Abdominal Obesity, Adiposity, Blood Pressure, Prehypertension
Conditions
Keywords
arterial stiffness, endothelin-1, c-reactive protein, adiposity, exercise, jump rope
Brief summary
The purpose of this study was to examine the impact of a 12-week jump rope exercise program on blood pressure, arterial stiffness, vasodilating and vasoconstricting factors, inflammatory markers, and body composition in prehypertensive adolescent girls. Forty prehypertensive adolescent girls participated in this study. The girls were randomly divided into the jump rope exercise intervention group (EX, n=20) and control group (CON, n=20). The EX group performed a jump rope training program at 40-70% of their heart rate reserve (HRR) 5 days/week for 12 weeks (sessions 50 minutes in duration). The CON group did not participate in any structured or unstructured exercise protocol. Blood pressure, arterial stiffness, plasma nitrate/nitrite levels, endothelin-1, C-reactive protein, and body composition were measured before and after the 12-weeks study.
Interventions
12-week jump rope exercise program
Sponsors
Study design
Intervention model description
exercise intervention group, control group
Eligibility
Inclusion criteria
* prehypertensive * sedentary (no regular exercise training or physical activity within the last year) * no weight loss diet during the last six months
Exclusion criteria
* pregnancy * chronic disease * daily medication use (including antioxidants and weight loss supplements)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arterial Stiffness | 12 weeks | Arterial stiffness was measured as measurement of brachial to ankle pulse-wave velocity. This indicates peripheral arterial stiffness, as it measures how quickly a pulse wave propagates from one point to another. |
| Endothelin-1 | 12 weeks | Levels of Endothelin-1 in blood were measured by Endothelin-1 enzyme immunoassay kit. |
| Body Mass | 12 weeks | Body mass was measured to nearest 0.1 kg. |
| Height | 12 weeks | Height was measured to nearest 1 cm. |
| Waist Circumference | 12 weeks | Waist circumference was measured at midpoint between the lower rib and the iliac crest at the end of a normal expiration using a tape measure. |
| Body Fat | 12 weeks | Percent body fat (%) was determined using a bioelectrical impedance-meter. |
| Lean Body Mass | 12 weeks | Lean body mass (kg) was determined using a bioelectrical impedance-meter. |
| Nitrate/Nitrite Levels | 12 weeks | Nitrate and nitrite levels were assayed using a Griess assay kit. |
| C-reactive Protein | 12 weeks | C-reactive protein was assessed using an enzyme immunoassay assay kit |
| Systolic Blood Pressure | 12 weeks | Blood pressure was measured in duplicate using an automated sphygmomanometer. The average of the two was recorded as the resting blood pressure. |
| Diastolic Blood Pressure | 12 weeks | — |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Control Group No exercise intervention | 20 |
| Jump Rope Exercise Intervention The jump rope exercise program was performed for 50 minutes with 5 minutes of warm-up and cool-down per day, 5 times a week for 12 weeks. The program consisted of various main jump rope exercises (1 line 2 jump, jumping feet together, running jumping, open side jump, open back and forth jump, rock paper scissor jump). The warm-up and cool down consisted of static stretching, walking, and jogging. Intensity of exercise was gradually increased from 40-50% heart rate reserve (HRR) in weeks 1-4 and to 60-70% HRR in weeks 9-12. Each training session was supervised by the researchers. Every subject wore a heart rate monitor during the whole training session in order to maintain the designated training intensity.
Jump rope exercise intervention: 12-week jump rope exercise program | 20 |
| Total | 40 |
Baseline characteristics
| Characteristic | Control Group | Jump Rope Exercise Intervention | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 20 Participants | 20 Participants | 40 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Continuous | 15.1 years STANDARD_DEVIATION 1.2 | 15.3 years STANDARD_DEVIATION 0.9 | 15.1 years STANDARD_DEVIATION 1 |
| Arterial stiffness | 8.2 m/s STANDARD_DEVIATION 0.5 | 8.2 m/s STANDARD_DEVIATION 1 | 8.2 m/s STANDARD_DEVIATION 0.8 |
| Body Fat | 32.7 percent STANDARD_DEVIATION 3.2 | 33.8 percent STANDARD_DEVIATION 3.6 | 33.3 percent STANDARD_DEVIATION 3.4 |
| Body mass | 68 kg STANDARD_DEVIATION 8 | 69 kg STANDARD_DEVIATION 9.4 | 68.5 kg STANDARD_DEVIATION 8.7 |
| C-reactive protein | 0.5 mg/L STANDARD_DEVIATION 0.3 | 0.5 mg/L STANDARD_DEVIATION 0.4 | 0.5 mg/L STANDARD_DEVIATION 0.4 |
