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The effects of pedometer-based exercise on central and peripheral vascular functions among young sedentary men with
Norsuhana Omar1, Boon Seng Yeoh1, Kalaivani Chellappan2
1Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Insights
A pedometer-based walking program significantly improved vascular function markers in young sedentary men with cardiovascular disease risk factors. This exercise intervention is recommended for enhancing cardiovascular health.
Area of Science:
- Cardiovascular research
- Exercise physiology
- Vascular function assessment
Background:
- Cardiovascular diseases (CVDs) are a leading cause of death globally and in Malaysia, driven by risk factors like hypertension and obesity.
- Increased physical activity is a recommended strategy to mitigate CVD risk.
- Vascular function parameters like Pulse Wave Velocity (PWV_CF), Augmentation Index (AI), and Finger Photoplethysmography Fitness (PPGF) index are used to assess CVD risk, but long-term exercise effects on PPGF are unclear.
Purpose of the Study:
- To investigate the effects of a 12-week pedometer-based walking program on vascular function and CVD risk factors in sedentary young men.
- To determine if a pedometer intervention improves PWV_CF, AI, and PPGF index compared to a control group.
Main Methods:
- Seventy sedentary young men with at least two CVD risk factors were recruited and randomized into a control group (no change in walking) or a pedometer group (target: 8,000 steps/day).
- Vascular parameters (PWV_CF, AI, PPGF index) and anthropometric/lipid profiles were measured at baseline, 6 weeks, and 12 weeks.
- The pedometer group achieved a significant increase in daily step count from baseline (4,996 ± 805) to post-intervention (10,128 ± 511).
Main Results:
- The pedometer group demonstrated significant improvements in anthropometric variables, lipid profiles, PWV_CF, AI, and PPGF index (p < 0.001).
- No significant changes were observed in the control group.
- The results indicate a positive impact of the pedometer-based walking program on vascular health markers.
Conclusions:
- A pedometer-based walking program is effective in improving vascular function markers among young, sedentary working men with CVD risk factors.
- Encouraging pedometer-based exercise can be a valuable strategy for enhancing cardiovascular health in at-risk populations.
Abstract:
Introduction: Cardiovascular diseases (CVDs) remain the main cause of morbidity and mortality in Malaysia and worldwide. This is mainly due to an increase in the prevalence of CVD risk factors such as hypertension, dyslipidemia, smoking, and obesity. Increased physical activity has been recommended as a modality to improve CVD risk. Pulse wave velocity (PWVCF), augmentation index (AI), and finger photoplethysmography fitness (PPGF) index have been introduced to assess the vascular functions related to CVD risk factors. The effects of long-term exercise on PPGF index are not established. Materials and Methods: A total of 70 young men who were sedentary with two or more cardiovascular risk factors were recruited. Subjects were randomly assigned to a control group (CG) (n = 34; no change in walking) and pedometer group (PG) (n = 36; minimum target: 8,000 steps/day). PWVCF and AI were measured via the Vicorder system. The PPGF index was obtained via the finger photoplethysmography method. All parameters were measured at baseline and after 6 and 12 weeks. Results: After intervention, the PG had significant increased step count from 4,996 ± 805 to 10,128 ± 511 steps/day (p < 0.001). The PG showed significant improvement in anthropometric variables, lipid, PWVCF, AI, and PPGF index (time and group effect p < 0.001). No changes were observed in CG. Conclusion: This signifies that pedometer-based walking program is beneficial in improving markers of vascular functions among young working sedentary men with CVD risk factors. Pedometer-based exercise should be encouraged to improve cardiovascular health.
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