The optimal exercise method and analysis of carbohydrate & fat metabolism of the disabled

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The aim of this study was to establish the effective and harmless way of exercise therapy of the disabilities, especially of the obese patients, and to investigate metabolic changes of fat and carbohydrates of those.Participants of this study were patients admitted in our hospital for past 2 years, from 17 to 66 years old, and female/male was 6/4. Base line body mass index were 35.7 to 49.2 and they had diabetes mellitus except one and half of them suffered from hypertension, sleep apnea syndrome and dyslipidemia.Before exercise therapy, we tried treadmill exercise test, checked the risk of coronary heart disease and fatal arrhythima and so on. Then exercise therapy was done for 30-40 minutes at observed condition under heart rate of anaerobic threshold from the treadmill test, 4 or 5 times per week.Diet therapy was done with the exercise therapy. At first, calorie intake was 25-27Cal/day/idealbody weight and gradually reduced to 800-1000Cal/day.With these therapies, we lectured the actual regimen of exercise and diet therapy and lifestyle modification program, the risk of obesity.By these therapy, among younger adults, body weight loss of 5-9kg/month was obtained and 2-3kg/month among elder adults without harmful accidents. But lean body mass were not reduced each, so it was supposed the loss of body weight was that of fat tissue. By these fat tissue loss, insulin resistances of diabetic patients were reduced. Among with hypertension, decrease of anti-hypertensive agents were brought and improvement of dyslipidemia were seen. In short, this study revealed the loss of fat tissue lead to the improvement of Metabolic syndrome and prevention of coronary heart disease in Japanese. Further more rebound phenomenon of body weight were not seen after discharge.We established the effective and harmless effective therapy based on treadmill test and education.