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Background People with type 2 diabetes mellitus (DM) are at increased risk of cardiovascular disease (CVD). Cardiovascular autonomic neuropathy (CAN) is an underdiagnosed risk factor for CVD, which is prevalent among people with 2DM and can lead to CVD and CVD-related mortality. Little is known about the risk factors associated with CAN in type 2DM. Thus, the study was aimed to assess CAN using five cardiovascular autonomic reflex tests (represented by Ewing’s score) and explore the factors associated with CAN in people with type 2DM. The studied factors include traditional and serological CVD risk factors obtained from a fasting blood sample and cardiorespiratory fitness (CRF) obtained via attainment of the highest peak of volumes of O2 (VO2Peak). Results Univariate analysis revealed a significant positive correlation between resting systolic blood pressure (SBP) and Ewing’s score (r=0.47, p=.02) and an inverse correlation between VO2Peak and Ewing’s score (r=−0.64, p=.001). Multivariate linear regression revealed that a significant model that included resting SBP and VO2Peak explained 93.8% of Ewing’s score variance. Conclusion CAN was associated with two CVD parameters, including resting SBP and CRF, which may indicate the importance of controlling these two factors to prevent or reduce CAN in people with type 2DM.
Ahmad Osailan. Cardiovascular autonomic neuropathy in people with type 2 diabetes mellitus; investigation of its association with classical cardiovascular risk factors using cardiovascular autonomic reflex tests: a cross-sectional study. The Egyptian Heart Journal 2021, 73, 1 -10.
AMA StyleAhmad Osailan. Cardiovascular autonomic neuropathy in people with type 2 diabetes mellitus; investigation of its association with classical cardiovascular risk factors using cardiovascular autonomic reflex tests: a cross-sectional study. The Egyptian Heart Journal. 2021; 73 (1):1-10.
Chicago/Turabian StyleAhmad Osailan. 2021. "Cardiovascular autonomic neuropathy in people with type 2 diabetes mellitus; investigation of its association with classical cardiovascular risk factors using cardiovascular autonomic reflex tests: a cross-sectional study." The Egyptian Heart Journal 73, no. 1: 1-10.
Background: Recently, poor cardiorespiratory fitness (CRF) has been postulated as an adverse health outcome related to poor sleep quality. However, studies investigating the relationship between CRF and a subjective sleep quality index are scarce. Thus, the current study aimed to investigate the association between CRF and the Pittsburgh Sleep Quality Index (PSQI) in apparently healthy people. The secondary aim was to investigate the association between reported physical activity (PA) and PSQI. Methods: Thirty-three healthy male participants volunteered to participate. CRF (VO2PEAK) was measured via cardiopulmonary exercise testing on a treadmill. A short form of the International Physical Activity Questionnaire (IPAQ) was used to measure PA, and PSQI was used for the sleep quality index. Results: There was no correlation between CRF and PSQI total score or any component of the PSQI. There was a significant inverse correlation between IPAQ and PSQI total score (r = −0.36, p = 0.04). Categorical data analysis of the two questionnaires revealed that 42.4% of the participants who reported low physical activity also had poor sleep quality. Conclusions: The current study showed no association between CRF and the subjective sleep quality index but demonstrated a moderate inverse association between reported PA and subjective sleep quality index. The findings suggest that the more reported PA, the better the overall sleep quality.
Ahmad Osailan; Ragab Elnaggar; Saud Alsubaie; Bader Alqahtani; Walid Abdelbasset. The Association between Cardiorespiratory Fitness and Reported Physical Activity with Sleep Quality in Apparently Healthy Adults: A Cross-Sectional Study. International Journal of Environmental Research and Public Health 2021, 18, 4263 .
AMA StyleAhmad Osailan, Ragab Elnaggar, Saud Alsubaie, Bader Alqahtani, Walid Abdelbasset. The Association between Cardiorespiratory Fitness and Reported Physical Activity with Sleep Quality in Apparently Healthy Adults: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2021; 18 (8):4263.
Chicago/Turabian StyleAhmad Osailan; Ragab Elnaggar; Saud Alsubaie; Bader Alqahtani; Walid Abdelbasset. 2021. "The Association between Cardiorespiratory Fitness and Reported Physical Activity with Sleep Quality in Apparently Healthy Adults: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 8: 4263.
