期刊
MEDICINE & SCIENCE IN SPORTS & EXERCISE
卷 54, 期 8, 页码 1231-1241出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/MSS.0000000000002915
关键词
MYOPHOSPHORYLASE; EXERCISE IS MEDICINE; GLYCOGENOSIS TYPE 5; GLYCOGEN STORAGE DISEASE
资金
- Instituto de Salud Carlos III [CD21/00138, ISCIII CPII19/00021, CP18/00034]
- Spanish Ministry of Economy and Competitiveness
- Fondos FEDER (Fondo de Investigaciones Sanitarias) [PI18/00139, PI20/00645, PI19/01313, PI17/02052]
- BiomedicalResearch Networking Center on Frailty and Healthy Aging (CIBERFES) [CB16/10/00314, CB16/10/00477]
- Universidad de Castilla-La Mancha [2021/5937]
This study aimed to investigate the effects of a long-term exercise intervention on patients with McArdle disease. The results showed that a 2-year unsupervised exercise program was both safe and effective in improving the clinical course and aerobic fitness of these patients.
Introduction The long-term effects of exercise in patients with McArdle disease-the paradigm of exercise intolerance-are unknown. This is an important question because the severity of the disease frequently increases with time. Purpose This study aimed to study the effects of a long-term exercise intervention on clinical and fitness-related outcomes in McArdle patients. Methods Seventeen patients (exercise group: n = 10, 6 male, 38 +/- 18 yr; control: n = 7, 4 male, 38 +/- 18 yr) participated in a 2-yr unsupervised intervention including moderate-intensity aerobic (cycle-ergometer exercise for 1 h) and resistance (high load-low repetition circuit) training on 5 and 2-3 d center dot wk(-1), respectively. Patients were assessed at baseline and postintervention. Besides safety, outcomes included clinical severity (e.g., exercise intolerance features) on a 0-3 scale (primary outcome), and aerobic fitness, gross muscle efficiency, and body composition (total/regional fat, muscle, and bone mass; secondary outcomes). Results The exercise program was safe and resulted in a reduction of 1 point (-1.0; 95% confidence interval, -1.6 to -0.5; P = 0.025) in clinical severity versus the control group, with 60% of participants in the exercise group becoming virtually asymptomatic and with no functional limitation in daily life activities. Compared with controls, the intervention induced significant and large benefits (all P < 0.05) in the workload eliciting the ventilatory threshold (both in absolute (watts, +37%) and relative units (watts per kilogram of total body mass or of lower-limb muscle mass, +44%)), peak oxygen uptake (in milliliters per kilogram per minute, +28%), and peak workload (in absolute (+27%) and relative units (+33%)). However, no significant changes were found for muscle efficiency or for any measure of body composition. Conclusions A 2-yr unsupervised intervention including aerobic and resistance exercise is safe and induces major benefits in the clinical course and aerobic fitness of patients with McArdle disease.
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