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The Journal of Sports Medicine and Physical Fitness 2020 Jun 12

DOI: 10.23736/S0022-4707.20.10498-5


language: English

Adapted recreational football Small Sided Games improves cardiac capacity, body composition and muscular fitness in patients with type 2 diabetes: results from a pilot study

Annamaria MANCINI 1, 2, Anna A. TURCO 3, Carlo G. TOCCHETTI 4, Georgios ERMIDIS 1, Francesca COZZOLINO 1, Giacomo CAMPI 4, Paolo PARRELLA 4, Valentina MERCURIO 4, Ciro G. MAINOLFI 5, Teresa MANNARINO 5, Adriana D’ANTONIO 5, Maurizio MARRA 6, Rita POLITO 7, Luca RUSSOMANDO 1, Domenico MARTONE 1, Stefania ORRÙ 1, 2, Aurora DANIELE 7, Brunella CAPALDO 3, Francesco SALVATORE 2, Pasqualina BUONO 1, 2

1 Dipartimento di Scienze Motorie e del Benessere, Università “Parthenope”, Naples, Italy; 2 CEINGE Biotecnologie Avanzate, Scarl, Naples, Italy; 3 Dipartimento di Medicina Clinica e Chirurgia, Università “Federico II”, Naples, Italy; 4 Dipartimento di Scienze Mediche Traslazionali, Università “Federico II”, Naples, Italy; 5 Dipartimento di Scienze Biomediche Avanzate, Università “Federico II”, Naples, Italy; 6 Dipartimento di Medicina e Chirurgia Clinica, Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Università “Federico II”, Naples, Italy; 7 Dipartimento di Scienze e Tecnologie Ambientali Biologiche Farmaceutiche, Università degli Studi della Campania, “Luigi Vanvitelli”, Caserta, Italy


BACKGROUND: The usefulness of adapted small-side games (SSGs) in improving cardiac function in subjects with T2DM is still debated. Here we evaluated the effects of 18weeks Indoor Muscular Activation training (6 wks; IMA) followed by adapted SSGs football training (12wks) on cardiac function, muscular fitness, Body Composition and adiponectin expression in sedentary T2DM volunteers.
METHODS: 6 T2DM patients underwent IMA protocol of 6 wks, 2/wk followed by 12 wks SSGs (5vs5; once a wk) training. Glucose, lipid profile and serum homocysteine concentration, Body Composition (BC), bone mineral density (DEXA), were determined at baseline and after 18wks (IMA+SSGs). VO2max and muscular fitness were recorded at baseline and after IMA (6wks) and SSGs (12 wks), respectively.
RESULTS: No significant differences were found for VO2max and muscular fitness after 6wks of IMA. After 18wks (6 wks IMA+ 12 wks SSGs) of training, significant improvements were found in the following parameters: work capacity, VO2peack, Ventilation (VEpeack), breathing reserve consumption and oxygen uptake efficiency (OUES) (p<0.05); leg fitness (p<0.05), BC (p<0.05), vertebral column T-score (p<0.01) and adiponectin (total and High Molecular Weight, HMW; p<0.05). Compared to baseline, a reduction in serum homocystein (Hcy) occurred after 18 wks of training (p<0.05).
CONCLUSIONS: We evidenced that weekly adapted SSGs friendly football matches for 12 weeks improve cardiorespiratory capacity and the expression of independent markers associated with cardiovascular risk in T2DM patients, suggesting an overall reduced CVD-risk in these patients. These preliminary data encourage us to test the efficacy of this type of exercise in a larger population.

KEY WORDS: T2DM; Adapted SSGs; Cardiorespiratory capacity; Adiponectin; Muscular fitness

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