Chest burns are at high risk for long-term pulmonary complication due to chest muscle contractures and chronic inflammation in both adolescents and young adults. Rare studies have investigated the effects of arm cycling exercise (ACE) in those individuals. For that reason, this study examined pulmonary functions, functional capacity, and quality of life (QOL) in adolescents with chest burns subsequent to 2-month ACE. A single-blinded, two-month randomized prospective controlled study was carried out between July 2019 and March 2020 on thirty adolescents with chest burns aged 11–17 years. They were randomized into two equal groups (n = 15), traditional physiotherapy program (TPT as a control group), and ACE plus TPT (ACE group) for 2 consecutive months. Forced vital capacity (FVC), forced expiratory volume in one second (FEV1), six-minute walk test (6MWT), and Pediatric Quality of Life Inventory (PedsQL) were measured in both groups at baseline and after 2-month post-intervention. No statistical significance has been detected at baseline between control and ACE groups (FVC, p = 0.903, FEV1, p = 0.835, 6MWT, p = 0.817, and PedsQL, p = 0.612). 2 months post-intervention showed statistical improvements in the ACE group in all measures (FVC, p = 0.001, FEV1, p < 0.0001, 6MWT, p = 0.001, and PedsQL, p = 0.001) however, the control group showed statistical improvements in FVC, p = 0.044 and FEV1, p = 0.024 with non-statistical changes in 6MWT, p = 0.145 and PedsQL, p = 0.067. The ACE group showed greater improvements than control group in the outcome measures (FVC, p = 0.034, FEV1, p < 0.017, 6MWT, p = 0.037, and PedsQL, p = 0.021). This prospective study clearly demonstrated positive and beneficial influences of two-month arm cycling exercise in the optimization of pulmonary functions, functional performance, and QOL in adolescents suffering from chest burns and thereby eliminating post-burn complications.
Walid Kamal Abdelbasset; Shereen H. Elsayed; Gopal Nambi; Bader A. Alqahtani; Ahmad M. Osailan; Alshimaa R. Azab; Samah A. Moawd; Zeinab A. Ali; Anju Verma; Ramadan S. Hussein; Marwa M. Eid. Optimization of pulmonary function, functional capacity, and quality of life in adolescents with thoracic burns after a 2-month arm cycling exercise programme: A randomized controlled study. Burns 2021, 1 .
AMA StyleWalid Kamal Abdelbasset, Shereen H. Elsayed, Gopal Nambi, Bader A. Alqahtani, Ahmad M. Osailan, Alshimaa R. Azab, Samah A. Moawd, Zeinab A. Ali, Anju Verma, Ramadan S. Hussein, Marwa M. Eid. Optimization of pulmonary function, functional capacity, and quality of life in adolescents with thoracic burns after a 2-month arm cycling exercise programme: A randomized controlled study. Burns. 2021; ():1.
Chicago/Turabian StyleWalid Kamal Abdelbasset; Shereen H. Elsayed; Gopal Nambi; Bader A. Alqahtani; Ahmad M. Osailan; Alshimaa R. Azab; Samah A. Moawd; Zeinab A. Ali; Anju Verma; Ramadan S. Hussein; Marwa M. Eid. 2021. "Optimization of pulmonary function, functional capacity, and quality of life in adolescents with thoracic burns after a 2-month arm cycling exercise programme: A randomized controlled study." Burns , no. : 1.
Background Instrument-assisted soft tissue mobilization (IASTM) is a new technique that has been known to be effective in reducing muscle tightness in athletics. However, little is known about its effect on the range of motion, muscle power, and torque compared to manual stretching among non-athletics. Thus, the study was aimed to compare the effectiveness between IASTM and manual stretching in improving hip flexion active range of motion (ROM), muscle torque and power on hamstring tightness in one session. Method Twenty-three young male college students with unilateral hamstring tightness measured via straight leg raising (SLR) test (<65 degrees) were randomly assigned to one of two groups. Twelve participants received the application of IASTM (group 1), and eleven received manual stretching (group 2). Hip flexion active ROM was measured via goniometer, the torque & power of the hamstring muscle were measured using Humac isokinetic dynamometer, before and after both interventions. (ISRCTN17693345). RESULTS There was no significant difference in the improvement of hip flexion active ROM (69.6 ± 6.6 vs 72.5 ± 7.9, p=.34), HMC torque (63.7 ± 14.5 vs 53.2 ± 16.3, p=.14), and HMC power (47.8 ± 11.8 vs 40.9 ± 16.3, p=.34) between group 1 and group 2 respectively. When a comparison was made within each group, significant improvements in hip active flexion ROM was found in both groups (p's <.001), and HMC power was significantly improved in group 1 (p=.04) but not in group 2. Conclusion The current study findings demonstrate that IASTM was as effective as manual stretching in improving hip flexion active ROM, muscle torque and power among non-athletic people with HMC tightness.
