Stefani Laura, Maffulli Nicola, Mascherini Gabriele, Francini Lorenzo, Petri Cristian, Galanti Giorgio
Sports Medicine Center, Florence, Italy.
Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery,University of Salerno, Salerno, Italy; and Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Institute of Health Sciences Education, Centre for Sports and Exercise, UK.
Transl Med UniSa. 2014 Dec 19;11:39-43. eCollection 2015 Jan-Apr.
PURPOSE Exercise therapy in patients with metabolic chronic disease produces several positive response. This study aims to verify the effects of fast walking associated to a resistance exercise to reduce cardiovascular risk factor.
Two groups of subjects (10 cancer survivors and 19 hypertensive patients) were evaluated by 6-Minute Walking Test (6MWT), bioimpedance, the Sit & Reach Test (S&R) evaluate the flexibility, Handgrip and 30" Chair Test for muscular strength. Patients were tested before and after 3 months of regular physical exercise.
A significant change in anthropometric parameters was observed (BMI: T0 = 29.2±6.8, T3= 27.4±4.4 kg/m2 p<.001; waist circumference: T0=92.5±14.1, T3=92.1±12.8 cm, p<.05) in the hypertensive population. A predominant improvement of the cardiovascular parameters was observed in the cancer survivors (rest DBP T0=76.4±6.5, T3=72.2±7.1 mmhg p<.05; 6MWT: T0=487.8±116.0, T3= 525.6±117.3 m p<.05; S&R: T0= 0.4±7.4, T3=4.1±6.1 cm p<.05).
A combined aerobic and resistance exercise programme can improve cardiovascular risk factors in hypertensive subjects. The same programme induces improvement in exercise tolerance and flexibility variables in cancer survivors.
目的 代谢性慢性病患者的运动疗法会产生多种积极反应。本研究旨在验证快走与抗阻运动相结合对降低心血管危险因素的效果。
两组受试者（10名癌症幸存者和19名高血压患者）通过6分钟步行试验（6MWT）、生物阻抗、坐立前屈试验（S&R）评估柔韧性、握力和30秒椅子试验评估肌肉力量。患者在进行3个月规律体育锻炼前后接受测试。
在高血压人群中观察到人体测量参数有显著变化（BMI：T0 = 29.2±6.8，T3 = 27.4±4.4 kg/m2，p<.001；腰围：T0 = 92.5±14.1，T3 = 92.1±12.8 cm，p<.05）。在癌症幸存者中观察到心血管参数有明显改善（静息舒张压T0 = 76.4±6.5，T3 = 72.2±7.1 mmHg，p<.05；6MWT：T0 = 487.8±116.0，T3 = 525.6±117.3 m，p<.05；S&R：T0 = 0.4±7.4，T3 = 4.1±6.1 cm，p<.05）。
有氧和抗阻运动相结合的方案可改善高血压患者的心血管危险因素。相同方案可提高癌症幸存者的运动耐力和柔韧性变量。
