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Elderly were randomly assigned to the experimental group (<jats:italic>n<\/jats:italic>\u2009=\u200930 elderly received HIIAE plus MD) and control group (<jats:italic>n<\/jats:italic>\u2009=\u200930 elderly received only HIIAE). Besides anthropometry (abdominal circumference, body weight, and body mass index) and blood pressure (measured in systole and diastole), DE parameters (tear film break-up time, DE scoring system, ocular surface disability index questionnaire, Schirmer\u2019s test, and Oxford grading system) were evaluated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Significant improvements in anthropometry, blood pressure, and DE parameters were higher in the experimental group than in the control group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Aging-related DE symptoms and signs can be prevented and\/or treated with HIIAE alone or combined with MD in obese hypertensive elderly with DE disorder.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11845-023-03387-6","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T01:39:36Z","timestamp":1683769176000},"page":"3151-3161","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Effect of aerobic exercise alone or combined with Mediterranean diet on dry eye in obese hypertensive elderly"],"prefix":"10.1007","volume":"192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1447-8817","authenticated-orcid":false,"given":"Ali Mohamed Ali","family":"Ismail","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alshaymaa Shaaban Abd","family":"El-Azeim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem Fawzy Abd Elfatah Abo","family":"Saif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"issue":"14","key":"3387_CR1","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1167\/iovs.17-23475","volume":"59","author":"J Shimazaki","year":"2018","unstructured":"Shimazaki J (2018) Definition and diagnostic criteria of dry eye disease: historical overview and future directions. 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