Ahmad Osailan; Abdulaziz Jamaan; Khalid Talha; Mshari Alhndi. Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. Journal of Bodywork and Movement Therapies 2021, 27, 200 -206.
AMA StyleAhmad Osailan, Abdulaziz Jamaan, Khalid Talha, Mshari Alhndi. Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. Journal of Bodywork and Movement Therapies. 2021; 27 ():200-206.
Chicago/Turabian StyleAhmad Osailan; Abdulaziz Jamaan; Khalid Talha; Mshari Alhndi. 2021. "Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness." Journal of Bodywork and Movement Therapies 27, no. : 200-206.
Ahmad Osailan. Investigation of the effect of soft tissue movement using a tool in comparison to manual stretching on hip range of motion, and muscle power in people with hamstring tightness. http://isrctn.com/ 2021, 1 .
AMA StyleAhmad Osailan. Investigation of the effect of soft tissue movement using a tool in comparison to manual stretching on hip range of motion, and muscle power in people with hamstring tightness. http://isrctn.com/. 2021; ():1.
Chicago/Turabian StyleAhmad Osailan. 2021. "Investigation of the effect of soft tissue movement using a tool in comparison to manual stretching on hip range of motion, and muscle power in people with hamstring tightness." http://isrctn.com/ , no. : 1.
Background The use of smartphones has become widely popular, especially among young people, for multiple purposes other than communication, including gaming and internet browsing. The hand and wrist weakness is one of the main complications associated with the increased use of smartphones. This weakness occurs due to the repetitive flexion and extension of the wrist, thumb, and fingers, leading to a significant musculoskeletal pathology. Little is known about the relationship between smartphone usage duration (using the phones ability to monitor screen time) and hand-grip, pinch-grip strength. Therefore, the study was aimed to investigate the association between smartphone usage duration and hand-grip, pinch-grip strength among young people. Methods One hundred young males volunteered to participate in the study. Participants were briefly examined for height and weight using a portable stadiometer and a digital scale. Hand-grip, pinch-grip strength measurement was performed using a hand-held dynamometer. Smartphones usage duration was obtained from the daily average screen time reported in the last seven days. Results Mean daily usage of smartphone among the participants was 7.8 ± 2.2. There was a weak significant inverse relationship between smartphone usage duration and hand-grip strength (r=-.22, p = .03) and pinch-grip strength (r=-.28, p = .004). Linear regression revealed that 18.8 % of the variance in hand-grip strength and 20.4 % of the variance in pinch-grip strength was explained by age, and smartphone usage duration, with the addition of BMI only to hand-grip strength (p’s < 0.00). Conclusions Prolonged use of smartphones was related to weaker hand-grip and pinch-grip. Despite the weak relationship, the study showed that smartphone usage duration might contribute as a factor along with age to hand muscles’ strength.
Ahmad Osailan. The relationship between smartphone usage duration (using smartphone’s ability to monitor screen time) with hand-grip and pinch-grip strength among young people: an observational study. BMC Musculoskeletal Disorders 2021, 22, 1 -8.
AMA StyleAhmad Osailan. The relationship between smartphone usage duration (using smartphone’s ability to monitor screen time) with hand-grip and pinch-grip strength among young people: an observational study. BMC Musculoskeletal Disorders. 2021; 22 (1):1-8.
Chicago/Turabian StyleAhmad Osailan. 2021. "The relationship between smartphone usage duration (using smartphone’s ability to monitor screen time) with hand-grip and pinch-grip strength among young people: an observational study." BMC Musculoskeletal Disorders 22, no. 1: 1-8.
