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5. Cardiorespiratory fitness is strongly linked to metabolic syndrome among physical fitness components: a retrospective cross-sectional study

Author

Bokun Kim, Minjae Ku, Tanaka Kiyoji, Tomonori Isobe, Takeji Sakae, and Sechang Oh

Subjects
Cardiorespiratory fitness, Metabolic syndrome, Physical fitness, Physical anthropology. Somatology, GN49-298
Abstract

Abstract Background Maintaining a good level of physical fitness from engaging in regular exercise is important for the treatment and prevention of metabolic syndrome (MetS). However, which components constitutive of physical fitness confer the greatest influence remains controversial. This retrospective cross-sectional study aimed to investigate the association between MetS and physical fitness components including cardiorespiratory fitness, muscle strength, flexibility, and agility and to identify which physical fitness components have the largest influence on MetS. Methods A total of 168 Japanese adult males aged 25–64 years were allocated into non-MetS, pre-MetS, and MetS groups according to the criteria recommended by the Japanese Society of Internal Medicine. Anthropometric measurement of body composition by whole-body dual-energy X-ray absorptiometry and measures related to MetS, including waist circumference, triglyceride level, high-density lipoprotein cholesterol level, blood pressure, glucose level, and physical fitness components, were assessed. For evaluation of cardiorespiratory fitness, muscle strength, flexibility, agility, and balance, maximal oxygen consumption (VO2peak) and oxygen uptake at anaerobic threshold (VO2AnT), handgrip strength and vertical jumping, trunk extension and flexion, stepping side to side, and single-leg balance task with the eyes closed were assessed, respectively. Results A progressive tendency of increasing body weight, body mass index, whole-body lean and fat mass, percentage of whole-body fat mass, trunk lean and fat mass, percentage of trunk fat mass, arm fat mass, waist circumference, triglyceride level, systolic and diastolic blood pressure, and blood glucose level from the non-MetS group to the MetS group was significant (P < 0.05). Conversely, the cardiorespiratory endurance parameters VO2peak and VO2AnT and the high-density lipoprotein cholesterol level showed a progressively decreasing tendency across the groups (P < 0.01). In addition, a VO2peak below 29.84 ml·kg·min−1 (P = 0.028) and VO2AnT below 15.89 ml·kg·min−1 (P = 0.011) were significant risk components for pre-MetS and MetS. However, there was no significant tendency with respect to muscle strength, agility, and flexibility. Conclusion Cardiorespiratory fitness is strongly linked to metabolic syndrome among physical fitness components

Published
2020
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8. Association between Physical Activity and Quality of Life in Colorectal Cancer Patients with Postoperative Defecatory Dysfunction: A Preliminary Survey.

Author

Nakagawa, Hiromi, Hatanaka, Sho, Kato, Yoshimi, Matsumoto, Shinobu, Tanaka, Kiyoji, and Sasai, Hiroyuki

Subjects
CROSS-sectional method, FECAL incontinence, RESEARCH funding, RECREATION, QUESTIONNAIRES, MULTIPLE regression analysis, SEDENTARY lifestyles, COLORECTAL cancer, CANCER patients, DESCRIPTIVE statistics, MANN Whitney U Test, FUNCTIONAL status, SURGICAL complications, TRANSPORTATION, QUALITY of life, RESEARCH, PARTICIPATION, CONFIDENCE intervals, DATA analysis software, PHYSICAL activity
Abstract

In this study, we aimed to explore the association between physical activity (PA) and quality of life (QoL) in colorectal cancer (CRC) patients with postoperative defecatory dysfunction. A survey using the European Organization for Research and Treatment of Cancer QLQ-30 and QLQ-29 was conducted among 62 adult outpatients with CRC at two cancer hospitals in Japan. PA and sedentary behavior were evaluated using the Global Physical Activity Questionnaire. Multiple regression analysis was performed, incorporating the QoL as the outcome, with the total PA and its three domains (occupational, transportation, and recreational) and sedentary time as exposures, while controlling for age, sex, and tumor location. The analyses revealed that patients engaged in PA ≥ 150 min/week (67.4 points; 95% confidence interval [CI]: 21.1, 113.8) and recreational PA ≥ 30 min/week (56.0 points; 95% CI: 2.3, 109.7) had significantly higher function scores. Conversely, sedentary time >8 h/day or occupational PA duration ≥30 min/week was associated with poor symptom and function scores. These findings highlight the importance of promoting recreational PA and reducing sedentary behavior to maintain and improve the QoL in CRC patients with defecatory dysfunction. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Exercise, Dietary Habits, and Defecatory Dysfunction in Patients Living with Colorectal Cancer: A Preliminary Quantitative Study.

Author

Nakagawa, Hiromi, Sasai, Hiroyuki, Kato, Yoshimi, Matsumoto, Shinobu, and Tanaka, Kiyoji

Subjects
RECTAL surgery, CANCER treatment, DIARRHEA, LIFESTYLES, CROSS-sectional method, SELF-evaluation, POSTOPERATIVE care, EXERCISE, FECAL incontinence, RESEARCH funding, QUESTIONNAIRES, MULTIPLE regression analysis, COLORECTAL cancer, QUANTITATIVE research, MULTIVARIATE analysis, CANCER patients, SELF medication, DESCRIPTIVE statistics, CHI-squared test, EXPERIMENTAL design, ODDS ratio, FOOD habits, HEALTH behavior, DIETARY fiber, RESEARCH, RESEARCH methodology, CANCER patient psychology, CLINICS, CONFIDENCE intervals, DATA analysis software, SPECIALTY hospitals, CONSTIPATION, DIET, DISEASE complications
Abstract

This study investigated the association of exercise and dietary habits with defecatory dysfunction in patients living with colorectal cancer. We recruited 61 adult patients who had undergone surgery within the past 20 years and attended outpatient clinics at designated cancer hospitals in Japan. Defecatory dysfunction was defined as any symptom caused by issues with colon and anal function, including fecal incontinence, evacuation difficulties, frequent stools, diarrhea, and constipation. Exercise and dietary habits were assessed via a quantitative questionnaire survey. Postoperative defecatory dysfunction occurred in all the patients. Multivariate analysis revealed no association between exercise habits and defecatory dysfunction; however, dietary fiber intake ≥4 times a week was associated with frequent stools (adjusted odds ratio, 5.11; 95% confidence interval, 1.10, 23.70). These findings suggest a need to alleviate defecatory dysfunction by improving one's dietary habits. Interventions aimed at alleviating defecatory dysfunction by improving the dietary habits in patients living with colorectal cancer are needed. [ABSTRACT FROM AUTHOR]

Published
2024
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