Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study

The primary aims of this paper were (1) to evaluate the influence of intensive lifestyle weight loss and exercise intervention (ILI) compared with diabetes support and education (DSE) upon Heart Rate Recovery (HRR) from graded exercise testing (GXT) and (2) to determine the independent and combined...

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Main Authors: Paul M. Ribisl, Sarah A. Gaussoin, Wei Lang, Judy Bahnson, Stephanie A. Connelly, Edward S. Horton, John M. Jakicic, Tina Killean, Dalane W. Kitzman, William C. Knowler, Kerry J. Stewart, Look AHEAD Research Group
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2012/309196
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author Paul M. Ribisl
Sarah A. Gaussoin
Wei Lang
Judy Bahnson
Stephanie A. Connelly
Edward S. Horton
John M. Jakicic
Tina Killean
Dalane W. Kitzman
William C. Knowler
Kerry J. Stewart
Look AHEAD Research Group
author_facet Paul M. Ribisl
Sarah A. Gaussoin
Wei Lang
Judy Bahnson
Stephanie A. Connelly
Edward S. Horton
John M. Jakicic
Tina Killean
Dalane W. Kitzman
William C. Knowler
Kerry J. Stewart
Look AHEAD Research Group
author_sort Paul M. Ribisl
collection DOAJ
description The primary aims of this paper were (1) to evaluate the influence of intensive lifestyle weight loss and exercise intervention (ILI) compared with diabetes support and education (DSE) upon Heart Rate Recovery (HRR) from graded exercise testing (GXT) and (2) to determine the independent and combined effects of weight loss and fitness changes upon HRR. In 4503 participants (45–76 years) who completed 1 year of intervention, HRR was measured after a submaximal GXT to compare the influence of (ILI) with (DSE) upon HRR. Participants assigned to ILI lost an average 8.6% of their initial weight versus 0.7% in DSE group (P<0.001) while mean fitness increased in ILI by 20.9% versus 5.8% in DSE (P<0.001). At Year 1, all exercise and HRR variables in ILI improved (P<0.0001) versus DSE: heart rate (HR) at rest was lower (72.8±11.4 versus 77.7±11.7 b/min), HR range was greater (57.7±12.1 versus 53.1±12.4 b/min), HR at 2 minutes was lower (89.3±21.8 versus 93.0±12.1 b/min), and HRR was greater (41.25±22.0 versus 37.8±12.5 b/min). Weight loss and fitness gain produced significant separate and independent improvements in HRR.
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series Journal of Obesity
spelling doaj-art-0b1466f631014acc9b5ef561882886452025-02-03T01:20:44ZengWileyJournal of Obesity2090-07082090-07162012-01-01201210.1155/2012/309196309196Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD StudyPaul M. Ribisl0Sarah A. Gaussoin1Wei Lang2Judy Bahnson3Stephanie A. Connelly4Edward S. Horton5John M. Jakicic6Tina Killean7Dalane W. Kitzman8William C. Knowler9Kerry J. Stewart10Look AHEAD Research Group11Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC 27109, USAWake Forest School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USAWake Forest School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USAWake Forest School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USADepartment of Internal Medicine, The University of Tennessee-Memphis, Memphis, TN 38103, USASection on Clinical, Behavioral & Outcomes Research, Harvard Medical School, Boston, MA 22222, USADepartment of Health and Physical Activity, University of Pittsburgh, Pittsburgh, PA 15203, USAIndian Health Service/ACKCO, Inc/NIDDK, Northern Navajo Medical Center, Shiprock, NM 87420, USAWake Forest School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USADiabetes Epidemiology and Clinical Research Section, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ 85014, USADepartment of Cardiology, School of Medicine, Johns Hopkins University, Baltimore, MD 21224, USADepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC 27109, USAThe primary aims of this paper were (1) to evaluate the influence of intensive lifestyle weight loss and exercise intervention (ILI) compared with diabetes support and education (DSE) upon Heart Rate Recovery (HRR) from graded exercise testing (GXT) and (2) to determine the independent and combined effects of weight loss and fitness changes upon HRR. In 4503 participants (45–76 years) who completed 1 year of intervention, HRR was measured after a submaximal GXT to compare the influence of (ILI) with (DSE) upon HRR. Participants assigned to ILI lost an average 8.6% of their initial weight versus 0.7% in DSE group (P<0.001) while mean fitness increased in ILI by 20.9% versus 5.8% in DSE (P<0.001). At Year 1, all exercise and HRR variables in ILI improved (P<0.0001) versus DSE: heart rate (HR) at rest was lower (72.8±11.4 versus 77.7±11.7 b/min), HR range was greater (57.7±12.1 versus 53.1±12.4 b/min), HR at 2 minutes was lower (89.3±21.8 versus 93.0±12.1 b/min), and HRR was greater (41.25±22.0 versus 37.8±12.5 b/min). Weight loss and fitness gain produced significant separate and independent improvements in HRR.http://dx.doi.org/10.1155/2012/309196
spellingShingle Paul M. Ribisl
Sarah A. Gaussoin
Wei Lang
Judy Bahnson
Stephanie A. Connelly
Edward S. Horton
John M. Jakicic
Tina Killean
Dalane W. Kitzman
William C. Knowler
Kerry J. Stewart
Look AHEAD Research Group
Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study
Journal of Obesity
title Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study
title_full Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study
title_fullStr Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study
title_full_unstemmed Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study
title_short Lifestyle Intervention Improves Heart Rate Recovery from Exercise in Adults with Type 2 Diabetes: Results from the Look AHEAD Study
title_sort lifestyle intervention improves heart rate recovery from exercise in adults with type 2 diabetes results from the look ahead study
url http://dx.doi.org/10.1155/2012/309196
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