Kathy D. Wright, PhD, RN, GCNS-BC, PMHCNS-BC Assistant Professor, Chief Diversity Officer College of Nursing, Discovery Theme Traumatic Brain, The Ohio State University, Columbus, Ohio. Laura Moore-Schiltz, PhD, RDN, LD Consultant, Moore-Schiltz Consulting. Abdus Sattar, PhD Associate Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, Ohio. Richard Josephson, MD, FACC, FAHA, FACP, FAACVPR Professor of Medicine, School of Medicine, Case Western Reserve University, and Director of Cardiac Intensive Care and of Cardiovascular and Pulmonary Rehabilitation, Division of Cardiovascular Medicine, Harrington Heart & Vascular Institute, University Hospitals Health System, Cleveland, Ohio. Shirley M. Moore, PhD, RN, FAAN Edward J. and Louise Mellen Professor of Nursing, Associate Dean for Research, and Director of SMART Center, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. The authors have no conflicts of interest to disclose.
J Cardiovasc Nurs. 2018 May/Jun;33(3):E1-E9. doi: 10.1097/JCN.0000000000000473.
Exercise is a common recommendation to reduce the risk factors of metabolic syndrome, yet there are limited data on the influence of lifestyle exercise after cardiac events on metabolic syndrome factors.
The purpose of this study was to determine whether lifestyle exercise improves metabolic syndrome profile in older adults after a cardiac event.
Participants were from a post-cardiac-event lifestyle exercise study. Five metabolic syndrome factors were assessed: waist circumference, triglycerides, high-density lipids, glucose, and systolic and diastolic blood pressure. Objective measures of exercise were obtained from heart rate monitors over a year. Logistic regression was used to determine whether participants who engaged in the minimum recommendation of 130 hours of exercise or greater during the 12-month period improved their metabolic syndrome profile by improving at least 1 metabolic syndrome factor.
In the sample of 116 participants (74% men; average age, 67.5 years), 43% exercised at the recommended amount (≥130 h/y) and 28% (n = 33) improved their metabolic syndrome profile. After controlling for confounding factors of age, gender, race, diabetes, functional ability, and employment, subjects who exercised at least 130 hours a year were 3.6 times more likely to improve at least 1 metabolic syndrome factor (95% confidence interval, 1.24-10.49). Of the 28% who improved their metabolic syndrome profile, 72% increased their high-density lipoprotein and 60.6% reduced their waist circumference and glucose.
After a cardiac event, older patients who engage in lifestyle exercise at the recommended amount have improvement in their metabolic syndrome profile.
运动是减少代谢综合征风险因素的常见建议，但关于心脏事件后生活方式运动对代谢综合征因素的影响的数据有限。
本研究旨在确定生活方式运动是否能改善心脏事件后老年人的代谢综合征状况。
参与者来自心脏事件后生活方式运动研究。评估了 5 项代谢综合征因素：腰围、甘油三酯、高密度脂蛋白、血糖和收缩压及舒张压。通过一年的心率监测器获得了运动的客观测量值。使用逻辑回归来确定在 12 个月期间进行了至少 130 小时运动的参与者是否通过改善至少 1 项代谢综合征因素来改善其代谢综合征状况。
在 116 名参与者（74%为男性；平均年龄为 67.5 岁）的样本中，43%的人进行了推荐量的运动（≥130 小时/年），28%（n=33）改善了他们的代谢综合征状况。在控制了年龄、性别、种族、糖尿病、功能能力和就业等混杂因素后，每年至少运动 130 小时的受试者改善至少 1 项代谢综合征因素的可能性是 3.6 倍（95%置信区间，1.24-10.49）。在改善代谢综合征状况的 28%的人中，72%的人高密度脂蛋白增加，60.6%的人腰围和血糖降低。
心脏事件后，进行推荐量生活方式运动的老年患者其代谢综合征状况得到改善。
