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Öğe Effects of combined aerobic exercise and diet on cardiometabolic health in patients with obesity and type 2 diabetes: a systematic review and meta-analysis(Bmc, 2023) Al-Mhanna, Sameer Badri; Rocha-Rodriguesc, Silvia; Mohamed, Mahaneem; Batrakoulis, Alexios; Aldhahi, Monira I.; Afolabi, Hafeez Abiola; Yagin, Fatma HilalBackground Lifestyle modifications involving diet and exercise are recommended for patients diagnosed with obesity and type 2 diabetes mellitus (T2DM). The purpose of this review was to systematically evaluate the effects of combined aerobic exercise and diet (AEDT) on various cardiometabolic health-related indicators among individuals with obesity and T2DM.Methodology A comprehensive search of the PubMed/Medline, Web of Science, Scopus, Science Direct, Cochrane, and Google Scholar databases was conducted for this meta-analysis. The Cochrane risk of bias tool was used to evaluate eligible studies, and the GRADE tool was used to rate the certainty of evidence. A random-effects model for continuous variables was used, and the results were presented as mean differences or standardised mean differences with 95% confidence intervals.Results A total of 16,129 studies were retrieved; 20 studies were included, and data were extracted from 1,192 participants. The findings revealed significant improvements in body mass index, body weight, waist circumference, systolic blood pressure, diastolic blood pressure, total cholesterol, triglycerides, fasting blood glucose, fasting plasma insulin, glycated hemoglobin, leptin, interleukin-6, C-reactive protein, and adiponectin (p < 0.05) compared to the standard treatment (ST) group. No significant differences were observed between the AEDT and ST groups in fat mass, hip circumference, waist-to-hip ratio, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and tumor necrosis factor-alpha. The present findings are based on low- to moderate-quality evidence.Conclusions AEDT may be a critical behavior for holistic cardiometabolic health-related benefits as a contemporary anti-obesity medication due to its significant positive impact on patients with obesity and T2DM. Nevertheless, further robust evidence is necessary to determine whether AEDT is an effective intervention for lowering cardiovascular and metabolic risk factors among individuals with obesity and T2DM.Öğe Effects of conditioning activities and time of day on male elite football players(Mre Press, 2023) Ben Maaouia, Ghazwa; Eken, Ozgur; Yagin, Fatma Hilal; Badicu, Georgian; Al-Mhanna, Sameer Badri; Ardigo, Luca Paolo; Souissi, NizarThis study evaluated the effects of different warm-up protocols based on conditioning activity combined with stretching exercises at different times of the day. Participants (20 first league of Tunisian football players) performed four warm-up protocols on two times a day in the morning: 09:00-10:00 and in the evening: 16:00-17:00, with at least 2 days between test sessions. All groups followed the warm-up randomly at two different periods of the day on non-consecutive days. The four protocols included: Dynamic stretching (DS), Dynamic stretching + conditioning activity (DS + High-Intensity Sprints HSJ), Dynamic stretching + drop jump (DS + DJ), and control (CONT). The thirty-meter sprint performance after different stretching and potentiation based warm-up protocols was recorded. Two-way Permutational multivariate analysis of variance (PERMANOVA) analysis was applied to examine the difference between warm-up protocols, the difference between the time of day and the interaction effect. The major finding revealed that 30 m sprint results and the exercise-induced temperature significantly differed from morning and evening stretching and potentiation-based warm-up protocols (statistically significant p < 0.05, and evening measurements were higher compared to the morning). In conclusion, and from a practical point of view, if the objective is to increase performance over a shorter period of time, each of these warm-up protocols can be useful. For the best improvement, DS + HSJ may be preferable both in the morning and the evening.Öğe Effects of different rest intervals in high intensity interval training programs on VO2max, body composition, and isokinetic strength and power(Mre Press, 2024) Kayhan, Recep Fatih; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Eken, Ozgur; Bayrakdaroglu, Yesim; Badicu, Georgian; Al-Mhanna, Sameer BadriThe aim of this study was to evaluate the effect of 8 weeks of short and long rest running-based high-intensity training (HIIT) on body composition, isokinetic strength, and maximal oxygen uptake (VO2max). Nineteen physically active men were recruited to voluntarily participate in the study. The participants were grouped using the closed-envelope randomized method as HIIT with a short rest (HIITS, n = 9; age: 19.60 +/- 1.34 years) and HIIT with a long rest (HIITL, n = 10; age: 19.77 +/- 0.97). Pre and post the 8-week running-based HIIT program, body mass index and body fat % were measured and all subjects performed isokinetic strength tests to determine their hamstring (H)/quadriceps (Q) peak torque ratio and the peak power and peak work for their H and Q muscles. The participants also underwent a graded exercise test to determine their VO2max. Statistical analysis performed with One-Way Variance Analysis and Bonferroni correction post hoc tests. As a result of the study, there were no significant differences between the pre- and post-training isokinetic strength parameters for the H and Q of HIITL and HIITS at velocities of 60 and 240(degrees)s(-1). The VO2max did not change for HIITS training but the VO2max increased (p < 0.05) for HIITL training. In conclusion, that HIITL and HIITS programs for 8 weeks did not change the relative and absolute strength, force production and the VO2max, but the VO2max increased (p < 0.05) for HIITL training.Öğe Examining mindfulness and moral disengagement in doping: Perspective of Turkish wrestlers(Frontiers Media Sa, 2023) Ayyildiz, Erdem; Kayabesler, Hamza; Gulu, Mehmet; Yagin, Fatma Hilal; Aldhahi, Monira I.; Garcia-Grimau, Elena; Al-Mhanna, Sameer BadriIntroduction: Studies related to attitudes toward the use of prohibited substances in Turkish athletes are scarce. The World Anti-Doping Agency (WADA) has implemented anti-doping educational policies emphasizing doping-related education in studies conducted among Turkish wrestlers. However, it is still unclear the extent to which the wrestlers comply and adhere to these anti-doping policies. No research has previously examined the effect of anti-doping education on athletes' mindfulness and moral disengagement in doping (MDD). Therefore, the present study has a two-fold objective: first, to examine whether doping-related education (DRE) and the status of being a national athlete (NA) have an effect on athlete mindfulness and MDD. Second, to analyze the relationship between each sub-dimensions of athlete mindfulness: awareness (ASD), judgment (JSD), and refocus (RSD) with MDD.Methods: A total of 409 male wrestlers participated in this study. MANOVA analysis showed that NA and DRE alone have no effect on MDD but have a general effect on mindfulness.Results: The highest effect was on the ASD of being an NA (?(2 )(p)= 0.173). When the interaction effect of NA*DRE was examined, significant difference in MDD (F = 8.218, p = 0.004), ASD (F = 8.476, p = 0.004), JSD (F = 5.844, p = 0.016), and RSD (F = 11.476, p = 0.001) were found. MDD has a weak negative relationship with ASD (r = -0.126) and RSD (r = -0.041) and a weak positive relationship with the JSD sub-dimension (r = 0.140). Those results suggest that being a NA and having received anti-doping education affect moral disengagement in doping and athletes' mindfulness.Discussion: As a conclusion, it is recommended to increase awareness and anti-doping education among national-standard Turkish wrestlers to prevent them from engaging in doping behaviors.
