Article

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. DESIGN: A controlled trial with patients
receiving either combined (COM), endurance (END) or no training (C). SETTING: Two
centres for intellectual disabilities (Sterrenhuis, Brasschaat and Emiliani,
Lokeren, Belgium). SUBJECTS: Forty-five adults with intellectual disabilities
(mean age: 42 (9,2), mean body mass index (BMI): 24 (3,9), mean IQ: 56 (5,6)).
INTERVENTION: 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. MAIN MEASURES:
Lipid profile, physical fitness (primary); blood pressure and body composition.
RESULTS: 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). CONCLUSION: This study
revealed a tendency towards more beneficial effects of combined exercise training
in adults with intellectual disability.

Langue : ANGLAIS