Effect of a novel 90-second "Gear" exercise programme on markers of inflammation and cardiorespiratory fitness measurements in person at risk of cardiovascular disease.

The study compared the effect of the novel "Gear" exercise programmes on inflammatory markers and cardiorespiratory fitness measurements. The participants mean age was 38 ± 5.74 years, with a mean body mass of 83 ± 16.93kg. Participants were randomly assigned to either the "Gear" exercise programme repeated at different times during the day (GEP-DT): cycled for 90 seconds, repeated three times per day, three days per week; the "Gear" exercise programme repeated at one point in time (GEP-OT): cycled for 90 seconds followed by four minutes and 30 seconds rest, repeated three times at one point in time, three days per week; moderate-intensity continuous exercise group (MICE): cycled for 30 minutes at 55-69% of HRmax or the control group (CTRL): did not exercise. The GEP-DT demonstrated a moderate increase in load at ventilation threshold (VT-L) (MD = 8.18 ± 12.30, % Δ = 14.53, d = 0.77, d (95% CI): (-0.17, 1.64)). The GEP-OT group demonstrated a large effect size for VT-L (MD = 11.79 ± 18.77, % Δ = 18.86, d = 0.81, d (95% CI): (-0.02, 1.63)). The GEP-DT and GEP-OT raised the VT-L, which prevented premature fatigue and improved the efficiency of the cardiorespiratory system.

Impact of poor dental ergonomical practice.

Dentistry is a high risk profession for the development of musculoskeletal disorders as it is characterised by visual demands which require the adoption of static working posture. Headaches and vertebral pain has been positively correlated to poor ergonomic working posture adopted by dentists. The aim of this study was to examine the work posture adopted by dentists in the metropolitan region of Durban and Verulam in the province of Kwa-Zulu Natal, South Africa, as well as to report on the prevalence of musculoskeletal pain and discomfort experienced by this cohort. A descriptive survey was conducted among 94 dentists, who voluntarily consented to participate in an occupational, epidemiological retrospective study. Subjects' biographical, occupational, epidemiological and exercise history information was collected by using a self-report questionnaire. All dentists in the metropolitan region of Durban and Verulam were contacted telephonically and those volunteering to participate in the study were subsequently interviewed. During the interview, subjects' body mass and stature were measured using a portable Detecto stadiometer scale. Subjects' waist and hip girths were measured using an anthropometric tape measure around their anterior sacro-iliac crest (waist) and their greater trochanter (hip). In addition to collecting the anthropometric data, the dentists completed a self-report questionnaire and informed consent form. Descriptive statistics comprising of mode, mean, frequency, percentages and chi-square tests (with the probability set at 0.05) were employed in the statistical analysis. The results indicated the preference of different work postures and positions adopted by dentists that contributed to the prevalence of work-related musculoskeletal pain and discomfort (prevalence of 54.26%). The most prevalent work-related musculoskeletal pain sustained by dentists was the vertebrae (49.32%), wrist (18.75%), shoulder (16.66%) and lower leg (12.5%). The mechanism of the musculoskeletal pain was attributed to the poor ergonomic work posture and work position adopted by dentists in relation to their patients. It is concluded that vertebral musculoskeletal pain is most prevalent among dentists practicing in the metropolitan region of Durban and Verulam.

Effect of the 90-second 'Gear' exercise programme on cardiometabolic risk factors in persons with an elevated risk of cardiovascular disease.

Background: High-intensity interval training has recently gained popularity at improving cardiometabolic health. However, a close investigation of high-intensity interval training reveals that the exercise duration is similar to moderate-intensity continuous exercise. Objective: To compare the effect of the time-efficient 'Gear' exercise programmes to traditional exercise on cardiometabolic risk factors in persons with an elevated risk of cardiovascular disease. Methods: The study implemented a six-week, randomised controlled trial. The variables were low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, total cholesterol, glycated haemoglobin (HbA1c), blood pressure and body composition. Forty-eight participants completed the study. Participants were randomly assigned to either the 'Gear' exercise programme repeated at different times during the day (GEP-DT): cycled for 90 seconds, repeated three times/day, for three days/week (n = 12); 'Gear' exercise programme at one point in time (GEP-OT): cycled for 90 seconds followed by 4 minutes and 30 seconds rest, repeated three times at one point in time, for three days/week (n = 14); 30 minutes of moderate-intensity continuous cycling repeated three days/week at 55-69% HRmax (n = 11); and the controls, who were encouraged not to exercise (n = 11). Results: The 90-second GEP-DT intervention reduced HbA1c post six-weeks of training (MD = 0.1±0.4, % Δ = -1.3%, d = -0.70). The GEP-OT group decreased blood triglycerides with a large effect size (MD = 0.6±1.3, % Δ = -31.9%, d = -0.83). Conclusion: The novel 90-second 'Gear' exercise programme moderately reduced HbA1c and the 18-minute GEP-OT lowered blood triglycerides. 'Gear' exercise programmes will encourage future research in persons with non-communicable diseases, and it should be considered as a public health initiative to promote exercise in clinical, home and work environments.