Effect of aerobic and resistance exercise training on late-onset Pompe disease patients receiving enzyme replacement therapy

Gerasimos Terzis, Filippos Dimopoulos, George K. Papadimas, Constantinos Papadopoulos, Konstantinos Spengos, Ioannis Fatouros, Stavros A. Kavouras, Panagiota Manta

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Pompe disease is a rare autosomal recessive disorder characterized by the deficiency of acid α-glycosidase resulting in lysosomal accumulation of glycogen. The late-onset disease form is characterized by progressive skeletal and respiratory muscle dysfunction. In addition to the recently introduced enzyme replacement therapy (ERT), treatments such as protein-enriched diet and exercise training have been proposed, although little is known about their effectiveness on the physical condition of such patients. Aim of the present study was to investigate the effect of exercise training on muscular strength and body composition in five patients with late-onset Pompe disease receiving ERT. All subjects followed a 20. week lasting program of supervised aerobic and progressive resistance exercise training. Before and after the training period, body composition was determined with dual X-ray absorptiometry and isometric muscular strength was measured with a specialized load transducer. Functional capacity was assessed using the 6-min shuttle walk test. A significant increase in muscular strength (15-50% at various body parts, p < 0.05) and 6-minute walking distance (203.8 ± 177. m before vs. 248.2 ± 184. m after, p < 0.01) was observed after training, whereas total and lower extremities lean body mass did not change significantly. These results suggest that exercise training has a positive effect on muscular strength and functional capacity in patients on ERT with late-onset Pompe disease.

Original languageEnglish (US)
Pages (from-to)279-283
Number of pages5
JournalMolecular Genetics and Metabolism
Issue number3
StatePublished - Nov 2011
Externally publishedYes


  • Aerobic training
  • Pompe disease
  • Resistance exercise

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Molecular Biology
  • Genetics
  • Endocrinology


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