Video Abstract for the ESSR 44.3 article Peripheral Blood Flow Regulation in Human Obesity and Metabolic Syndrome from author Jacqueline K. Limberg. Both obesity and metabolic syndrome are important cardiovascular disease risk factors. In this review, we explore the hypothesis that young obese adults and adults with metabolic syndrome exhibit alterations in blood flow regulation that occur before the onset of overt cardiovascular dysfunction.


Jump up ^ Magnoni, L. J; Crespo, D; Ibarz, A; Blasco, J; Fernández-Borràs, J; Planas, J. V (2013). "Effects of sustained swimming on the red and white muscle transcriptome of rainbow trout (Oncorhynchus mykiss) fed a carbohydrate-rich diet". Comparative Biochemistry and Physiology Part A: Molecular & Integrative Physiology. 166 (3): 510–21. doi:10.1016/j.cbpa.2013.08.005. PMID 23968867.
SOURCES: American College of Sports Medicine web site. Michael R. Bracko, EdD, FACSM, chairman, American College of Sports Medicine's Consumer Information Committee. Rita Redberg, MSc, chairwoman, American Heart Association's Scientific Advisory Board for the Choose to Move program. Cedric Bryant, PhD, chief exercise physiologist, American Council on Exercise. Stephanie Siegrist, MD, orthopedic surgeon, Rochester, N.Y. Sal Fichera, exercise physiologist; owner, Forza Fitness, New York.

I'm a professional weight loss coach and was chosen as "Canada's Top Fitness Professional." Each of my workouts found at makeyourbodywork.com will challenge your entire body and will include elements of cardio, strength, and core conditioning. The uniqueness of these workouts are the "difficulty levels" that provide up to four distinct options for every single move. This makes each workout very accessible for newbies, yet challenging for super-fit users.


Stretching helps maintain flexibility. We often overlook that in youth, when our muscles are healthier. But aging leads to a loss of flexibility in the muscles and tendons. Muscles shorten and don't function properly. That increases the risk for muscle cramps and pain, muscle damage, strains, joint pain, and falling, and it also makes it tough to get through daily activities, such as bending down to tie your shoes.


Isokinetic KE MVCs were performed at 60 (panel, A), 100 (panel B) and 140 (panel C) deg/s. Isokinetic KE MVCs were measured pre-exercise (pre, average of all three sessions pre-exercise values), shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). Data are presented as mean (SE). * significantly different from pre, $ significantly different from exhaustion and # significantly different from P20, 1 item for P < 0.05 and 3 items for P < 0.001.
Alternatively, anaerobic means an “absence of free oxygen.” It’s any form of high-intensity exercise that leaves you winded relatively quickly. A well developed aerobic system can produce energy for a long time, while your anaerobic capabilities cease anywhere from 10–120 seconds. Weightlifting, sprinting, plyometrics and HIIT are examples of anaerobic exercise. Explosiveness and an ability to generate power and or speed in small bursts is a trait of athletes that require anaerobic capabilities. Interestingly, the more developed your aerobic system, the longer it takes to burn through your anaerobic system. In this respect, you can think of aerobic exercise as a building block for anaerobic capacity.
Jump up ^ Lees C, Hopkins J (2013). "Effect of aerobic exercise on cognition, academic achievement, and psychosocial function in children: a systematic review of randomized control trials". Prev Chronic Dis. 10: E174. doi:10.5888/pcd10.130010. PMC 3809922. PMID 24157077. This omission is relevant, given the evidence that aerobic-based physical activity generates structural changes in the brain, such as neurogenesis, angiogenesis, increased hippocampal volume, and connectivity (12,13). In children, a positive relationship between aerobic fitness, hippocampal volume, and memory has been found (12,13). ... Mental health outcomes included reduced depression and increased self-esteem, although no change was found in anxiety levels (18). ... This systematic review of the literature found that [aerobic physical activity (APA)] is positively associated with cognition, academic achievement, behavior, and psychosocial functioning outcomes. Importantly, Shephard also showed that curriculum time reassigned to APA still results in a measurable, albeit small, improvement in academic performance (24).  ... The actual aerobic-based activity does not appear to be a major factor; interventions used many different types of APA and found similar associations. In positive association studies, intensity of the aerobic activity was moderate to vigorous. The amount of time spent in APA varied significantly between studies; however, even as little as 45 minutes per week appeared to have a benefit.