| Diastolic Blood Pressure | 82 mmHg STANDARD_DEVIATION 2 | 82 mmHg STANDARD_DEVIATION 0.4 | 82 mmHg STANDARD_DEVIATION 1.3 |
| Endothelin-1 | 0.41 umol/mL STANDARD_DEVIATION 0.21 | 0.37 umol/mL STANDARD_DEVIATION 0.21 | 0.40 umol/mL STANDARD_DEVIATION 0.21 |
| Height | 161 cm STANDARD_DEVIATION 3 | 160 cm STANDARD_DEVIATION 3 | 160.5 cm STANDARD_DEVIATION 3 |
| Lean Body Mass | 43.7 kg STANDARD_DEVIATION 4.2 | 44.9 kg STANDARD_DEVIATION 4.5 | 44.3 kg STANDARD_DEVIATION 4.3 |
| Nitrate/Nitrite Levels | 53.3 umol STANDARD_DEVIATION 4.3 | 54.5 umol STANDARD_DEVIATION 5.1 | 53.9 umol STANDARD_DEVIATION 4.7 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 20 Participants | 20 Participants | 40 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment South Korea | 20 participants | 20 participants | 40 participants |
| Sex: Female, Male Female | 20 Participants | 20 Participants | 40 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
| Systolic blood pressure | 126 mmHg STANDARD_DEVIATION 4.2 | 126 mmHg STANDARD_DEVIATION 3.3 | 126 mmHg STANDARD_DEVIATION 3.8 |
| Waist circumference | 85.3 cm STANDARD_DEVIATION 4 | 86.4 cm STANDARD_DEVIATION 4 | 85.9 cm STANDARD_DEVIATION 4 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 20 | 0 / 20 |
| other Total, other adverse events | 0 / 20 | 0 / 20 |
| serious Total, serious adverse events | 0 / 20 | 0 / 20 |
Outcome results
Arterial Stiffness
Arterial stiffness was measured as measurement of brachial to ankle pulse-wave velocity. This indicates peripheral arterial stiffness, as it measures how quickly a pulse wave propagates from one point to another.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Arterial Stiffness | 8.1 m/s | Standard Deviation 0.2 |
| Jump Rope Exercise Intervention | Arterial Stiffness | 7.4 m/s | Standard Deviation 0.2 |
Body Fat
Percent body fat (%) was determined using a bioelectrical impedance-meter.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Body Fat | 33.5 percent | Standard Deviation 3.7 |
| Jump Rope Exercise Intervention | Body Fat | 30.2 percent | Standard Deviation 3.1 |
Body Mass
Body mass was measured to nearest 0.1 kg.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Body Mass | 70 kilograms (kg) | Standard Deviation 8.9 |
| Jump Rope Exercise Intervention | Body Mass | 66 kilograms (kg) | Standard Deviation 7.3 |
C-reactive Protein
C-reactive protein was assessed using an enzyme immunoassay assay kit
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | C-reactive Protein | 0.7 mg/L | Standard Deviation 0.4 |
| Jump Rope Exercise Intervention | C-reactive Protein | 0.2 mg/L | Standard Deviation 0.1 |
Diastolic Blood Pressure
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Diastolic Blood Pressure | 84 mmHg | Standard Deviation 1.9 |
| Jump Rope Exercise Intervention | Diastolic Blood Pressure | 80 mmHg | Standard Deviation 2 |
Endothelin-1
Levels of Endothelin-1 in blood were measured by Endothelin-1 enzyme immunoassay kit.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Endothelin-1 | 0.4 umol/mL | Standard Deviation 0.31 |
| Jump Rope Exercise Intervention | Endothelin-1 | 0.38 umol/mL | Standard Deviation 0.33 |
Height
Height was measured to nearest 1 cm.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Height | 162 cm | Standard Deviation 4 |
| Jump Rope Exercise Intervention | Height | 161 cm | Standard Deviation 3 |
Lean Body Mass
Lean body mass (kg) was determined using a bioelectrical impedance-meter.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Lean Body Mass | 42.8 kilograms (kg) | Standard Deviation 6.5 |
| Jump Rope Exercise Intervention | Lean Body Mass | 45.9 kilograms (kg) | Standard Deviation 6.7 |
Nitrate/Nitrite Levels
Nitrate and nitrite levels were assayed using a Griess assay kit.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Nitrate/Nitrite Levels | 53.5 umol | Standard Deviation 5.2 |
| Jump Rope Exercise Intervention | Nitrate/Nitrite Levels | 57.2 umol | Standard Deviation 5.2 |
Systolic Blood Pressure
Blood pressure was measured in duplicate using an automated sphygmomanometer. The average of the two was recorded as the resting blood pressure.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Systolic Blood Pressure | 127 mmHg | Standard Deviation 5.3 |
| Jump Rope Exercise Intervention | Systolic Blood Pressure | 120 mmHg | Standard Deviation 2.1 |
Waist Circumference
Waist circumference was measured at midpoint between the lower rib and the iliac crest at the end of a normal expiration using a tape measure.
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Control Group | Waist Circumference | 84.4 cm | Standard Deviation 5.2 |
| Jump Rope Exercise Intervention | Waist Circumference | 80.1 cm | Standard Deviation 4.8 |