Rheumatoid arthritis (RA) is an autoimmune disease, characterised by high-grade systemic inflammation, pain, and swollen joints. RA patients have an increased risk for cardiovascular disease (CVD). This study examined if a 3-month individualised RA-tailored exercise programme with one-on-one Self-Determination Theory (SDT)-based support for physical activity (PA) facilitated autonomous motivation, increased PA behaviour, and induced greater improvements in cardiovascular and RA-related disease characteristics, and wellbeing in RA, compared to a standard provision tailored exercise programme. 115 RA patients were randomised into either the SDT-based psychological intervention + exercise programme (experimental group) or an exercise programme only (control group). Cardiorespiratory fitness (primary outcome), self-reported PA, disease characteristics, CVD risk, wellbeing, and SDT constructs were assessed at baseline (pre-intervention), 3 months (post-intervention), 6 months, and 12 months follow-up. Mixed linear modeling was used to examine within- and between participant changes in these outcome measures. In 88 patients with complete baseline data, cardiorespiratory fitness did not change from baseline to 3-, 6- or 12 months in either group. CVD risk, disease characteristics, wellbeing, and need satisfaction did not change, with the exception of diastolic blood pressure. Significant group by time interaction effects were found for functional ability (6- & 12-months), CVD risk (6-months) and PA (3-months). Autonomous motivation increased and controlled motivation decreased more in the experimental group compared to the control group at 3 months. Despite improving quality of motivation for exercise, no changes in cardiorespiratory fitness or other psychological and physiological health outcomes were found. This suggests more intensive support is needed when initiating an exercise programme to achieve health benefits in RA.
Jet J.C.S. Veldhuijzen van Zanten; Sally A.M. Fenton; Peter C. Rouse; Nikos Ntoumanis; Ahmad Osailan; Chen-An Yu; George S. Metsios; George D. Kitas; Joan L. Duda. Autonomous motivation, cardiorespiratory fitness, and exercise in rheumatoid arthritis: Randomised controlled trial. Psychology of Sport and Exercise 2021, 55, 101904 .
AMA StyleJet J.C.S. Veldhuijzen van Zanten, Sally A.M. Fenton, Peter C. Rouse, Nikos Ntoumanis, Ahmad Osailan, Chen-An Yu, George S. Metsios, George D. Kitas, Joan L. Duda. Autonomous motivation, cardiorespiratory fitness, and exercise in rheumatoid arthritis: Randomised controlled trial. Psychology of Sport and Exercise. 2021; 55 ():101904.
Chicago/Turabian StyleJet J.C.S. Veldhuijzen van Zanten; Sally A.M. Fenton; Peter C. Rouse; Nikos Ntoumanis; Ahmad Osailan; Chen-An Yu; George S. Metsios; George D. Kitas; Joan L. Duda. 2021. "Autonomous motivation, cardiorespiratory fitness, and exercise in rheumatoid arthritis: Randomised controlled trial." Psychology of Sport and Exercise 55, no. : 101904.
BackgroundThe use of smartphones has become widely popular especially among young people for multiple purposes other than communication including gaming and internet browsing. The weakness of the hand and wrist is one of the main complications associated with the increase of use of smartphones. This weakness occurs due to the repetitive flexion and extension of the wrist, thumb and fingers which eventually could lead to a major musculoskeletal pathology. Little is known about the relationship between smartphone usage duration (using the phones ability to monitor screen time) and hand-grip, pinch-grip strength. Therefore, the study was aimed to investigate the association between smartphone usage duration and hand-grip, pinch-grip strength among young people. Methods100 young males volunteered to participate in the study. Participants were briefly examined for height and weight using a portable stadiometer and a digital scale. Hand-grip, pinch-grip strength measurement was performed using a hand-held dynamometer. Smartphones usage duration was obtained from the daily average screen time reported in the last seven days. ResultsMean daily usage of smartphone among the participants was 7.8 ± 2.2. There was a significant inverse relationship between smartphone usage duration and hand-grip strength (r=-.22, p=.03) and pinch-grip strength (r=-.28, p=.004). ConclusionProlonged use of smartphones is related to weaker hand-grip and pinch-grip. This may lead to future musculoskeletal pathologies such as carpal tunnel syndrome. Young people should be aware of the dangers of smartphones overuse.
Ahmad Osailan. The relationship between smartphone usage duration (using smartphone’s ability to monitor screen time) with hand-grip and pinch-grip strength among young people. An observational study. 2020, 1 .
AMA StyleAhmad Osailan. The relationship between smartphone usage duration (using smartphone’s ability to monitor screen time) with hand-grip and pinch-grip strength among young people. An observational study. . 2020; ():1.