I've been strength training for over 15 years now. In college, between martial arts and four months of lifting weights for 6 hours per week I gave myself overuse injuries in my shoulders and knee. I've tried everything, including Mike Mentzer's books, Arnold Schwarzennegger's Bodybuilding Bible, Stuart McRobert's Beyond Brawn, Sisco and Little's Power Factor Training, routines from Men's Health, Flex, and Muscle & Fitness magazines - you name it. Super Slow (and its cousins Slow Burn and Power of 10) are the ONLY form of exercise I can handle for more than two months without having those pains flare up with a vengeance and force me to quit. I've done Super Slow for years without the slightest ache except for normal muscle soreness.


The European Commission - DG EAC - Directorate General for Education and Culture - has dedicated programs and funds for HEPA - Health Enhancing Physical Activity projects[134] within its Horizon 2020 and Erasmus+ program, as research showed that too many Europeans are not physically active enough. Financing is available for increased collaboration between players active in this field across the EU and around the world, the promotion of HEPA in the EU and its partner countries and the European Sports Week. The DG EAC regularly publishes a Eurobarometer on sport and physical activity.
Lauren Duhamel, a trainer for modelFIT says doing 30 seconds of sumo squats will transform the glutes and inner thighs. “Take a wide stance with your feet turned out instead of facing straight forward. Keep all your weight on your heels and slowly bend your knees and sit your booty back and down,” she explains. “Then, press back up without locking out your knees. Do ten of these then hold in a low squat for ten seconds.”
... Differences in the duration of each stage and the load increments can alter the cardiorespiratory and metabolic response, and therefore the measurement ( Bentley et al., 2007;Julio et al., 2017). As suggested by pioneering studies (Buchfuhrer et al., 1983;Lukaski et al., 1989), recent investigations ( Midgley et al., 2007) and reviews ( Julio et al., 2017), traditional longer GXTs (i.e., 20-30 min) to determine LT including increments each 3-5 min would prevent the athlete from achieving their MAS due to accumulative fatigue, dehydration, muscle acidosis, and cardiovascular drift. This is critical because MAS is a pertinent and widespread criterion to set training intensities for endurance disciplines (Billat and Koralsztein, 1996;Jones and Carter, 2000). ...
The searches identified 80 studies, of which 11 met the inclusion criteria. In 5 studies, the diagnosis of RCIS was confirmed using an impingement test consisting of lidocaine injected into the subacromial space and elimination of pain with the impingement sign. Randomization methods were used in 6 studies, and blinded, independent examiners were involved in follow-up data collection in only 3 studies. Validated outcome measures were used in all studies. Follow-up was very good in 10 studies and was less than 90% in only 1 study. The specific exercise programs varied among studies. However, general treatment principles were identified among the different studies and included frequency, ROM, stretching or flexibility, strengthening, manual therapy (joint and/or soft tissue mobilizations), modalities, and others.

