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  4. Effects of Circuit Resistance Training and Timely Protein Supplementation on Exercise-Induced Fat Oxidation in Tetraplegic Adults

Effects of Circuit Resistance Training and Timely Protein Supplementation on Exercise-Induced Fat Oxidation in Tetraplegic Adults

Top Spinal Cord Inj Rehabil, 2014 · DOI: 13.1310/sci2002-113 · Published: April 1, 2014

Spinal Cord InjuryRehabilitation

Simple Explanation

This study investigates how circuit resistance training (CRT) and protein supplementation (PS) affect fat usage during exercise in people with tetraplegia. Participants did CRT for 6 months, with some getting protein right before/after exercise (iPS) and others getting it 24 hours later (dPS). The goal was to see if this training, combined with protein timing, would help them burn more fat during exercise. The researchers measured how much fat and carbohydrates the participants burned during exercise tests at different points in the 6 month CRT program. They compared the two protein supplementation groups to see if timing of protein intake made a difference in how much fat was burned. The study found that circuit resistance training did not significantly increase fat oxidation in persons with tetraplegia, regardless of whether they took protein supplements immediately before and after exercise or 24 hours later. The fat oxidation levels remained low even after the training intervention.

Study Duration
6 Months
Participants
11 individuals with chronic tetraplegia
Evidence Level
Randomized, double-blinded, placebo-controlled, parallel-group design investigation

Key Findings

  • 1
    Maximal absolute fat oxidation did not change significantly from 0 to 6 months of circuit resistance training.
  • 2
    Fat oxidation remained low never exceeding an average of 0.10 ± 0.09 g/min for any given exercise intensity.
  • 3
    Differences in changes in substrate utilization between the protein supplementation groups were not significant.

Research Summary

This study investigated the effects of circuit resistance training (CRT) and protein supplementation (PS) timing on fuel utilization in individuals with tetraplegia. Eleven participants underwent 6 months of CRT, with some receiving immediate PS (iPS) and others delayed PS (dPS). The results showed that CRT did not significantly improve fat oxidation during exercise, regardless of PS timing, and fat oxidation levels remained low after training.

Practical Implications

Exercise Conditioning

Exercise conditioning using CRT may not be an effective means to address metabolic diseases in persons with SCI.

Protein Supplementation

Timing of protein supplementation may not significantly impact fat oxidation during exercise in tetraplegic adults undergoing CRT.

Further Research

Future studies are needed to determine whether small changes in fuel partitioning are sufficient to elicit health benefits and whether alternative exercise programs can improve fat oxidation in persons with SCI.

Study Limitations

  • 1
    The training program used a 3-month wash-in control instead of an untrained parallel control group or crossover design.
  • 2
    There was a lack of substrate oxidation measurements obtained during exercise recovery.
  • 3
    The small sample size within each group limits generalizability of study findings.

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