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Amelioration of inflammation in young men with cardiovascular risks participating pedometer-based walking programme.

The Medical journal of Malaysia
May 1, 2021
N O Omar et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate whether a pedometer-based walking program could reduce inflammation markers (CRP, IL-6, TNF-α) and improve cardiovascular health in sedentary young men with risk factors.

Results Summary

The pedometer group significantly increased daily steps (from ~5,000 to ~10,000) and showed reduced inflammation markers (CRP, IL-6, TNF-α) and improved lipid profiles, while the control group showed no changes.

Population

Sedentary young men (20-40 years) with ≥2 cardiovascular risk factors and <5,000 daily steps.

Effective Dosage

Minimum target of 8,000 steps/day.

Duration

12 weeks.

Interactions

None mentioned.

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
pedometer-based walking programme
increase
step count
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
from 4996 ± 805 to 10,128 ±511 steps/day
significant increased
#1
pedometer-based walking programme
increase
anthropometric variables
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
significant improvement
#2
pedometer-based walking programme
increase
lipid
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
significant improvement
#3
pedometer-based walking programme
decrease
C-Reactive protein (CRP)
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
significantly reduced
#4
pedometer-based walking programme
decrease
interleukin-6 (IL-6)
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
significantly reduced
#5
pedometer-based walking programme
decrease
tumour necrosis factor-alpha (TNF-α)
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
significantly reduced
#6
pedometer-based walking programme
decrease
inflammation
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
improved
#7
pedometer-based walking programme
decrease
arterial stiffness
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
improved
#8
control group (no change in walking)
no change
C-Reactive protein (CRP), interleukin-6 (IL-6) and tumour necrosis factor-alpha (TNF-α)
young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors
-
no changes were seen
#9
Abstract

INTRODUCTION: Inflammation plays a central role in the pathogenesis of cardiovascular events. The lack of exercise among Malaysians and the increasing cardiovascular diseases among young men are of concern. The aim of this study was to evaluate the reducing of inflammation by measuring C-Reactive protein (CRP), interleukin-6 (IL-6) and tumour necrosis factor-alpha (TNF-α). MATERIALS AND METHODS: A total of 70 young men (20 - 40 years) who were sedentary, achieving less than 5,000 steps/day in casual walking with 2 or more cardiovascular risk factors were recruited in Institute of Vocational Skills for Youth (IKBN Hulu Langat). Subjects were randomly assigned to a control group (CG) (n=34; no change in walking) and pedometer group (PG) (n=36; minimum target: 8,000 steps/day). All parameter was measured at baseline, at 6 weeks and after 12 weeks. RESULTS: At post intervention, the CG step counts were similar (4983 ± 366vs 5697 ± 407steps/day). The PG significant increased step count from 4996 ± 805 to 10,128 ±511 steps/day (p<0.001). The PG showed significant improvement in anthropometric variables and lipid (time and group effect p<0.001). After intervention, CRP, IL-6 and TNF- α were significantly reduced for time and group effect (p<0.001). However, no changes were seen in CG. CONCLUSION: The pedometer-based walking programme improved health status in terms of improving inflammation and arterial stiffness.

Medical Subject Headings (MeSH)
ActigraphyAdolescentCardiovascular DiseasesHeart Disease Risk FactorsHumansInflammationMaleRisk FactorsWalking
Study Links
PubMed ID34031337
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations4
Citations/Year1.0
Relative Citation Ratio0.51
NIH Percentile27.4%
Research Impact Scores
APT Score0.25
Weight Score2.22
Normalized Score0.69
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