Jump up ^ Bouchard J, Villeda SA (2015). "Aging and brain rejuvenation as systemic events". J. Neurochem. 132 (1): 5–19. doi:10.1111/jnc.12969. PMC 4301186. PMID 25327899. From a molecular perspective, elevated systemic levels of circulating growth factors such as vascular endothelial growth factor and insulin-like growth factor 1 (IGF-1) in blood elicited by increased exercise have been shown to mediate, in part, enhancements in neurogenesis (Trejo et al. 2001; Fabel et al. 2003).
Done right, these seven exercises give you results that you can see and feel. You can you do them at a gym or at home. Watch the form shown by the trainer in the pictures. Good technique is a must. If you're not active now, it's a good idea to check in with your doctor first, especially if you have been diagnosed with health concerns. For example, if you have advanced osteoporosis some of these exercises may be too aggressive.
Since almost any exercise requires some strength and some level of aerobic fitness, I recommend a training program that is a mix of both strength training and conditioning; similar to what I do but on a smaller scale (to start). The Stronglifts 5x5 workout that I mentioned above is an excellent place to start and requires only three days a week. Assuming you can exercise five days a week, you can do some aerobic/anaerobic work on Tuesdays and Thursdays. If five days a week is too much, start with a three-day strength workout. If you also want to do conditioning, you can choose to perform it after your strength routine for 10–30 minutes, or just shift your focus after a few weeks of strength training and do conditioning only for a week or two.
This DVD is focused on strength training — you can choose whether you want to do an upper body workout, a lower body workout, an abs and back routine, or a quickie 10-minute total body workout. But don't think you have to already be super buff to jump in: This workout is designed for people of any fitness level — though you will need some equipment for it, like a stretch band and exercise ball.
Other strength training equipment. This includes weight stacks (plates with cables and pulleys), flexible bands, and flexible rods. Fichera says flexible bands are good for beginners, especially since they come with instructions. But he doesn't recommend them for long-term use; your muscles will likely adapt to the resistance and need more of a challenge.
In 1918 following WWI, Pilates returned to Germany where he started training dancers and quickly gained acclaim. However, to avoid Contrology being used by the German army, Pilates moved to the USA in 1925 and opened the Pilates Universal Studio in Manhattan.39,42 Balanced Body, Inc. [Internet]. Origins of Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: https://www.pilates.com/BBAPP/V/pilates/origins-of-pilates.html.
Evidence from HIIT studies conducted under controlled laboratory conditions has provided proof-of-concept of efficacy [9]. However, it has been argued that HIIT has high efficacy but low effectiveness [16], and long-term exercise interventions carried out under free-living conditions have been asked for to investigate whether HIIT is feasible as a public health initiative among older adults [9, 16]. Our data showed that both training groups reported on average more than two exercise sessions per week throughout the year. Approximately 60% of the sessions in the HIIT group were performed with a self-reported high-intensity (≥15 Borg scale), indicating that older adults are able to perform HIIT over a long time-period without strict supervision. However, women had a lower proportion of sessions with high-intensity exercise compared to men. This result is in line with previous findings that women (aged 60–67 years) are less likely than men to prefer vigorous physical activity [23].
First, we must follow the same guidelines and general protocols for building a stronger ‘foundation’ as we have outlined in the fibromyalgia protocol articles here on this website. The idea is to build a stronger core and immune status. After we have created a support system for the immune and nervous system involvement, we can begin to incorporate an exercise program best suited for fibromyalgia chronic fatigue syndrome.
Jump up ^ Gallaugher, P. E; Thorarensen, H; Kiessling, A; Farrell, A. P (2001). "Effects of high intensity exercise training on cardiovascular function, oxygen uptake, internal oxygen transport and osmotic balance in chinook salmon (Oncorhynchus tshawytscha) during critical speed swimming". The Journal of Experimental Biology. 204 (Pt 16): 2861–72. PMID 11683441.
Jumping and throwing moves, punches, kicks, and swinging a club or a racket all require power, which comes from your core—and, yes, causes those ab muscles to cinch. "The core is the crossroads of your system, helping transfer force between your upper and lower body," says Rick Richey, a faculty member for the National Academy of Sports Medicine in New York City. Add medicine ball throws to your sets: A study in the Journal of Strength & Conditioning Research found they are ideal core strengtheners. (Don't just stop at tossing, medicine balls can be used for a full body workout.)
The deadlift is performed by squatting down and lifting a weight off the floor with the hand until standing up straight again. Grips can be face down or opposing with one hand down and one hand up, to prevent dropping. Face up should not be used because this puts excess stress on the inner arms. This is a compound exercise that also involves the glutes, lower back, lats, trapezius (neck) and, to a lesser extent, the hamstringcacas and the calves. Lifting belts are often used to help support the lower back. The deadlift has two common variants, the Romanian deadlift and the straight-leg-deadlift. Each target the lower back, glutes and the hamstrings differently.
Figure 7 Saw. Randell, reproduced with kind permission of Wellcome Library26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar] and Morris, reproduced with kind permission of Elsevier.33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar]

