Journal of Sport and Exercise Physiology

Journal of Sport and Exercise Physiology

The effect of of exercise training on quality of life, cardiovascular disease risk factors and some inflammatory markers in women with low socio-economic status

Document Type : Original Article

Authors
Amin Isanezhad
Bita Ranjbar Bonaki
Department of Exercise Sciences, Faculty of Humanities, Shahed University, Tehran, Iran
10.48308/joeppa.2024.236810.1294
Abstract
Background and Purpose: Physical inactivity is one of the four major causes of death worldwide. Various studies have shown that physical inactivity in women with low socioeconomic status, is more than average, and designing targeted interventions along with social support and counseling for these people can help their health through eliminating the disease risk factors and improving the quality of life. This study aimed to evaluate the effects of an exercise intervention on body composition, quality of life, cardiovascular risk factors, and selected inflammatory markers (CRP, IL-6) in women with low socioeconomic status.
Materials & Methods: Fifty-three women from a low socioeconomic background in a Tehran neighborhood (age, 37.50 ± 4.79 years; body mass index, 28.5 ± 3.23 kg/m2) were randomly assigned to either a control group (n=17) or an exercise intervention group (n=36). The intervention consisted of a 12-week exercise program, including 36 sessions of aerobic and body weight bearing exercises. The control group did not participate in any structured exercise program. Data were analyzed using an independent t-test with a significance level set at p<0.05.
Results: The results showed that 50% of participants did not engage in sufficient physical activity. The exercise intervention group demonstrated significant improvements in quality of life, physical fitness, body composition, hemoglobin A1C, C-reactive protein (CRP) and HDL levels compared to the control group. However, there were no significant differences in IL-6 levels between the two groups.
Conclusion: This study suggests that 12 weeks structured exercise intervention can significantly improve quality of life, physical fitness, and body composition in women with low socioeconomic status; and it can also be used as a useful intervention o increase HDL, decrease hemoglobin A1C and CRP
Keywords
Aerobic exercise training
underprivileged women
Interlukin – 6
C-reactive protein
Subjects
  1. Antonovsky, A., Social class, life expectancy and overall mortality. The Milbank Memorial Fund Quarterly, 1967. 45(2): p. 31-73.)

 

  1. Mindell, J., et al., Cohort profile: the health survey for England. International journal of epidemiology, 2012. 41(6): p. 1585-1593

 

  1. Lorant, V., et al., Socioeconomic inequalities in depression: a meta-analysis. American journal of epidemiology, 2003. 157(2): p. 98-112.

 

  1. Agerbo, E., et al., Polygenic risk score, parental socioeconomic status, family history of psychiatric disorders, and the risk for schizophrenia: a Danish population-based study and meta-analysis. JAMA psychiatry, 2015. 72(7): p. 635-641

 

  1. . Clark, A.M., et al., Socioeconomic status and cardiovascular disease: risks and implications for care. Nature Reviews Cardiology, 2009. 6(11): p. 712-722.
  2. Befort CA, Nazir N, Perri MG. Prevalence of obesity among adults from rural and urban areas of the United States: findings from NHANES (2005‐2008). J Rural Health 2012;28(4):392-7. PubMed

 

  1. Jackson, E.L. and V.C. Rucks, Reasons for ceasing participation and barriers to participation: Further examination of constrained leisure as an internally homogeneous concept. Leisure Sciences, 1993. 15(3): p. 217-230.
  2. Organization, W.H., Physical inactivity: a global public health problem. 20 URL www. Who. int/dietphysicalactivity/factsheet_inactivity/en/. Part I APPEND, 2012.
  3. Group, D.P.P.R., Impact of intensive lifestyle and metformin therapy on cardiovascular disease risk factors in the diabetes prevention program. Diabetes care, 20 28(4): p. 888-894.

 

  1. . Organization, W.H., Physical inactivity: a global public health problem. 20 URL www. Who. int/dietphysicalactivity/factsheet_inactivity/en/. Part I APPEND, 2012.
  2. Muscatell, K.A., S.N. Brosso, and K.L. Humphreys, Socioeconomic status and inflammation: a meta-analysis. Molecular psychiatry, 2020. 25(9): p. 2189-2199.
  3. Abramson, J.L. and V. Vaccarino, Relationship between physical activity and inflammation among apparently healthy middle-aged and older US adults. Archives of internal medicine, 2002. 162(11): p. 1286-1292.
  4. Pedersen, B.K., The anti-inflammatory effect of exercise: its role in diabetes and cardiovascular disease control. Essays in biochemistry, 2006. 42: 105-117
  5. Steptoe A, Owen N, Kunz-Ebrecht S, Mohamed-Ali V. Inflammatory cytokines, socioeconomic status, and acute stress responsivity. Brain Behav Immun. 2002;16:774–84. 10.1016/S0889-1591(02)00030-2 (PubMed: 12480506)
  6. Centers for Disease Control and Prevention. Physical Activity and Health. A Report of the Surgeon General. Atlanta, GA:Centers for Disease Control and Prevention, 1996
  7. Al Tunaiji, H., et al., Population attributable fraction of leading non-communicable cardiovascular diseases due to leisure-time physical inactivity: a systematic review. BMJ Open Sport & Exercise Medicine, 2019. 5(1): p. e000512.
  8. Mokhtarzadeh, M, Ranjbar, R, The effect of intermittent aerobic training on levels of TNF a and IL10 in women with multiple sclerosis, 2015 p. 262-71(In Persian)
  9. . Demont-Heinrich, C., The association between physical activity, mental health and quality of life: a population-based study. health, 2009. 800: p. 886-7689.
  10. Kaplan, S. and R. Kaplan, Health, supportive environments, and the reasonable person model. American Journal of Public Health, 2003. 93(9): p. 1484-1489
  11. WHOQOL group (1996) WHOQOL-BREF Introduction, Administration and scoring, Field Trial version, World Health Organization, Geneva.
  12. . Moghaddam, M.B., et al., The Iranian Version of International Physical Activity Questionnaire (IPAQ) in Iran: content and construct validity, factor structure, internal consistency and stability. World Appl Sci J, 2012. 18(8): p. 1073-80.

