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Ohranjanje zdravja
No full textIntroduction: The aim of this study was to evaluate the motives and attitudes of the Nursing Home residents for exercising in Senior Exercise Park (SEP). Methods: Fifty volunteers (79.3 ± 8.4 years80% women50% exercising in SEP) were interviewed. Beside the descriptive statistics, a one-sample t-test and a chi-square test were used. Results: The results showed that physical activity (PA) performed by the respondents in the past was not significantly (p>0.05) related to their engagement in the SEP. More than a half of those who had been exercising in the SEP were exercising five or more times per week, which was also significantly (p0,05) z njihovo vadbo v SVP. Več kot polovica vadečih je v SVP vadila pet- in večkrat tedensko, kar je bilo tudi značilno (p<0,05) pogosteje od splošno priporočene 3-krat tedenske vadbe. Pri tem je večina za izvedbo posamezne vadbene enote porabila do 30 minut. Najpogostejši motivacijski dejavniki za vključevanje v SVP so bili zdravstveni dejavniki, izziv in korist ter radovednost. Med razlogi, zaradi katerih se nekateri stanovalci doma niso vključili v vadbo, so bile najpogosteje omenjene zdravstvene težave in telesna/gibalna oviranost ter nezainteresiranost za vadbo. Pri analizi stališč do vadbe v SVP se je pokazalo, da se med vsemi oblikami vadbe, ki se v domu izvajajo, vadeči poleg hoje in sprehodov najpogosteje odločajo za vadbo v SVP. Slednja jim koristi predvsem zato, ker lahko veliko lažje opravljajo vsakdanja opravila, se bolje počutijo in so bolje razpoloženi. Diskusija in zaključek: Postavitev SVP v domovih za starejše občane je vsekakor smotrna in predstavlja pomembno pridobitev, saj lahko bistveno prispeva k dvigu telesne aktivnosti njenih stanovalcev ter posredno pozitivno vpliva na njihovo zdravje in vzdušje v domu
Comparing the influence of early and late time-restricted eating with energy restriction and energy restriction alone on cardiometabolic markers, metabolic hormones and appetite in adults with overweight/obesity
No full textBackground It remains unclear whether adding time-restricted eating (TRE) to energy restriction (ER) offers additional cardiometabolic benefits, particularly in metabolic hormone regulation, and insulin sensitivity. This per-protocol analysis assessed whether early TRE (eTRE) or late TRE (lTRE), when combined with ER, additionally improves insulin resistance indexes, and cardiovascular and liver biomarkers compared to ER alone. Methods We analysed per-protocol data of 90 participants, 31 from the eTRE with ER (eTRE + ER) group, 28 from the lTRE with ER (lTRE + ER) group and 31 from the ER group. As chronotype-adapted diets have already been shown to produce better outcomes than non-adapted ones and in line with real-life behaviour, randomisation was performed on the basis of the individuals’ chronotype. Anthropometric and biochemical measurements for analysis were taken at baseline, and after first and third month of intervention. The primary outcome was mean change in body mass, while the secondary outcomes were mean changes in glycaemic markers (fasting glucose, fasting insulin), indexes of insulin resistance, cardiovascular and liver markers and metabolic hormones (adiponectin, ghrelin, leptin, leptin/ghrelin ratio). Additionally, participant’s subjective appetite was also assessed at baseline and in third month of the intervention. Results We confirmed that participants who adhered to eTRE + ER for 3 months showed greater improvements in % of fat mass, BMI, and fasting glucose compared to those in the lTRE + ER and/or ER group. These greater reductions in % of the fat mass and BMI were accompanied by more pronounced decreases in leptin levels, with eTRE + ER showing larger leptin reductions than lTRE + ER or ER. Additionally, the eTRE group showed a significantly greater decrease in desire for food and greater reduction in capacity to eat than ER. However, insulin levels, insulin resistance indexes, lipid profiles, adiponectin, ghrelin, visceral fat indexes, and liver enzymes showed similar changes across all groups. Conclusions This analysis showed that eTRE + ER is more effective weight management strategy, while eTRE + ER, lTRE + ER and ER are comparable effective on cardiovascular, liver and insulin resistance markers. Trial registration https://clinicaltrials.gov/study/NCT05730231 (NCT05730231, registered on February 6, 2023)
