Title
Exercise therapy in Multiple Sclerosis, do we need to revise the
traditional moderate to vigorous intensity exercise paradigm? (Research)
Abstract
Exercise therapy has become an integral part of Multiple Sclerosis
(MS) treatment. So far, a multitude of higher intensity exercise
therapy (HIT) studies have shown substantial improvements in a
variety of MS related functional disabilities (e.g. reduced exercise
capacity and muscle strength) important to perform daily life
activities. However, these disease symptoms also result in an
inactivity-related physiological profile leading to impaired glycaemic
control, blood lipid profile, body composition and cardiovascular
function that are important health variables. In elderly, obese subjects
and type II diabetics, HIT also improves these health factors but,
surprisingly, not in MS. Low-intensity, non-exercise physical activity
(NEPA, walking/standing), a possibly more feasible physical activity
approach, improves glucose tolerance, blood lipids and body
composition in other populations but has not been investigated in
MS. Consequently, NEPA may be an interesting new strategy in MS
rehabilitation. In a series of 4 consecutive studies I will (1) first
investigate the impact of NEPA on glycaemic control, lipid profile and
body composition in MS. Hereafter, (2) I study whether MS patients
compensate structured exercise with increased sedentary time and
(3) investigate what real-life strategies to increase NEPA are currently
used in other diseased populations. (4) Finally, the effect of combined
NEPA and HIT targeting both health and functional variables will be
investigated.
Period of project
01 November 2020 - 31 October 2022