Our system uses specific diaphragmatic breathing exercises along with proper core engagement through isometric holds, co-contractions with bigger muscle groups and muscle control to keep the abdominal muscles strong as the belly grows throughout pregnancy, rehabs post baby and even gains the strength required to prepare the body for pregnancy. All of our breathing and core activation techniques are providing women with a connection to their core that they have never experienced, whether pre-pregnancy, currently pregnancy, or post pregnancy. During the postpartum phase, we continue our focus on the deep core to heal abdominal separation, re-connect the muscles postpartum & help you build a strong foundation in your core for life. Our techniques are paving the way in healing (diastasis recti), incontinence, hernias, etc. while teaching our mamas that pregnancy doesn’t have to leave you feeling broken.
Leslie Sansone: Walk Off Fat Fast. This is just one of Leslie Sansone’s walking videos available on Amazon Prime that will give you the skills, form, and tips to take your walking outside to the trail. Walking is a low-impact, but effective way to lose weight and stay active, and it’s great for all ages. The video literally walks you through a few fat-burning walking programs set to beats per minute in workout music. Available for $2.99 to rent; $9.99 to purchase.
Jumping is the purest form of explosiveness. In this move, the athlete starts from the ground and jumps onto a box of a certain height – start with a lower height box and build your way up. HOW TO DO IT: Start with your feet shoulder-width apart, and drop down to a quarter squat. Then, drive your arms up as they explode out of the quarter squat and onto the box. Once your feet land on the top of the box, you open your hips and stand up. To repeat, you can “plyo” the jump by rebounding immediately off of the ground. An alternate way of completing repeated box jumps is to step down off of the box before jumping back up. MUSCLES USED: Glutes, quads, hamstrings and calves.

YouTube [Internet]. Huntly Film Archives. German fitness. (1930's). 2014 Oct 21 [cited 2015 Aug 30]. Available from: http://youtu.be/KjObalYKTHE.  The fatal blow to traditional Physical Culture in gymnasium clubs occurred at the turn of the 20th century when the new bodybuilding exercise force emerged and dramatically superseded the entire gymnasium floor space.12 Beckwith KA. Building Strength. Alan Calvert, the Milo bar-bell company, and the modernization of American weight training; PhD thesis. Austin: The University of Texas; 2006. [Google Scholar] This forced both traditional Physical Culture systems to require new professional establishments. Competitive athletes and gymnasts started training under ‘The International Gymnastics Federation’ (established in 1881)13 International Gymnastic Federation (FIG) [Internet]. History of gymnastics. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.fig-gymnastics.com/site/about/federation/history. [Google Scholar] and within the ‘International Olympic Committee’ (established in 1894).14 The Olympic Museum [Internet]. The modern Olympic games. 2014 Dec 16 [cited 2015 Aug 30]. Available from: http://www.olympic.org/Assets/TOM_2013/Visit/Schools/TOM_teaching_list/ENG_The_Modern_Olympic.pdf. [Google Scholar] Concurrently, mind–body enthusiasts migrated to new independent schools, in which pioneers could express their opinions freely and gain popular following. Between 1890 and 1925, at least six new MMB schools emerged, sharing a similar exercise philosophy and practicing similar exercises. These methods, which are the focus of this paper, were led by six charismatic pioneers: Checkley, Müller, Alexander, Randell, Pilates, and Morris.

Use your toilet time wisely. Take advantage of that toilet time by doing some kegels. Kegels are the muscles used to stop the flow of urination, so practice clenching those muscles the next time you're doing your business. Both men and women can do kegels, which will not only help guard against incontinence, but may also improve bedroom endurance, if you catch my drift.


The Internet may be your favorite way to waste time, but it also offers a wealth of resources for home and/or traveling exercisers. Not all content is created equal on the World Wide Web but, if you know where to look, you can find almost everything you need to know about exercise: How to set up a home gym, create your own exercise program, and learn the basics of cardio, strength training and how to get in shape with exercise.
Whether you are a newbie CrossFitter or a seasoned veteran, there are foundational movements that everyone should master prior to completing a WOD (Workout of the Day). On the next slides, we’ll show 16 essential CrossFit moves that you need to know. These moves are proven to increase your strength, build your lung capacity and make you the best athlete you can be. Proper form is essential to avoid injury.

