[最低限度的监督运动计划对病态肥胖患者心脏代谢风险的影响]

[Impact of a minimum program of supervised exercises in the cardiometabolic risk in patients with morbid obesity].

作者信息

Marcon Emilian Rejane, Gus Iseu, Neumann Cristina Rolim

机构信息

Cardiologia do Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Porto Alegre, RS, Brasil.

出版信息

Arq Bras Endocrinol Metabol. 2011 Jun;55(5):331-8. doi: 10.1590/s0004-27302011000500006.

DOI:10.1590/s0004-27302011000500006

PMID:21881816

Abstract

OBJECTIVE

The objective aims at evaluating the impact of a minimum program of supervised physical exercise on functional capacity and cardiometabolic risk (CMR) in patients with morbid obesity.

MATERIAL AND METHODS

By studying cases with pre and post analyses, we have assessed the variations in weight, functional capacity and in CMR, due to the program of supervised aerobic exercise on a weekly intensity of 30 minutes during a period of 6 months.

RESULTS

We have studied 61 subjects, where 34 have only adhered to the intervention. There were significant changes in weight (-5.3 ± 5.3 kg, p < 0.0001), distance in the 6-minute walking test (69.8 ± 48.6 m, p < 0.0001), systolic pressure (-23.8 ± 27.7 mmHg, p < 0.0001), diastolic pressure (-14.4 ± 8.9 mmHg, p < 0.0001) and Framingham Score Risk (-4.4 ± 5.1, p < 0.0001) in the adherent patients.

CONCLUSION

The results show that a supervised exercise program of low intensity and frequency might interfere positively on CMR in individuals with morbid obesity.

摘要

目的

本研究旨在评估一项有监督的体育锻炼最低方案对病态肥胖患者功能能力和心脏代谢风险（CMR）的影响。

材料与方法

通过对病例进行前后分析，我们评估了在为期6个月的时间里，每周进行30分钟有监督的有氧运动方案对体重、功能能力和心脏代谢风险的影响。

结果

我们研究了61名受试者，其中34名仅坚持了干预措施。坚持干预的患者在体重（-5.3±5.3千克，p<0.0001）、6分钟步行试验距离（69.8±48.6米，p<0.0001）、收缩压（-23.8±27.7毫米汞柱，p<0.0001）、舒张压（-14.4±8.9毫米汞柱，p<0.0001）和弗雷明汉风险评分（-4.4±5.1，p<0.0001）方面有显著变化。