Journal of Exercise & Organ Cross Talk

Abstract Type 3 diabetes (T3D), defined by the concurrence of type 2 diabetes and age-related cognitive impairment, is linked to progressive deterioration in both cognitive and physical function. Emerging evidence suggests that functional exercise training prescribed in relation to individualized lactate thresholds may enhance neurocognitive and physical adaptations by matching exercise intensity to individual metabolic capacity and systemic organ cross-talk. Randomized controlled trial will examine the effects of long-term, lactate-threshold–based functional training on cognitive and physical function in older adults with T3D, highlighting the role of exercise intensity in optimizing outcomes. Sixty-six adults aged 60–80 years with Type 3 diabetes and cognitive impairment, assessed by the Mini-Mental State Examination, will be recruited from the Chaharmahal and Bakhtiari Diabetes Association and randomly assigned to three groups. The intervention group will undertake a six-month, individualized high-intensity functional training program combining supervised and home-based sessions. Primary outcomes include changes in cognitive performance and physical function assessed using validated and standardized measures. It is hypothesized that lactate-threshold–guided functional exercise at tailored intensities will lead to significant improvements in both cognitive and physical function, emphasizing the critical role of exercise intensity in modulating neurocognitive and functional adaptations in elderly individuals with type 3 diabetes. This study aims to provide robust evidence for intensity-specific, lactate-threshold–based exercise prescriptions in this population.

Abstract The prevalence of obesity among children and adolescents is one of the most serious public health challenges of the 21st century. Implementing social distancing policy measures, such as the stay-at-home order, to control the spread of coronavirus disease 2019 (COVID-19) not only has affected lifestyles and weights in children but has also created an obesity-inducing environment, leading to modifications in the patterns of interactions between this age group and their surrounding environment. Therefore, the COVID-19 pandemic has been effective in childhood obesity and its prevalence rate may continue increasing. This narrative review aimed to synthesize evidence from global studies on physical inactivity, and obesity among children and adolescents during COVID-19, and then prescribe an evidence-based home exercise guideline for this age group. The study findings revealed that the COVID-19 restrictions have drastically multiplied physical inactivity and obesity in children. It has been further established that childhood obesity leads to numerous chronic diseases, including diabetes mellitus, cardiovascular diseases (CVDs), psychosomatic disorders, lung diseases, and other metabolic problems in childhood and even as children grow up. Physical activity/exercise at home during and after COVID-19 has been correspondingly demonstrated to mitigate the problems associated with obesity. A wide range of resistance, aerobic, balance, flexibility and other types of exercises have been accordingly shown to protect against the negative effects of the pandemic on child health. Hence, efforts to facilitate such exercises are suggested to continue and be scaled up to prevent childhood obesity and relevant diseases during and after this unusual period.