Tailored Exercise in Patients with Chronic Diseases 2020

A special issue of Journal of Functional Morphology and Kinesiology (ISSN 2411-5142). This special issue belongs to the section "Sports Medicine and Nutrition".

Deadline for manuscript submissions: closed (31 March 2020) | Viewed by 2799

Special Issue Editor

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Guest Editor
Sport Medicine Center, Department of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy
Interests: physical exercise; training; non-communicable chronic diseases; sedentary time; cardio-metabolic and inflammatory risk biomarkers; nutritional integration; functional evaluation; long-term efficacy of physical exercise; exercise prescription in non-communicable chronic disease and in solid organ transplantations; cardiotoxicity; echocardiographic deformation parameters
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Special Issue Information

Dear Colleagues,

Physical exercise is usually suggested to reduce cardiovascular risk factors and prevent chronic metabolic diseases as a consequence of the effects on the body weight and structure, overall fitness, muscle strength, flexibility, and quality of life. Regular physical training has more recently been promoted for the evidence of the “anti-inflammatory effectiveness”. A positive impact has been shown in the most common “noncommunicable diseases”, such as hypertension, diabetes, metabolic syndrome, cardiovascular diseases, elderly age, post-transplant syndrome, and also in cancer, where the inflammatory process is globally represented. The American College of Sports Medicine (ACSM) guidelines actually support “exercise as therapy” at a moderate level of energy expenditure. The importance of establishing the individual level of physical exercise, like a drug dose, has induced the literature in investigating this aspect in a diverse context varied by sex, age, and/or race/ethnicity, and especially in different clinical fields associated to incorrect life style habits. To reach this goal, a bench to bedside research strategy is needed. The Special Issue, “Tailored Exercise in Patients with Chronic Diseases”, is dedicated to collecting the experience in this field, and authors are invited to submit original research papers and current review articles.

Dr. Laura Stefani
Guest Editor

Manuscript Submission Information

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  • Exercise
  • Training
  • Quality of life
  • Sedentarism
  • Metabolic syndrome
  • Cancer
  • Elderly
  • Diabetes
  • Hypertension
  • Nutrition
  • Nutrition habits in adolescent athletes
  • Life style in post transplantation
  • Illicit substances and metabolic chronic disease

Published Papers (1 paper)

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10 pages, 906 KiB  
Exercise Prescription in Renal Transplant Recipients: From Sports Medicine Toward Multidisciplinary Aspects: A Pilot Study
by Goffredo Orlandi, Francesco Sofi, Luciano Moscarelli, Lino Cirami, Sabrina Mancini and Laura Stefani
J. Funct. Morphol. Kinesiol. 2020, 5(1), 10; https://doi.org/10.3390/jfmk5010010 - 30 Jan 2020
Cited by 12 | Viewed by 2497
Renal transplantation is the choice treatment for end-stage renal disease. In spite of transplantation, cardiovascular morbidity and mortality remains high, possibly due to a prolonged sedentary lifestyle prior to transplantation. This study aimed to evaluate the impact of unsupervised intervention in a tailored [...] Read more.
Renal transplantation is the choice treatment for end-stage renal disease. In spite of transplantation, cardiovascular morbidity and mortality remains high, possibly due to a prolonged sedentary lifestyle prior to transplantation. This study aimed to evaluate the impact of unsupervised intervention in a tailored home-based aerobic resistance exercise program, based on the anthropometric and cardiovascular parameters in a group of renal transplant recipients (RTRs) followed for 12 months. Methods: a group of 21 RTRs (mean age: 46.8 ± 12 years) were enrolled in a combined aerobic and step count unsupervised prescription program. Body composition (BMI, waist circumferences, skin-folds); water distribution (TBW: Total body water; ECW: Extra cellular water; and ICW: Intracellular water) and myocardial function were measured every 6 months for 1 year. The MEDI-LITE score was used to estimate adherence to the Mediterranean diet. Results: Significant reductions in waist circumference (Waist Cir: 89.12 ± 12.8 cm T0; 89.1 ± 12.5 cm T6 (95% CI: 6.3, 5.7); 88.6 ± 11.4 cm T12; (95% CI: 6.7, 4.7) p < 0.01), weight:71.8 ± 14.8 kg T0; 70.6 ± 14.7 kg T6(95% CI:−8, 6); 70.6 ± 14.7 kg T12(95% CI: 6.6, 7) p < 0.05), as well as an improvement of myocardial function, as shown by the significant increase of contractility and change in the GLS % value (−18.3 ± 3.8% at T0 (95% CI:−16.57, 20.0.2)−20.4 ± 3.0% at T6(95% CI:−4, 0.2);−22.9 ± 3.1%T12(95% CI:−3, 4, −1, 6) p < 0.02), were observed. Adherence to the Mediterranean diet was in the normal range. Conclusions: Despite unsupervised intervention, combined moderate physical exercise appears to have a positive effect on the main parameters related to cardiovascular risk factors. The long-term efficacy of this program requires further investigation, particularly for evaluating constant adherence to the home-based physical exercise program. Full article
(This article belongs to the Special Issue Tailored Exercise in Patients with Chronic Diseases 2020)
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