Chicago/Turabian StyleAhmad Osailan. 2020. "The relationship between smartphone usage duration (using smartphone’s ability to monitor screen time) with hand-grip and pinch-grip strength among young people. An observational study." , no. : 1.
Stroke is a leading cause of death and disability worldwide. However, our knowledge of the incidence of stroke for Saudi Arabian population is not known. Thus, we aimed to determine the pooled annual incidence of stroke in Saudi Arabia. We conducted a comprehensive literature search of PubMed, Web of Science, and SCOPUS, without language or publication year limits. Outcomes of interest were stroke incidence rate for both first and recurrent. A total of five studies met the inclusion criteria for this review. The pooled annual incidence of stroke in Saudi Arabia was 0.029% (95% CI: 0.015 to 0.047) equivalent of 29 strokes per 100,000 people annually (95% CI: 15 to 47). The findings indicate that there are 29 stroke cases for every 100,000 people annually for individuals residing Saudi Arabia. Our values were lower than those of other high-income countries. Establishing a nationwide stroke registry is warranted for monitoring and improving healthcare services provided to stroke survivors.
Bader A. Alqahtani; Aqeel Alenazi; Jeffrey C. Hoover; Mohammed M. AlShehri; Mohammed S. Alghamdi; Ahmad Osailan; Kamlesh Khunti. Incidence of stroke among Saudi population: a systematic review and meta-analysis. Neurological Sciences 2020, 41, 3099 -3104.
AMA StyleBader A. Alqahtani, Aqeel Alenazi, Jeffrey C. Hoover, Mohammed M. AlShehri, Mohammed S. Alghamdi, Ahmad Osailan, Kamlesh Khunti. Incidence of stroke among Saudi population: a systematic review and meta-analysis. Neurological Sciences. 2020; 41 (11):3099-3104.
Chicago/Turabian StyleBader A. Alqahtani; Aqeel Alenazi; Jeffrey C. Hoover; Mohammed M. AlShehri; Mohammed S. Alghamdi; Ahmad Osailan; Kamlesh Khunti. 2020. "Incidence of stroke among Saudi population: a systematic review and meta-analysis." Neurological Sciences 41, no. 11: 3099-3104.
Background Sleep disturbance and ventilator inefficiency are considered two of the most critical complications for general human wellbeing, particularly in elderly heart failure (HF) patients. Studies examining the effect of low-intensity aerobic exercise in the treatment of sleep disturbance and ventilatory inefficiency in this population of patients are limited.Objective The purpose of the current pilot study was to check the effect of low-intensity aerobic exercise on the quality of sleep and ventilatory efficiency in elderly HF patients.Materials and methods Design: pilot study. Setting: outpatient physical therapy clinic within Cairo University regional hospital. Participants: eight elderly HF patients (6 men, 2 women) with a mean age of 69.4±4.2 years. Intervention: participants were recruited for a low-intensity exercise program (40 to 50% of maximum heart rate for 30-40 minutes), five sessions weekly for four weeks. Exercise intensity was monitored during the sessions using heart rate. Outcome Measure: sleep quality was assessed pre- and post- four weeks of exercise program usingthe Pittsburgh sleep quality index (PSQI) and ventilatory efficiency was assessed using cardiopulmonary exercise test.Results HF patients (II–III NYHA), mean age 69.4±4.2 years, body mass index 23.7±2.7 kg/m2, ejection fraction 32.7±4.5 %, VO2peak 16.27±4.2 ml/kg/min, VE/VCO2 30.81±12.7. The mean of global PSQI score ranged between 8.2 to 11.4 with a mean of 9.7±3.4 which indicates that the participants experienced sleep disturbance. The post-exercise assessment showed that patients have reported a significant improvement of all PSQI domains compared with baseline assessment (pConclusion Short-term application of low-intensity aerobic exercise (4 weeks) may improve the quality of sleep and ventilator efficiency in elderly HF patients. The study findings encourage elderly HF patients with sleep disturbance to adhere to the exercise training program. Also, cardiac rehabilitation programs with low intensity of aerobic exercise should be proposed to these patients by their health care provider.
Валид Камаль Абдельбассет; Ahmad Osailan. Sleep quality and ventilatory efficiency in elderly heart failure patients: a pilot study on the short-term effect of 4-week low-intensity aerobic exercise. Kardiologiia 2020, 60, 102 -106.
