title: Resistance training improves hyperglycemia and dyslipidemia, highly prevalent among nonelderly, nondiabetic, chronically disabled stroke patients.
abstract: OBJECTIVE
  To test the effect of 8 weeks of lower body resistance training on hyperglycemia and dyslipidemia, which may be prevalent among nonelderly, nondiabetic, chronically disabled stroke patients.
  
  
  METHODS
  Randomized controlled study.
  
  
  METHODS
  Outpatient clinics of rehabilitation centers.
  
  
  METHODS
  Nonelderly, nondiabetic, chronically disabled stroke subjects (N=56) were enrolled and randomly assigned to an experimental group (n=28) and a control group (n=28).
  
  
  METHODS
  Lower body resistance training was performed by subjects in the experimental group 3 times a week for 8 weeks. The control group was given duration-matched stretch exercises.
  
  
  METHODS
  Fasting glucose level, fasting insulin level, 2-hour blood glucose level during oral glucose tolerance test, homeostasis model assessment of insulin resistance (HOMA-IR), glycosylated hemoglobin (Hb A1c), total triglyceride level, total cholesterol level, high-density lipoprotein (HDL) cholesterol level, low-density lipoprotein (LDL) cholesterol level, body mass index, lower limb muscle strength, and Fugl-Meyer motor score.
  
  
  RESULTS
  Before the intervention, 34 subjects (60.7%) had hyperglycemia and 38 (67.9%) had dyslipidemia. Fifty-one subjects finished the study. Subjects in the experimental group (n=26) showed significant improvements in fasting insulin and 2-hour blood glucose levels; HOMA-IR; total cholesterol, HDL cholesterol, and LDL cholesterol levels; and muscle strength compared with control subjects (n=25) after the intervention (P<.05).
  
  
  CONCLUSIONS
  Resistance training may play a significant role in improving hyperglycemia and dyslipidemia, which are frequently present among nonelderly, nondiabetic, chronically disabled stroke patients.
authors.affiliation: Rehabilitation Department, The Second Medical School of Nanjing University of Traditional Chinese Medicine, Nanjing, China.
authors.forename: Jingjing
authors.initials: J
authors.lastname: Zou
authors.affiliation: Rehabilitation Department, The Second Medical School of Nanjing University of Traditional Chinese Medicine, Nanjing, China.
authors.forename: Zun
authors.initials: Z
authors.lastname: Wang
authors.affiliation: Rehabilitation Department, Yi He Hospital, Zhengzhou, China.
authors.forename: Qingming
authors.initials: Q
authors.lastname: Qu
authors.affiliation: Rehabilitation Department, The Second Medical School of Nanjing University of Traditional Chinese Medicine, Nanjing, China. Electronic address: fengsheng619620@126.com.
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
mesh_terms: D000328:Adult; D001786:Blood Glucose; D015992:Body Mass Index; D006233:Persons with Disabilities / Q000534:rehabilitation*; D050171:Dyslipidemias / Q000503:physiopathology*; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D006943:Hyperglycemia / Q000503:physiopathology*; D007328:Insulin / Q000097:blood; D008055:Lipids / Q000097:blood; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D026741:Physical Therapy Modalities; D055070:Resistance Training / Q000379:methods*; D000071939:Stroke Rehabilitation
chemical_list: D001786:Blood Glucose; D007328:Insulin; D008055:Lipids
keywords: Dyslipidemias; Hyperglycemia; Rehabilitation; Resistance training; Stroke