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Yoon, Kim, Choo, Park, and Jae: Effect of an Exergaming on Postprandial Endothelial Dysfunction Following a High Fat Meal in Individuals with Spinal Cord Injury
Clinical Article
Sports Science

The Korean Journal of Sports Medicine 2017; 35(3): 190-197.

Published online: 7 December 2017

DOI: https://doi.org/10.5763/kjsm.2017.35.3.190

Effect of an Exergaming on Postprandial Endothelial Dysfunction Following a High Fat Meal in Individuals with Spinal Cord Injury

Eun Sun Yoon1, Hyun Jeong Kim1, Jina Choo2, Kyung Hee Park3, Sae Young Jae1

1Department of Sport Science, University of Seoul, Seoul, Korea.

2College of Nursing, Korea University, Seoul, Korea.

3Department of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

Correspondence: Sae Young Jae. Department of Sport Science, University of Seoul, 163 Seoulsiripdae-ro, Dongdaemun-gu, Seoul 02504, Korea. Tel: +82-2-6490-2953, Fax: +82-2-6490-5204, syjae@uos.ac.kr

Received 22 September 2017       Revised 16 November 2017       Accepted 17 November 2017

Copyright © 2017 The Korean Society of Sports Medicine

The Korean Society of Sports Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endothelial dysfunction induced with a high-fat meal may be attenuated with an exercise in abled bodies individuals. Exergaming may be an exercise type applicable for disabled bodied individuals. We tested the hypothesis that an acute bout of exergaming following a high-fat meal would decrease postprandial lipemia, and endothelial dysfunction among individuals with spinal cord injury. Forty participants (age, 41±8 years; 24 males) were randomly assigned to either an exergaming group (n=20) or control group with seated rest (n=20) following a high-fat meal. Hemodynamic and blood parameters and flow-mediated vasodilation (FMD) as an index of endothelial function were measured at baseline and 4 hours after a high-fat meal. In half an hour following a high-fat meal, the exergaming group performed 50 minutes of moderate intensity active video games (Nintendo Wii Sports: boxing, tennis). Levels of blood triglycerides increased in both group (p<0.05) following high-fat meal. FMD significantly decreased in the control group (10.4%±4.9% to 7.9%±4.4%) but significantly increased in the exergaming group (10.9%±5.3% to 12.3%±5.3%), with a significant interaction (p=0.004). These results show that a high-fat meal causes endothelial dysfunction in persons with spinal cord injury, but endothelial dysfunction following a high-fat meal was attenuated by an acute bout of exergaming regardless of postprandial lipemia. Therefore, exergaming for individuals with spinal cord injury may have a cardioprotective effect from postprandial endothelial dysfunction induced with an exposure of a high-fat meal.

Keywords: Endothelial function, Exergaming, Hyperlipidemia, Spinal cord injuries

Figures and Tables

Fig. 1

Experimental design. HFM: high-fat meal.

kjsm-35-190-g001
Fig. 2

Changes in flow-mediated vasodilation (FMD) after a high-fat meal in exergaming and control groups. The p-value for time×trial interactive effect.

kjsm-35-190-g002
Table 1
Physical characteristics of the subjects (n=40)
kjsm-35-190-i001

Values are presented as mean±standard deviation or number (%).

MET: metabolic equivalents, ASIA: American Spinal Injury Association.

Table 2
Changes in hemodynamic and blood parameters after a high-fat meal in exergaming and control group
kjsm-35-190-i002

Values are presented as mean±standard deviation.

The p-values for time×group interaction effect, *p<0.05 paired t-test between baseline and post-4 hours high-fat meal.

Table 3
Changes in brachial artery diameter at baseline and peak during flow-mediated vasodilation test after a high-fat meal in exergaming and control group
kjsm-35-190-i003

Values are presented as mean±standard deviation.

The p-values for time×group interaction effect, *p<0.05 paired t-test between baseline and post-4 hour high fat.

Acknowledgements

We sincerely thank the Korea Spinal Cord Injury Association for their support in this study. We also thank all the participants for this study.

Notes

Conflict of Interest No potential conflict of interest relevant to this article was reported.

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