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Effect of an Exergaming on Postprandial Endothelial Dysfunction Following a High Fat Meal in Individuals with Spinal Cord Injury
Korean J Sports Med 2017;35:190-197
Published online December 1, 2017;  https://doi.org/10.5763/kjsm.2017.35.3.190
© 2017 The Korean Society of Sports Medicine.

Eun Sun Yoon1, Hyun Jeong Kim1, Jina C hoo2, Kyung Hee Park3, Sae Young Jae1

1Department of Sport Science, University of Seoul, Seoul, 2College of Nursing, Korea University, Seoul, 3Department of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
Correspondence to: 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, E-mail: syjae@uos.ac.kr
Received September 22, 2017; Revised November 16, 2017; Accepted November 17, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) 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, 41짹8 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竊 0.05) following high-fat meal. FMD significantly decreased in the control group (10.4%짹4.9% to 7.9%짹4.4%) but significantly increased in the exergaming group (10.9%짹5.3% to 12.3%짹5.3%), 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
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