AMA StyleВалид Камаль Абдельбассет, Ahmad Osailan. Sleep quality and ventilatory efficiency in elderly heart failure patients: a pilot study on the short-term effect of 4-week low-intensity aerobic exercise. Kardiologiia. 2020; 60 (6):102-106.
Chicago/Turabian StyleВалид Камаль Абдельбассет; Ahmad Osailan. 2020. "Sleep quality and ventilatory efficiency in elderly heart failure patients: a pilot study on the short-term effect of 4-week low-intensity aerobic exercise." Kardiologiia 60, no. 6: 102-106.
In elderly people, obesity may induce changes in the autonomic nervous system via alteration of the balance between the sympathetic and parasympathetic nervous systems. Little is known about obesity and parasympathetic reactivation following exercise testing, particularly in young people in Saudi Arabia, and its relationship with body composition parameters. Compare parasympathetic reactivation using heart rate recovery (HRR) following the exercise test between young obese and nonobese people and explore the association between body composition parameters with HRR. Cross-sectional study. University research lab. Twenty-seven young male college students underwent anthropometric measurements and treadmill exercise testing, during which the heart rate was monitored via 12-lead electro-cardiography. Participants were divided into a group (n=15) with high body fat percentage (>30%), and a group (n=12) with a normal body fat percentage (<30%) to compare multiple parameters including HRR, which was defined as the absolute change from heart rate (HR) peak during exercise to 1-minute post-HR peak. HRR, body mass index, waist-to-hip ratio, fat percentage, and trunk fat. n=27, mean (SD) age=22.4 (0.98) years, range 21–25 years. There was no significant difference in HRR between the groups (32.20 [13.42] bpm for high body fat percentage vs 35.42 [13.35] bpm for normal body fat percentage) (P=.54). We found a non-significant inverse correlations of HRR with BMI (r=-0.18, P=.37), WHR (r=-0.04, P=.86), fat percentage (r=-0.18, P=.38) and trunk fat (r=-0.23, P=.25). HRR was preserved in our young obese people and was not different from nonobese people. Furthermore, it seems that obese people with higher body composition parameters may have slower HRR, or slower recovery indicating poorer parasympathetic reactivation. Need a larger sample to confirm the findings of this pilot study. None.
Ahmed M. Osailan; Badr Alqahtani; Ragab Elnaggar. Obesity and parasympathetic reactivation of the heart following exercise testing in young male adults: a pilot study. Annals of Saudi Medicine 2020, 40, 113 -119.
AMA StyleAhmed M. Osailan, Badr Alqahtani, Ragab Elnaggar. Obesity and parasympathetic reactivation of the heart following exercise testing in young male adults: a pilot study. Annals of Saudi Medicine. 2020; 40 (2):113-119.
Chicago/Turabian StyleAhmed M. Osailan; Badr Alqahtani; Ragab Elnaggar. 2020. "Obesity and parasympathetic reactivation of the heart following exercise testing in young male adults: a pilot study." Annals of Saudi Medicine 40, no. 2: 113-119.
Coronary artery bypass grafting (CABG) is a common surgical procedure for the restoration of blood flow into stenotic or blocked coronary arteries. Cardiac rehabilitation has been implemented to some extent worldwide as management of post-operative CABG. However, studies about the effect of exercise training on hemodynamic responses of the heart using Incremental shuttle walking (ISWT) test are limited in Saudi Arabia. To investigate the outcomes of exercise-based cardiac rehabilitation (phase 3) hospital-based on some hemodynamic responses including blood pressure, heart rate, and recovery, rate pressure product using ISWT on post CABG patients. Fifteen CABG (51.4 ± 6.4 years, 14 male, 1 female) patients without altering their medication were enrolled in (phase 3) hospital-based cardiac rehabilitation between 2011 until 2012 for supervised individual exercise training sessions (three times per week for 8 weeks) for sixty minutes session at a moderate intensity. Patients performed two (ISWT1 & ISWT2), one before exercise training program and one after, during which resting systolic blood pressure (SBP) and diastolic blood pressure (DBP), post ISWT SBP and DBP, Resting heart rate (HR), peak HR, heart rate recovery (HRR) (which was defined as the absolute change from peak HR to one minute post-peak HR) and rate pressure product (RPP) at rest and at the end of the ISWT were measured. Exercise training sessions included both aerobic and resistance exercise, which was preceded by a cooling down period and followed by a recovery period. Paired t-test showed a significant reduction in both resting SBP (p=.04) and DBP (p=.03), and a significant increase in post-ISWT2 SBP (p=.004), peak HR (p=.003), HRR (p=.03), and RPP at maximum (p=.002) after 8 weeks of supervised exercise training. Also, there was a significant increase in the speed and distance achieved on ISWT2 (p’s<.001) after the training program. Cardiac rehabilitation supervised exercise training for 8 weeks was effective in improving hemodynamic responses and functional exercise capacity in CABG patients. Cardiac rehabilitation should be implemented more frequently and health care providers should be aware of the importance of it. Further research is needed in the region to confirm these findings.