 

  1. Kline GM, Porcari JP, Hintermeister R, et. al. 1987. Estimation of VO2 Max from a one mile track walk, gender, age, and body weight. Medicine and Science in sports and Exercise. 19:253-59.
  2. Gaini, A, Rajabi, H physical fitness, Tehran: Samat..1401; (In Persian)
  3. Shafizadeh, M, Application of measurement and evaluation in physical education and sports sciences, Tehran: Bammad Kitab.205; (In Persian)
  4. Hornbuckle, L.M., et al., Effects of a 12-Month Pedometer-Based Walking Intervention in Women of Low Socioeconomic Status: Supplementary Issue: Health Disparities in Women. Clinical Medicine Insights: Women's Health, 2016. 9: p. CMWH. S39636.
  5. Marcus, R.L., et al., Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus. Physical therapy, 2008. 88(11): p. 1345-1354.Agerbo, E., et al., Polygenic risk score, parental socioeconomic status, family history of psychiatric disorders, and the risk for schizophrenia: a Danish population-based study and meta-analysis. JAMA psychiatry, 2015. 72(7): p. 635-641

 

  1. Young, S.N., How to increase serotonin in the human brain without drugs. Journal of psychiatry & neuroscience: JPN, 2007. 32(6): p. 394.
  2. Haghigi, A, Yaqoubi, M, Hosseini-Kakhk, S.. The effect of eight weeks of aerobic exercise and green tea supplementation on body fat percentage and serum lipid profile of obese and overweight women. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 2012 ; 56(4), 211-218. (In PersianDalgas, U., T. Ingemann-Hansen, and E. Stenager, Physical exercise and MS recommendations. Int Ms J, 2009. 16(1): p. 5-11.

 

  1. Agerbo, E., et al., Polygenic risk score, parental socioeconomic status, family history of psychiatric disorders, and the risk for schizophrenia: a Danish population-based study and meta-analysis. JAMA psychiatry, 2015. 72(7): p. 635-641
  2. Arbabi, A . Momin Kokha, H, , comparison of two methods of aerobic and resistance exercise on plasma lipoproteins of obese women, the first national conference on new achievements in physical education and sports, Chabahar.2014; 139127(In Persian)
  3. Dalgas, U., T. Ingemann-Hansen, and E. Stenager, Physical exercise and MS recommendations. Int Ms J, 2009. 16(1): p. 5-11Olson, T.P., et al., Changes in inflammatory biomarkers following one-year of moderate resistance training in overweight women. International journal of obesity, 2007. 31(6): p. 996-1
  4. .Marcus, R.L., et al., Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus. Physical therapy, 2008. 88(11): p. 1345-1354.
  5. Bijeh, N, Farahti, S, Sarlak, Z, Shad, R, Houshman Moghaddam, B.. The effect of eight weeks of aerobic exercise on the serum levels of angiotensin converting enzyme and lipid profiles of inactive overweight women. Journal of Advanced Biomedical Sciences, Fasa University of Medical Sciences .2018; 9(4) (In Persian)
  6. Olson, T.P., et al., Changes in inflammatory biomarkers following one-year of moderate resistance training in overweight women. International journal of obesity, 2007. 31(6): p. 996-1
  7. Melanuri Shamsi, M, Amani Shalmazari, S. Accuracy, sports activity, immune system and coronavirus, physiology Sports, Volume 12, Number 46, Summer 2019, pp. 40-17(In Persian)
  8. Ogawa, K., et al., Resistance exercise training-induced muscle hypertrophy was associated with reduction of inflammatory markers in elderly women. Mediators of inflammation, 2010. 2010
  9. Thompson, D., Markovitch, D., Betts, J. A., Mazzatti, D., Turner, J., & Tyrrell, R. M. (2010). Time course of changes in inflammatory markers during a 6-mo exercise intervention in sedentary middle-aged men: a randomized-controlled trial. Journal of applied physiology, 108(4), 769-779.‏
  10. Walther, C., et al., Regular exercise training compared with percutaneous intervention leads to a reduction of inflammatory markers and cardiovascular events in patients with coronary artery disease. European Journal of Preventive Cardiology, 2008. 15(1): p. 107-112

 

  • Receive Date 05 September 2024
  • Revise Date 26 September 2024
  • Accept Date 10 October 2024
  • First Publish Date 10 October 2024
  • Publish Date 19 February 2025