Multiple component community-wide campaigns are frequently used in an attempt to increase a population's level of physical activity. A 2015 Cochrane review, however, did not find evidence supporting a benefit.[122] The quality of the underlying evidence was also poor.[122] However, there is some evidence that school-based interventions can increase activity levels and fitness in children.[15] Another Cochrane review found some evidence that certain types of exercise programmes, such as those involving gait, balance, co-ordination and functional tasks, can improve balance in older adults.[123] Following progressive resistance training, older adults also respond with improved physical function.[124] Survey of brief interventions promoting physical activity found that they are cost-effective, although there are variations between studies.[125]
Park further away. I know a lot of us have developed the (bad) habit of trying to get the parking spot absolutely closest to our destination—I know this because I have both cut-off and been cut-off by some aggressive drivers who really wanted to park 50 feet closer—but this is dumb. Spare yourself the road rage and do your body a favor by parking further away and getting in some extra walking.

Take the stairs. You know, some people pay to use stairs (read: they buy a stair stepper machine), so if you work or live above the first floor, consider using your stairs as a privilege. Using the stairs is great cardiovascular exercise, and also tones your calves, hamstrings, glutes, quadriceps, and abs. Next time you're about to take the elevator or escalator, take the stairs instead. If you have some time to spare, take an extra trip up and down. Or, try a stair-based workout like this one.


Since this move is more difficult, you may sometimes use a kipping motion to propel your body higher into the air in order for your chest to touch the bar. HOW TO DO IT: Start by hanging from a secured bar with your hands slightly wider than shoulder-width apart. While squeezing the traps together and engaging the abs, pull yourself up to the bar and touch your chest to the bar. MUSCLES USED: Back, core, shoulders and chest.
Trainer Natalie Uhling is all about the tried and true burpee for full body conditioning in 30 seconds—though she recommends three sets of 30-second burpees with a 15-second break between sets. For “quality” burpees, she says to do the following: Start with your feet shoulder-width apart and a slight bend in your knees; make sure that you are not pushing through the toes of your feet but you are starting centered. As you jump, remember to land softly because you want to protect your joints. When you make your way down to the plank position, make sure your core is protected, that means keep your hips square and your butt out of the sky.
Budget IS Important, But… – It’s always a good idea to have a budget in mind when it comes to buying anything, but don’t look for the cheapest exercise videos on the market. The adage you get what you pay for is definitely true. That doesn’t mean to spend way over your budget either. The point of this particular tip is that you should look for good quality videos and keep your budget in mind as well. Not all inexpensive videos are bad of course, but buying simply from a price point can quickly add up to nothing but a collection of dusty, unused exercise videos on your shelf.
Jump up ^ Blondell SJ, Hammersley-Mather R, Veerman JL (May 2014). "Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies". BMC Public Health. 14: 510. doi:10.1186/1471-2458-14-510. PMC 4064273. PMID 24885250. Longitudinal observational studies show an association between higher levels of physical activity and a reduced risk of cognitive decline and dementia. A case can be made for a causal interpretation. Future research should use objective measures of physical activity, adjust for the full range of confounders and have adequate follow-up length. Ideally, randomised controlled trials will be conducted. ... On the whole the results do, however, lend support to the notion of a causal relationship between physical activity, cognitive decline and dementia, according to the established criteria for causal inference.
Barre workouts are appropriate for individuals of all fitness levels. It is ideal for individuals who wish to improve their core strength and posture. Many of us often sit in a hunched position at a desk or in front of a computer for long periods, and it takes its toll over time. Barre is appropriate for individuals who are seeking an intense but low-impact workout that will offer quick results.
Clean & Jerk: The other Olympic lift, the clean & jerk actually encompasses two separate movements. Athletes start by explosively lifting a weighted barbell from the ground to the shoulders, often squatting under and then standing to recover. After a brief pause, athletes take a shallow dip and then drive upward to propel the bar overhead, often landing in a split position and then bringing their feet back in line.

