1.Prevalence Of Musculoskeletal Problems And Awkward Posture In A Pakistani Garments Manufacturing Industry
Shah ZA ; Amjad A ; Ashraf M ; Mushtaq F ; Sheikh IA
Malaysian Journal of Public Health Medicine 2016;Special Volume(1):75-79
This cross-sectional study aimed to serve as a pilot investigation to identify the level of discomfort and awkward posture among the workers of a garments manufacturing industry. The study was conducted for both male (54) and female (26) workers working in two different departments - stitching and finishing. Data were collected using both questionnaire and direct observation. As discomfort cannot be measured directly, a questionnaire was used to measure it based on subjective ratings by the workers. For analyzing posture, two objective assessment tools were used – rapid upper limb assessment (RULA) to analyze sitting posture and rapid entire body assessment (REBA) for standing posture. The cumulative scores of discomfort for different body parts were measured. The lower back was found to be at the highest risk as compared to other body parts. Female workers had higher score of discomfort (mean = 2.9615, S.D. = 1.3931) as compared to their male counterparts (mean = 1.2693, S.D. = 0.6538). Similarly, standing workers suffered more discomfort (mean = 2.7272, S.D. = 1.3090) as compared to sitting workers (mean = 1.0909, S.D. = 0.3784). No worker received ergonomically acceptable score for both of postural assessment tools. The mean RULA score was 5.25 and mean REBA score was 5. The results of this study necessitate a company-wide ergonomic assessment immediately.
2.High-intensity interval training induced PGC-1α and AdipoR1 gene expressions and improved insulin sensitivity in obese individuals
Nur Hidayah Asilah Za&rsquo ; don ; Amirul Farhana Muhammad Kamal ; Farhanim Ismail ; Sharifah Izwan Tuan Othman ; Mahendran Appukutty ; Norita Salim ; Nor Farah Mohamad Fauzi ; Arimi Fitri Mat Ludin
The Medical Journal of Malaysia 2019;74(6):461-467
Introduction: High-intensity interval training (HIIT) has been
found to improve cardiometabolic health outcome as
compared to moderate-intensity continuous exercise.
However, there is still limited data on the benefits of HIIT on
the expression of regulatory proteins that are linked to
skeletal muscle metabolism and insulin sensitivity in obese
adults. This study investigated the effects of HIIT
intervention on expressions of peroxisome proliferatoractivated receptor-γ coactivator 1-α (PGC-1α) and
adiponectin receptor-1 (AdipoR1), insulin sensitivity (HOMAIR index), and body composition in overweight/obese
individuals.
Methods: Fifty overweight/obese individuals aged 22-29
years were assigned to either no-exercise control (n=25) or
HIIT (n=25) group. The HIIT group underwent a 12-week
intervention, three days/week, with intensity of 65-80% of
age-based maximum heart rate. Anthropometric
measurements, homeostatic model of insulin resistance
(HOMA-IR) and gene expression analysis were conducted at
baseline and post intervention.
Results: Significant time-by-group interactions (p<0.001)
were found for body weight, BMI, waist circumference and
body fat percentage. The HIIT group had lower body weight
(2.3%, p<0.001), BMI (2.7%, p<0.001), waist circumference
(2.4%, p<0.001) and body fat percentage (4.3%, p<0.001) post
intervention. Compared to baseline, expressions of PGC-1α
and AdipoR1 were increased by approximately three-fold
(p=0.019) and two-fold (p=0.003) respectively, along with
improved insulin sensitivity (33%, p=0.019) in the HIIT group.
Conclusion: Findings suggest that HIIT possibly improved
insulin sensitivity through modulation of PGC-1α and
AdipoR1. This study also showed that improved metabolic
responses can occur despite modest reduction in body
weight in overweight/obese individuals undergoing HIIT
intervention.