Ahmad Osailan; Walid Kamal Abdelbasset. Exercise-based cardiac rehabilitation for postcoronary artery bypass grafting and its effect on hemodynamics response and functional capacity evaluated using the Incremental Shuttle Walking Test: A retrospective pilot analysis. Journal of the Saudi Heart Association 2019, 1 .
AMA StyleAhmad Osailan, Walid Kamal Abdelbasset. Exercise-based cardiac rehabilitation for postcoronary artery bypass grafting and its effect on hemodynamics response and functional capacity evaluated using the Incremental Shuttle Walking Test: A retrospective pilot analysis. Journal of the Saudi Heart Association. 2019; ():1.
Chicago/Turabian StyleAhmad Osailan; Walid Kamal Abdelbasset. 2019. "Exercise-based cardiac rehabilitation for postcoronary artery bypass grafting and its effect on hemodynamics response and functional capacity evaluated using the Incremental Shuttle Walking Test: A retrospective pilot analysis." Journal of the Saudi Heart Association , no. : 1.
Patients with rheumatoid arthritis (RA) have an increased risk for cardiovascular disease (CVD) with poor parasympathetic function being implicated as an underlying factor. Factors related to parasympathetic function, commonly assessed by heart rate recovery (HRR) following maximal exercise, are currently not known in RA. We aimed to explore the association between HRR with CVD risk factors, inflammatory markers, and wellbeing in patients with RA. Ninety-six RA patients (54.4 ± 12.6 years, 68 % women) completed a treadmill exercise test, during which heart rate (HR) was monitored. HRR1 and HRR2 were defined as the absolute change from HR peak to HRR 1 min post HR peak and 2 min post HR peak, respectively. Cardiorespiratory fitness, CVD risk factors, and serological markers of inflammation were measured in all patients. The Framingham Risk Score (FRS) was used as an assessment of global risk for CVD events, and wellbeing was assessed by questionnaires. Mean HRR1 and HRR2 were 29.1 ± 13.2 bpm and 46.4 ± 15.3 bpm, respectively. CVD risk factors as well as most inflammatory markers and measures of wellbeing were inversely correlated with HRR1 and HRR2. Multivariate regression analyses revealed that 27.9 % of the variance in HRR1 and 37.9 % of the variance in HRR2 was explained collectively by CVD risk factors, measures of inflammation, and wellbeing (p = 0.009, p = 0.001 respectively), however no individual measure was independently associated with HRR1 or HRR2. Parasympathetic activation was associated with overall CVD risk, arthritis-related burden and wellbeing in patients with RA. [Exercise, cardiovascular disease and rheumatoid arthritis, ISRCTN04121489 ].
Ahmad Osailan; George S. Metsios; Peter C. Rouse; Nikos Ntoumanis; Joan L. Duda; George Kitas; Jet J. C. S. Veldhuijzen Van Zanten. Factors associated with parasympathetic activation following exercise in patients with rheumatoid arthritis: a cross-sectional study. BMC Cardiovascular Disorders 2016, 16, 86 .
AMA StyleAhmad Osailan, George S. Metsios, Peter C. Rouse, Nikos Ntoumanis, Joan L. Duda, George Kitas, Jet J. C. S. Veldhuijzen Van Zanten. Factors associated with parasympathetic activation following exercise in patients with rheumatoid arthritis: a cross-sectional study. BMC Cardiovascular Disorders. 2016; 16 (1):86.
Chicago/Turabian StyleAhmad Osailan; George S. Metsios; Peter C. Rouse; Nikos Ntoumanis; Joan L. Duda; George Kitas; Jet J. C. S. Veldhuijzen Van Zanten. 2016. "Factors associated with parasympathetic activation following exercise in patients with rheumatoid arthritis: a cross-sectional study." BMC Cardiovascular Disorders 16, no. 1: 86.