Fit septuagenarians may even need to be held back: “Strength training is super empowering,” she says. “And people get excited when they see and feel the results. I have older clients doing multiple timed sets of kettlebell swings. One older client biked 2,700 miles in 50 days. It takes a little longer, but they can reach really impressive levels of fitness.”
The baseline characteristics of the study participants are presented in Table 1. No differences between the training groups existed at study entry. In both groups, men spent more hours in sedentary behavior and had significantly higher weight, height, and VO2peak compared to women. Contrary, more women than men performed at least 30 min of daily physical activity (Table 1). The included participants had higher VO2peak (11%) compared to those with no exercise logs. They also had higher VO2peak (17%) and height (1.7%) compared to dropouts, but a lower BMI (3.7%) (p < 0.05). A higher proportion of the included participants performed 30 min of daily physical activity compared to the dropouts (77.3% vs. 66.1%, p < 0.05).
Companies have discretion over how exercises are conducted. The most common ways to exercise are: paying for the shares with cash; conducting a cashless exercise; and swapping stock you already own (see also a related FAQ). When NQSOs are exercised with cash or a stock swap, many companies let you use shares of company stock to cover withholding taxes due. Each company will specify whether newly exercised or currently owned shares may be used in a stock swap.
Rake those leaves. Raking is already an excellent calorie-burning activity, so do it! Raking is not only great for your yard and lawn, but also for your body. Because your core (your back and abdomen) has to work to stabilize your body while your arms are maneuvering the rake, raking is good exercise for both your arms and core. Weirdly, there's a page all about raking as a workout, which you can read here.
Negative Sets. Weight training works with and against gravity. The motion towards the bar in a pull-up is called the "concentric movement," while heading back towards the ground is an "eccentric movement," or the negative portion of the movement. Resisting the pull of gravity during the negative porting of the movement taxes the muscles in a different way Myofibrillar disruption following acute concentric and eccentric resistance exercise in stregth-trained men. Gibala, M.J., Interisano, S.A., Tarnopolsky, M.A., et al. Department of Kinesiology (Neurology and Neurological Rehabilitation), McMaster University, Hamilton, ON, Canada. Canadian Journal of Physiology and Pharmocology. 2000 Aug;78(8):656-61.. At the end of a long set, switch to just performing negatives (with a partner's help on the way up) or work towards getting those difficult bodyweight movements (like a pull up or dip) by only performing the negative of the movement. Sounds easy? Just try it!
4) The schedule of workouts, while ideal for those in good shape, is a bit too aggressive for most. Your muscles NEED rest (and proper nutrition) to recover and become stronger. The calendar given provides only 1 day per week to rest. You may find you need more, especially early on while you are using and building new muscles. Modifiy and listen to your body accordingly.
The mental benefits of barre are similar to yoga and Pilates, as it effectively increases mind-body awareness and mental clarity. Focus and concentration are required to perform the small precise movements utilized in barre. Allowing your mind to concentrate solely on your technique increases feelings of relaxation and decreases stress levels. Endorphins released during physical activity increase your general sense of well-being.
Jump up ^ Rao AK, Chou A, Bursley B, Smulofsky J, Jezequel J (January 2014). "Systematic review of the effects of exercise on activities of daily living in people with Alzheimer's disease". Am J Occup Ther. 68 (1): 50–56. doi:10.5014/ajot.2014.009035. PMC 5360200. PMID 24367955. Alzheimer’s disease (AD) is a progressive neurological disorder characterized by loss in cognitive function, abnormal behavior, and decreased ability to perform basic activities of daily living [(ADLs)] ... All studies included people with AD who completed an exercise program consisting of aerobic, strength, or balance training or any combination of the three. The length of the exercise programs varied from 12 weeks to 12 months. ... Six studies involving 446 participants tested the effect of exercise on ADL performance ... exercise had a large and significant effect on ADL performance (z = 4.07, p < .0001; average effect size = 0.80). ... These positive effects were apparent with programs ranging in length from 12 wk (Santana-Sosa et al., 2008; Teri et al., 2003) and intermediate length of 16 wk (Roach et al., 2011; Vreugdenhil et al., 2012) to 6 mo (Venturelli et al., 2011) and 12 mo (Rolland et al., 2007). Furthermore, the positive effects of a 3-mo intervention lasted 24 mo (Teri et al., 2003). ... No adverse effects of exercise on ADL performance were noted. ... The study with the largest effect size implemented a walking and aerobic program of only 30 min four times a week (Venturelli et al., 2011).
Limitation of the Study. One potential limit of the present study undoubtedly regards the limited number of subjects involved in the study and the operating loss of the control group. Unfortunately, too many participants of the latter did not satisfy the requirements during the study, thus impeding a comparative statistical approach. Further studies are therefore needed to confirm our conclusions, in particular with a larger sample and control group.
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