Rehabilitation Sciences and Physiotherapy, Universiteit Gent, Gent, Belgium.
Clin Rehabil. 2011 Dec;25(12):1097-108. doi: 10.1177/0269215511407221. Epub 2011 Aug 17.
Investigating the effect of combined aerobic and strength training on metabolic and physical fitness in adults with intellectual disabilities compared to endurance training and no training.
A controlled trial with patients receiving either combined (COM), endurance (END) or no training (C).
Two centres for intellectual disabilities (Sterrenhuis, Brasschaat and Emiliani, Lokeren, Belgium).
Forty-five adults with intellectual disabilities (mean age: 42 (9,2), mean body mass index (BMI): 24 (3,9), mean IQ: 56 (5,6)).
Combined exercise training (n = 15) and endurance training (n = 15) twice a week for 70 minutes per session for 20 weeks and no training (n = 15). Groups were matched for age, sex and intellectual disability.
Lipid profile, physical fitness (primary); blood pressure and body composition.
Compared to no training, combined exercise training has significant positive effects on total cholesterol levels, aerobic capacity, muscle strength and resting systolic blood pressure, while endurance exercise training has significant effects on aerobic capacity and resting systolic blood pressure. Compared to endurance training, combined exercise training resulted in a significant better evolution of total cholesterol (mean differences: -18 versus -3 mg/dl), 1RM upper (+6 versus +1 kg) and lower limb (+25 versus +8 kg) and abdominal muscles (+15 versus +1 kg), hand grip strength (+9 versus +2 kg), muscle fatigue resistance (+11 versus +5 sec), sit-to-stand (+5 versus +2/30 sec) and systolic blood pressure (-15 versus -10 mmHg).
This study revealed a tendency towards more beneficial effects of combined exercise training in adults with intellectual disability.
与耐力训练和无训练相比，研究有氧和力量训练相结合对智力障碍成年人代谢和身体适应性的影响。
一项针对患者接受联合（COM）、耐力（END）或无训练（C）的对照试验。
比利时两家智障中心（Sterrenhuis，Brasschaat 和 Emiliani，Lokeren）。
45 名智力障碍成年人（平均年龄：42（9，2），平均体重指数（BMI）：24（3，9），平均智商：56（5，6））。
每周两次进行 70 分钟的联合运动训练（n=15）和耐力训练（n=15），共 20 周，无训练（n=15）。组间年龄、性别和智力障碍相匹配。
血脂谱，身体适应性（主要）；血压和身体成分。
与无训练相比，联合运动训练对总胆固醇水平、有氧能力、肌肉力量和静息收缩压有显著的积极影响，而耐力运动训练对有氧能力和静息收缩压有显著影响。与耐力训练相比，联合运动训练使总胆固醇（平均差异：-18 与-3mg/dl）、1RM 上肢（+6 与+1kg）和下肢（+25 与+8kg）和腹肌（+15 与+1kg）、手握力（+9 与+2kg）、肌肉疲劳抵抗力（+11 与+5sec）、从坐到站（+5 与+2/30sec）和收缩压（-15 与-10mmHg）的改善更为显著。
本研究表明，联合运动训练对智力障碍成年人的效果更为有益。
