Jacinto Miguel, Matos Rui, Monteiro Diogo, Antunes Raul, Caseiro André, Gomes Beatriz, Campos Maria João, Ferreira José Pedro
Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal.
ESECS-Polytechnic of Leiria, Leiria, Portugal.
Front Physiol. 2023 May 23;14:1205463. doi: 10.3389/fphys.2023.1205463. eCollection 2023.
The prevalence of overweight and obesity has increased in the last decades, including in people with Intellectual and Developmental Disabilities (IDD). This is even more concerning when it is globally accepted that a low physical condition contributes to the deterioration of functionality and increases the risk of developing chronic diseases during life, with effective implications for health and well-being. The aim of the present study is to investigate the effects of two physical exercise intervention programs on institutionalized individuals with IDD. Twenty-one adults with IDD (43.04 ± 11.18 years) were split by convenience into three groups: i) an indoor training group (IG; N = 7; 24-week machine-based gym intervention), ii) an outdoor training group (OG; N = 7; 24-week outdoor intervention with low-content materials), and iii) a control group (CG; N = 7). Assessed outcomes included indicators of health and neuromuscular capacity. The ( < 50) and tests were used to verify data normality and homoscedasticity. A test was performed to understand if there were differences between the groups. For comparison purposes and to assess hypothetical differences between groups, the signed-rank test and the test were used. The respective effect size was calculated, and the significance level was defined at 0.05. There was a difference in fat mass in OG (initial ≠ intermediate; corrected: = 2.405; = 0.048; = 0.08 and initial ≠ final moments; corrected: = 2.405; = 0.048; = 0.08). Indoor intervention programs seem to be more effective than outdoor intervention programs for reducing heart rate rest ( = -2.912; = 0.011; = -0.104) when compared with CG. A low-cost outdoor intervention in contact with nature appears to be more effective for fat mass reduction. The results for heart rate variability are not clear and robust. Finally, an indoor intervention using weight-training machines appears to be a good method to promote neuromuscular capacity.
在过去几十年中,超重和肥胖的患病率有所上升,包括在智力和发育障碍(IDD)人群中。当全球普遍认为身体状况不佳会导致功能恶化并增加一生中患慢性病的风险,对健康和幸福产生切实影响时,这一情况更令人担忧。本研究的目的是调查两种体育锻炼干预方案对机构化的IDD个体的影响。21名患有IDD的成年人(43.04±11.18岁)按便利原则分为三组:i)室内训练组(IG;N = 7;为期24周的基于器械的健身房干预),ii)室外训练组(OG;N = 7;为期24周的低强度户外干预),以及iii)对照组(CG;N = 7)。评估的结果包括健康和神经肌肉能力指标。使用(<50)和检验来验证数据的正态性和同方差性。进行检验以了解各组之间是否存在差异。为了进行比较并评估组间的假设差异,使用了符号秩检验和检验。计算了各自的效应大小,显著性水平设定为0.05。OG组的脂肪量存在差异(初始≠中期;校正后:= 2.405;= 0.048;= 0.08;初始≠最终阶段;校正后:= 2.405;= 0.048;= 0.08)。与CG组相比,室内干预方案在降低静息心率方面似乎比室外干预方案更有效(= -2.912;= 0.011;= -0.104)。与大自然接触的低成本户外干预在减少脂肪量方面似乎更有效。心率变异性的结果不明确且不稳健。最后,使用重量训练器械的室内干预似乎是促进神经肌肉能力的好方法。