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Comparison of structured and unstructured physical activity training on predicted VO2max and heart rate variability in adolescents – a randomized control trial

  • Vivek Kumar Sharma , Senthil Kumar Subramanian EMAIL logo , Krishnakumar Radhakrishnan , Rajathi Rajendran , Balasubramanian Sulur Ravindran and Vinayathan Arunachalam
Published/Copyright: March 28, 2017

Abstract

Background:

Physical inactivity contributes to many health issues. The WHO-recommended physical activity for adolescents encompasses aerobic, resistance, and bone strengthening exercises aimed at achieving health-related physical fitness. Heart rate variability (HRV) and maximal aerobic capacity (VO2max) are considered as noninvasive measures of cardiovascular health. The objective of this study is to compare the effect of structured and unstructured physical training on maximal aerobic capacity and HRV among adolescents.

Methods:

We designed a single blinded, parallel, randomized active-controlled trial (Registration No. CTRI/2013/08/003897) to compare the physiological effects of 6 months of globally recommended structured physical activity (SPA), with that of unstructured physical activity (USPA) in healthy school-going adolescents. We recruited 439 healthy student volunteers (boys: 250, girls: 189) in the age group of 12–17 years. Randomization across the groups was done using age and gender stratified randomization method, and the participants were divided into two groups: SPA (n=219, boys: 117, girls: 102) and USPA (n=220, boys: 119, girls: 101). Depending on their training status and gender the participants in both SPA and USPA groups were further subdivided into the following four sub-groups: SPA athlete boys (n=22) and girls (n=17), SPA nonathlete boys (n=95) and girls (n=85), USPA athlete boys (n=23) and girls (n=17), and USPA nonathlete boys (n=96) and girls (n=84).

Results:

We recorded HRV, body fat%, and VO2 max using Rockport Walk Fitness test before and after the intervention. Maximum aerobic capacity and heart rate variability increased significantly while heart rate, systolic blood pressure, diastolic blood pressure, and body fat percentage decreased significantly after both SPA and USPA intervention. However, the improvement was more in SPA as compared to USPA.

Conclusions:

SPA is more beneficial for improving cardiorespiratory fitness, HRV, and reducing body fat percentage in terms of magnitude than USPA in adolescent individuals irrespective of their gender and sports activities.


Corresponding author: Dr. Senthil Kumar Subramanian, Assistant Professor, Department of Physiology, Pondicherry Institute of Medical Sciences (PIMS), Kalapet, Puducherry 605014, India, Phone: 9962267560

Acknowledgments

We would like to thank the physical education instructors and nursing staff of Jawahar Navodhya Vidyalaya.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: This is a self-funded project with support from JIPMER, Pondicherry and Jawahar Navodhya Vidyalaya, Pondicherry.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Supplemental Material:

The online version of this article (DOI: 10.1515/jbcpp-2016-0117) offers supplementary material, available to authorized users.


Received: 2016-7-26
Accepted: 2017-2-7
Published Online: 2017-3-28
Published in Print: 2017-5-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

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