Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation

RationaleWe designed a wand-based muscle stretching (WE) exercise program, which has become increasingly popular in physical therapy and has been used for elderly patients with adhesive capsulitis. However, studies regarding the effects of WE training on abdominal obesity and measures of cardiovascu...

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Main Authors: Punnee Puengsuwan, Chia-Hua Kuo, Rungchai Chaunchaiyakul, Ratanavadee Nanagara, Naruemon Leelayuwat
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2020.565573/full
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author Punnee Puengsuwan
Chia-Hua Kuo
Rungchai Chaunchaiyakul
Ratanavadee Nanagara
Naruemon Leelayuwat
Naruemon Leelayuwat
author_facet Punnee Puengsuwan
Chia-Hua Kuo
Rungchai Chaunchaiyakul
Ratanavadee Nanagara
Naruemon Leelayuwat
Naruemon Leelayuwat
author_sort Punnee Puengsuwan
collection DOAJ
description RationaleWe designed a wand-based muscle stretching (WE) exercise program, which has become increasingly popular in physical therapy and has been used for elderly patients with adhesive capsulitis. However, studies regarding the effects of WE training on abdominal obesity and measures of cardiovascular risk factors among overweight/obese adults aged ≥55 years are rare.PurposeThe objective of this study is to evaluate the effects of a 15-week wand stretching exercise program on waist circumference and cardiovascular risk factors in sedentary adults aged 55–70 years.MethodsA total of 124 participants were randomly assigned to either participate in wand stretching exercise (WE) over a 15-week period or a control group (n = 62 each). Sixty participants in the WE group (26 overweight and 34 obese) and 51 in the control group (29 overweight and 22 obese) completed the study. The WE program included wand-assisted muscle stretching exercise on both the upper body and lower body for 40 min per day, 5 days per week, whereas the control group maintained their sedentary lifestyle.ResultsNo significant improvements were observed in plasma glucose, insulin, and the homeostatic model assessment of insulin resistance (HOMA-IR) after exercise training. Compared with the control group, the WE group had more significant reductions in waist circumference among participants with a body mass index (BMI) < 25 kg/m2 (−2.6 cm, 95% CI: −4.19 to −0.97 cm, d = 0.48) and BMI > 25 kg/m2 (−2.5 cm, 95% CI: −4.1 to −0.9 cm, d = 0.59) (both P < 0.01). Furthermore, within groups, a significant increase in % fat free mass was observed after WE training. The basal metabolic rate was slightly increased, but the fat oxidation rate remained unaltered in the WE group. Improvements in low-density lipoprotein cholesterol to high-density lipoprotein cholesterol were minimal after WE. Significant reductions in high-sensitivity C-reactive protein were observed after WE only for participants with a BMI <25 kg/m2.ConclusionThe results suggest redistribution of a carbon source from the abdominal region to challenged skeletal muscle, following prolonged WE training. This abdominal fat reducing outcome of the WE is unlikely to be associated with fatty acid oxidation.
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spelling doaj.art-79362e9b80ac40e2b41bd3eb4258ccbf2022-12-22T00:57:28ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-10-011110.3389/fphys.2020.565573565573Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat OxidationPunnee Puengsuwan0Chia-Hua Kuo1Rungchai Chaunchaiyakul2Ratanavadee Nanagara3Naruemon Leelayuwat4Naruemon Leelayuwat5School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandLaboratory of Exercise Biochemistry, University of Taipei, Taipei, TaiwanCollege of Sports Science and Technology, Mahidol University, Nakhon Pathom, ThailandDepartment of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandDepartment of Physiology, Faculty of Medicine, Exercise and Sport Sciences Development and Research Group, Khon Kaen University, Khon Kaen, ThailandGraduate School, Khon Kaen University, Khon Kaen, ThailandRationaleWe designed a wand-based muscle stretching (WE) exercise program, which has become increasingly popular in physical therapy and has been used for elderly patients with adhesive capsulitis. However, studies regarding the effects of WE training on abdominal obesity and measures of cardiovascular risk factors among overweight/obese adults aged ≥55 years are rare.PurposeThe objective of this study is to evaluate the effects of a 15-week wand stretching exercise program on waist circumference and cardiovascular risk factors in sedentary adults aged 55–70 years.MethodsA total of 124 participants were randomly assigned to either participate in wand stretching exercise (WE) over a 15-week period or a control group (n = 62 each). Sixty participants in the WE group (26 overweight and 34 obese) and 51 in the control group (29 overweight and 22 obese) completed the study. The WE program included wand-assisted muscle stretching exercise on both the upper body and lower body for 40 min per day, 5 days per week, whereas the control group maintained their sedentary lifestyle.ResultsNo significant improvements were observed in plasma glucose, insulin, and the homeostatic model assessment of insulin resistance (HOMA-IR) after exercise training. Compared with the control group, the WE group had more significant reductions in waist circumference among participants with a body mass index (BMI) < 25 kg/m2 (−2.6 cm, 95% CI: −4.19 to −0.97 cm, d = 0.48) and BMI > 25 kg/m2 (−2.5 cm, 95% CI: −4.1 to −0.9 cm, d = 0.59) (both P < 0.01). Furthermore, within groups, a significant increase in % fat free mass was observed after WE training. The basal metabolic rate was slightly increased, but the fat oxidation rate remained unaltered in the WE group. Improvements in low-density lipoprotein cholesterol to high-density lipoprotein cholesterol were minimal after WE. Significant reductions in high-sensitivity C-reactive protein were observed after WE only for participants with a BMI <25 kg/m2.ConclusionThe results suggest redistribution of a carbon source from the abdominal region to challenged skeletal muscle, following prolonged WE training. This abdominal fat reducing outcome of the WE is unlikely to be associated with fatty acid oxidation.https://www.frontiersin.org/articles/10.3389/fphys.2020.565573/fullaerobic exercisecardiovascular risk factorsabdominal obesitywaist circumferenceenergy expenditure
spellingShingle Punnee Puengsuwan
Chia-Hua Kuo
Rungchai Chaunchaiyakul
Ratanavadee Nanagara
Naruemon Leelayuwat
Naruemon Leelayuwat
Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation
Frontiers in Physiology
aerobic exercise
cardiovascular risk factors
abdominal obesity
waist circumference
energy expenditure
title Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation
title_full Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation
title_fullStr Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation
title_full_unstemmed Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation
title_short Wand Stretching Exercise Decreases Abdominal Obesity Among Adults With High Body Mass Index Without Altering Fat Oxidation
title_sort wand stretching exercise decreases abdominal obesity among adults with high body mass index without altering fat oxidation
topic aerobic exercise
cardiovascular risk factors
abdominal obesity
waist circumference
energy expenditure
url https://www.frontiersin.org/articles/10.3389/fphys.2020.565573/full
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