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  4. Effect of self-guided training for the HandbikeBattle on body composition in people with spinal cord injury

Effect of self-guided training for the HandbikeBattle on body composition in people with spinal cord injury

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0103-6 · Published: June 19, 2018

Spinal Cord InjuryPhysiologyRehabilitation

Simple Explanation

This study investigated the effects of training for the HandbikeBattle, a handcycling race, on the body composition and fitness of people with spinal cord injury (SCI). The researchers wanted to see if the training led to changes in body fat and muscle mass, and whether these changes were related to improvements in fitness. Eighteen people with SCI were evaluated before and after four months of self-guided training. The researchers measured their fitness (peak power output) and body composition (body mass, BMI, waist circumference, %fat, and fat and fat-free mass). The study found that training for the HandbikeBattle led to improvements in fitness and small changes in body composition, such as a decrease in fat mass. However, these changes in body composition were not strongly related to the improvements in fitness.

Study Duration
4 months
Participants
18 persons with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Training for the HandbikeBattle led to significant improvements in peak power output (POpeak).
  • 2
    Significant decreases were observed in fat mass measured by BIA (19.6 ± 9.6 kg to 18.5 ± 8.3 kg, p = 0.02) and %fat measured by skinfolds (28.4 ± 7.8% to 27.2 ± 7.2%, p = 0.02).
  • 3
    Changes in body composition were only weakly to moderately correlated with changes in POpeak, suggesting that the effect of training on fitness was different from its effect on body composition.

Research Summary

The study examined the impact of self-guided training for the HandbikeBattle on fitness and body composition in individuals with spinal cord injury (SCI). It aimed to determine if training led to changes in body composition and whether these changes correlated with fitness improvements. The results indicated that while training significantly improved fitness levels (peak power output), the effects on body composition were relatively small. Specifically, there were minor reductions in fat mass and waist circumference, but these changes did not strongly correlate with the fitness gains. The authors concluded that self-guided handcycling training may not be sufficient to substantially alter body composition in people with SCI and suggested that nutrition or higher-volume training may be more critical factors. Future research should explore the combined effects of nutrition and different training protocols on body composition.

Practical Implications

Exercise Recommendations

Self-guided handcycling training alone may not be sufficient for significant body composition changes in individuals with SCI.

Nutritional Strategies

Nutrition may play a more critical role than exercise alone in altering body composition for individuals with SCI preparing for events like the HandbikeBattle.

Future Research

Future studies should investigate the combined effects of nutrition and structured, high-volume training protocols on body composition in individuals with SCI.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Limited information on the self-guided training of the participants

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