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Changes in Metabolic Syndrome Severity Following Individualized Versus Standardized Exercise Prescription: A Feasibility Study

Author

Listed:
  • Ryan M. Weatherwax

    (Auckland University of Technology, Human Potential Centre, Auckland 0632, New Zealand
    Western Colorado University, Recreation and Exercise & Sport Science, Gunnison, CO 81231, USA
    Colorado Mountain College, Health and Wellness, Aspen, CO 81611, USA)

  • Joyce S. Ramos

    (SHAPE Research Centre, Exercise Science and Clinical Exercise Physiology, College of Nursing and Health Sciences, Flinders University, Adelaide 5000, Australia
    Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia)

  • Nigel K. Harris

    (Auckland University of Technology, Human Potential Centre, Auckland 0632, New Zealand)

  • Andrew E. Kilding

    (Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland 0632, New Zealand)

  • Lance C. Dalleck

    (Western Colorado University, Recreation and Exercise & Sport Science, Gunnison, CO 81231, USA
    SHAPE Research Centre, Exercise Science and Clinical Exercise Physiology, College of Nursing and Health Sciences, Flinders University, Adelaide 5000, Australia
    Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia)

Abstract

This study sought to investigate the efficacy of standardized versus individualized exercise intensity prescription on metabolic syndrome (MetS) severity following a 12-week exercise intervention. A total of 38 experimental participants (47.8 ± 12.2 yr, 170.7 ± 8.0 cm, 82.6 ± 18.7 kg, 26.9 ± 6.7 mL·k −1 ·min −1 ) were randomized to one of two exercise interventions (exercise intensity prescribed using heart rate reserve or ventilatory threshold). Following the 12-week intervention, MetS z-score was significantly improved for the standardized (−2.0 ± 3.1 to −2.8 ± 2.8 [ p = 0.01]) and individualized (−3.3 ± 2.3 to −3.9 ± 2.2 [ p = 0.04]) groups. When separating participants based on prevalence of MetS at baseline and MetS z -score responsiveness, there were six and three participants in the standardized and individualized groups, respectively, with three or more MetS risk factors. Of the six participants in the standardized group, 83% (5/6) of the participants were considered responders, whereas 100% (3/3) of the individualized participants were responders. Furthermore, only 17% (1/6) of the participants with MetS at baseline in the standardized group no longer had symptoms of MetS following the intervention. In the individualized group, 67% (2/3) of participants with baseline MetS were not considered to have MetS at week 12. These findings suggest that an individualized approach to the exercise intensity prescription may ameliorate the severity of MetS.

Suggested Citation

  • Ryan M. Weatherwax & Joyce S. Ramos & Nigel K. Harris & Andrew E. Kilding & Lance C. Dalleck, 2018. "Changes in Metabolic Syndrome Severity Following Individualized Versus Standardized Exercise Prescription: A Feasibility Study," IJERPH, MDPI, vol. 15(11), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2594-:d:184253
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    Citations

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    Cited by:

    1. Bryant R. Byrd & Jamie Keith & Shawn M. Keeling & Ryan M. Weatherwax & Paul B. Nolan & Joyce S. Ramos & Lance C. Dalleck, 2019. "Personalized Moderate-Intensity Exercise Training Combined with High-Intensity Interval Training Enhances Training Responsiveness," IJERPH, MDPI, vol. 16(12), pages 1-14, June.
    2. Tom F. Cuddy & Joyce S. Ramos & Lance C. Dalleck, 2019. "Reduced Exertion High-Intensity Interval Training is More Effective at Improving Cardiorespiratory Fitness and Cardiometabolic Health than Traditional Moderate-Intensity Continuous Training," IJERPH, MDPI, vol. 16(3), pages 1-12, February.
    3. Alex D. Martini & Lance C. Dalleck & Gaizka Mejuto & Trent Larwood & Ryan M. Weatherwax & Joyce S. Ramos, 2022. "Changes in the Second Ventilatory Threshold Following Individualised versus Standardised Exercise Prescription among Physically Inactive Adults: A Randomised Trial," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    4. Yubo Liu & Weibing Ye & Qian Chen & Yong Zhang & Chia-Hua Kuo & Mallikarjuna Korivi, 2019. "Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(1), pages 1-21, January.
    5. Joyce S. Ramos & Lance C. Dalleck & Caitlin E. Keith & Mackenzie Fennell & Zoe Lee & Claire Drummond & Shelley E. Keating & Robert G. Fassett & Jeff S. Coombes, 2020. "Optimizing the Interaction of Exercise Volume and Metformin to Induce a Clinically Significant Reduction in Metabolic Syndrome Severity: A Randomised Trial," IJERPH, MDPI, vol. 17(10), pages 1-14, May.

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