ABSTRACT
BACKGROUND: Metabolic syndrome (MS) is a complex disorder represented by a set of cardiovascular risk factors usually related to central fat deposition, insulin resistance, hypertension and dyslipidemia. It is associated with accelerated atherosclerosis in response to chronic inflammation and vascular endothelial dysfunction, increasing overall mortality. The objective to evaluate the short and long term effect of the comprehensive cardiac rehabilitation program and intensive lifestyle intervention in metabolic syndrome patients. METHODS: This is longitudinal interventional study. All patients underwent a 20-session cardiac rehabilitation program with aerobic and resisted exercises as well as an educational program for lifestyle changes and follow up 1 year. RESULTS: Forty seven patients participated in the present study, but only 28 concluded the follow up. 77.7% were females and the majority was older than 60 years (63.1%). After cardiac rehabilitation, the percentage of overweight (0.04) patients who controlled the SBP (0.04) increased, and obesity levels I and II were reduced, as well as a significant reduction in total cholesterol and triglycerides (0.01 and 0.05), all of these variables remained similar after 1 year of follow-up. After cardiac rehabilitation all participants were practicing the five factors of healthy lifestyle, and reduced to 73% after follow up. CONCLUSION: A comprehensive cardiac rehabilitation program and lifestyle change is an effective approach in the treatment of patients with MS mainly, it has positive short and long term effects on weight control, reducing total cholesterol and triglycerides.
ABSTRACT
O objetivo deste estudo foi analisar os efeitos do Método Pilates sobre variáveis de aptidão física relacionada à saúde em adolescentes. O estudo foi realizado com dois grupos, Grupo Pilates (GP) n = 28 que praticou o método Pilates por 21 semanas, sendo 2 vezes por semana com duração aproximada de 1 hora, e o Grupo controle (GC) n=23, que recebeu palestras em temas sobre saúde. Para verificação dos níveis de aptidão física pré e pós-intervenção, utilizou-se da análise de composição corporal por antropometria, incluindo a massa corporal, estatura, Índice de Massa Corporal (IMC), Circunferência da cintura, Relação cintura-quadril; bem como os testes de força de preensão palmar, por meio da dinamometria manual. Como resultados, houve um aumento da Relação cintura-quadril no GC, e manutenção dessa variável no GP. Quanto ao perfil de força palmar, houve aumento em ambos os grupos pós-intervenção. Portanto, a prática do método Pilates apresentou efeitos positivos na manutenção das medidas de adiposidade centrais em adolescentes, constituindo-se um fator relevante na perspectiva de perfil de saúde cardio-metabólico em adolescentes. Contudo, os efeitos do método sobre a força palmar não puderam ser destacados, possivelmente, pelos seus exercícios enfatizarem os músculos estabilizadores centrais, e não os músculos mais distais.
We aimed to assess the Pilates method over physical fitness variables in teenagers. We divided our sample into two groups, the Pilates group (PG) n=28 who practiced the Pilates method for 21 consecutive weeks (comprehending 2 twice per week with 1 hour duration) and the Control group (CG) n=23, who received lectures on health education. In order to assess participants physical fitness, pre and post intervention, we used the body composition analysis by means of the anthropometry measure, including mass, height, body mass index, waist circumference, waist-hip ratio; as well as the palmar grip strength by means of the manual dynamometry. We found an increase in waist-hip ratio in CG and maintenance of this variable in the PG and an improvement in the palmar grip strength for both groups post intervention. However, the Pilates method practice showed positive effects in the maintenance of central fat measurements in these teenagers; this is important since this is relevant measure for cardio metabolic profile in this subjects. Nevertheless, the effects of the Pilates method on palmar grip strength were not emphasize, possibly due to the executed exercises empathizes central body muscle strength, not peripheral.
