, resistance training and combined exercise modalities on cholesterol and the lipid profile: Review, synthesis and recommendations. Sports Med. 2014;44(2):211-21. [Link] [DOI:10.1007/s40279-013-0110-5]
7. Ahmad N, Thomas GN, Gill P, Chan C, Torella F. Lower limb amputation in England: prevalence, regional variation and relationship with revascularisation, deprivation and risk factors. A retrospective review of hospital data. J R Soc Med. 2014;107(12):483-9c. [Link] [DOI:10.1177/0141076814557301]
8. Mason JC, Libby P. Cardiovascular disease in patients with chronic inflammation: Mechanisms underlying premature cardiovascular events in rheumatologic conditions. Eur Heart J. 2015;36(8):482-9. [Link] [DOI:10.1093/eurheartj/ehu403]
9. Dong R, Jiang W, Zhang M, Leung A, Wong MS. Hemodynamic studies for lower limb amputation and rehabilitation. J Mech Med Biol. 2015;15(4):1530005. [Link] [DOI:10.1142/S0219519415300057]
10. Chin T, Sawamura S, Fujita H, Nakajima S, Oyabu H, Nagakura Y, et al. Physical fitness of lower limb amputees. Am J Phys Med Rehabil. 2002;81(5):321-5. [Link] [DOI:10.1097/00002060-200205000-00001]
11. Lee LS, Hitzig SL, Mayo A, Devlin M, Dilkas S, MacKay C. Factors influencing physical activity among individuals with lower limb amputations: A qualitative study. Disabil Rehabil. 2023;45(9):1461-70. [Link] [DOI:10.1080/09638288.2022.2065539]
12. Trevelyan EG, Turner WA, Robinson N. Perceptions of phantom limb pain in lower limb amputees and its effect on quality of life: A qualitative study. Br J Pain. 2016;10(2):70-7. [Link] [DOI:10.1177/2049463715590884]
13. van Kammen K, Seves B, Vrieling AH, Dekker R, van Dijk A, Dijkstra PU, et al. Cardiorespiratory fitness interventions for individuals with lower limb amputation: A scoping review. MedRxiv. 2022. [Link] [DOI:10.1101/2022.12.22.22283838]
14. Wezenberg D, Dekker R, van Dijk F, Faber W, van der Woude L, Houdijk H. Cardiorespiratory fitness and physical strain during prosthetic rehabilitation after lower limb amputation. Prosthet Orthot Int. 2019;43(4):418-25. [Link] [DOI:10.1177/0309364619838084]
15. Bakkum AJ, Paulson T, Bishop N, Goosey-Tolfrey V, Stolwijk-Swuste JM, van Kuppevelt DJ, et al. Effects of hybrid cycle and handcycle exercise on cardiovascular disease risk factors in people with spinal cord injury: A randomized controlled trial. J Rehabil Med. 2015;47(6):523-30. [Link] [DOI:10.2340/16501977-1946]
16. Wezenberg D, de Haan A, van der Woude LH, Houdijk H. Feasibility and validity of a graded one-legged cycle exercise test to determine peak aerobic capacity in older people with a lower-limb amputation. Phys Ther. 2012;92(2):329-38. [Link] [DOI:10.2522/ptj.20110125]
17. Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet Orthot Int. 2008;32(2):186-200. [Link] [DOI:10.1080/03093640802016514]
18. da Silva R, Rizzo JG, Gutierres Filho PJB, Ramos V, Deans S. Physical activity and quality of life of amputees in southern Brazil. Prosthet Orthot Int. 2011;35(4):432-8. [Link] [DOI:10.1177/0309364611425093]
19. Mohebbi BB, Nikbakht H. The effect of aerobic training on structure and function of heart in the disabled with spinal cord injury. Harkat. 2007;31(2):27-39. [Persian] [Link]
20. Rohi H, Dabidi Roshan V. The effect of home-based monitored exercise protocol on cardio-respiratory parameters and physical activity of veterans of Mazandaran province. J Sport Biosciences. 2020;11(4):393-411. [Persian] [Link]
21. Babai A, Yaghoubi A. The effect of combined training on serum level of interleukin 6 and some pulmonary parameters in chemical veterans caused by mustard gas. Nafas J. 2021;7(4)37-42. [Persian] [Link]
22. Tofighi A, Nozad-Gajin J. Effect of aerobic exercises on general health and serotonin values of inactive veterans. Res Sport Med Tech. 2016;21:75-86. [Persian] [Link]
23. Ghazanfari Z, Ghazanfari T, Araghizadeh H, Soroush MR, Yaraee R, Mahdavi MRV, et al. Physical activity of the civilian chemical victims of Sardasht 20 years after sulfur mustard exposure. Toxin Rev. 2009;28(1):48-53. [Persian] [Link] [DOI:10.1080/15569540802691960]
24. Khani F, Nikbakht H, Ghazalian F, Barzegar M. The effect of endurance, resistance and concurrent training on the structure of the heart of healthy middle-aged women. J Jiroft UnivMed Sci. 2020;7(1):255-65. [Persian] [Link]
25. Mahmoodi Z, Shabani R, Zidashti ZH, Gholipour M. Changes in the structure of the heart and blood pressure after a period of concurrent endurance-resistance training in patients with chronic heart failure. Med Sci. 2020;30(3). [Persian] [Link] [DOI:10.29252/iau.30.3.267]
26. Amirsasan R, Vakili J, Salehi R, Akbari M. Effect of 12 weeks aquatic aerobic exercises on myocardial structure and function in type 2 diabetic women with heart failure. Med J Tabriz Univ Med Sci. 2020;42(1):15-23. [Persian] [Link] [DOI:10.34172/mj.2020.015]
27. Hosseini M, Agha Alinejad H, Piri M, Haj Sadeghi Sh. The effect of endurance, resistance, and combined exercises on the heart structure of university girls. Biol Sport. 2008;44(16):29-38. [Persian] [Link]
28. Collins TC, Johnson M, Henderson W, Khuri SF, Daley J. Lower extremity nontraumatic amputation among veterans with peripheral arterial disease: Is race an independent factor?. Med Care. 2002;40(1 Suppl):I106-16. [Link] [DOI:10.1097/00005650-200201001-00012]
29. Amirpour B, Aghayousefi A, Goli R, Abdolmaleki L. Biomarkers of cardiovascular responses among war veterans with posttraumatic stress disorder. Neuroscience J Shefaye Khatam. 2015;3(4):57-64. [Persian] [Link] [DOI:10.18869/acadpub.shefa.3.4.57]
30. Gaeini A, Kazemi F, Mehdiabadi J, Shafiei-Neek L. The effect of 8-week aerobic interval training and a detraining period on left ventricular structure and function in non-athlete healthy men. Zahedan J Res Med Sci. 2012;13(9):24-37. [Link]

Add your comments about this article : Your username or Email:
CAPTCHA