Exercise is a well-established therapeutic component in the management of a wide range of intellectual disabilities (IDs). Our aim was to appraise the effects of conventional forms of exercise on anthropometric, cardiovascular, and motor-functional profiles of adults with IDs. Four databases (PubMed/Scopus/PEDro/Cochrane) were searched to detect any randomized controlled trial (RCT) pertinent to conventional exercise trainings for adults with ID. Meta-analyses were being performed for studies reported results on the same outcome measures employing RevMan 5.3. Thirteen RCTs involving 556 participants (56.7% men) entered the qualitative synthesis and eleven the meta-analyses. The effect of exercise was superior to controls (no exercise prescription) on several cardiovascular variables (peak oxygen uptake, MD 2.89, 95%CI 0.35;5.42, I-2 = 69%; heart rate peak, MD 4.64, 95%CI 2.15;7.14, I-2 = 7%; maximal exercise capacity, SMD 0.55, 95%CI 0.03;1.08, I-2 = 67%; systolic blood pressure, MD -9.62, 95%CI -17.07;-2.18, I-2 = 40%), without differences in diastolic blood pressure and total cholesterol. None of the anthropometric and body composition variables, six-minute walking test distance and handgrip strength values revealed significant changes at the follow-up. In adults with IDs, conventional exercise training substantially improves cardiovascular fitness and exercise capacity, while it seems of limited effectiveness on anthropometric and body composition variables.
Conventional exercise interventions for adults with intellectual disabilities: A systematic review and meta-analysis
Cugusi, L
;Carta, MG
2021-01-01
Abstract
Exercise is a well-established therapeutic component in the management of a wide range of intellectual disabilities (IDs). Our aim was to appraise the effects of conventional forms of exercise on anthropometric, cardiovascular, and motor-functional profiles of adults with IDs. Four databases (PubMed/Scopus/PEDro/Cochrane) were searched to detect any randomized controlled trial (RCT) pertinent to conventional exercise trainings for adults with ID. Meta-analyses were being performed for studies reported results on the same outcome measures employing RevMan 5.3. Thirteen RCTs involving 556 participants (56.7% men) entered the qualitative synthesis and eleven the meta-analyses. The effect of exercise was superior to controls (no exercise prescription) on several cardiovascular variables (peak oxygen uptake, MD 2.89, 95%CI 0.35;5.42, I-2 = 69%; heart rate peak, MD 4.64, 95%CI 2.15;7.14, I-2 = 7%; maximal exercise capacity, SMD 0.55, 95%CI 0.03;1.08, I-2 = 67%; systolic blood pressure, MD -9.62, 95%CI -17.07;-2.18, I-2 = 40%), without differences in diastolic blood pressure and total cholesterol. None of the anthropometric and body composition variables, six-minute walking test distance and handgrip strength values revealed significant changes at the follow-up. In adults with IDs, conventional exercise training substantially improves cardiovascular fitness and exercise capacity, while it seems of limited effectiveness on anthropometric and body composition variables.File | Dimensione | Formato | |
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