Olivares Jara Miryam, Vázquez Arce Maria Isabel, Peña Pachés Laura, Roser Mas Catalina, Pérez-Alenda Sofía, Marques-Sule Elena
Departamento de Salud Manises, Servicio de Cardiología, Hospital de Manises, Valencia, España.
Departamento de Salud La Fe, Servicio de Rehabilitación y Medicina Física, Hospital Universitario y Politécnico La Fe, Valencia, España; Universidad San Vicente Mártir, Valencia, España.
Aten Primaria. 2020 May;52(5):319-326. doi: 10.1016/j.aprim.2018.09.015. Epub 2019 Feb 4.
We present a non-randomised trial to evaluate a continuous physiotherapy program versus a periodic one in overweight patients suffering from acute coronary syndrome.
To detect differences between a continuous (CONT) physiotherapy program (PF) and a periodic (INT) physiotherapy program in overweight patients with acute coronary syndrome on anthropometric parameters, analytical parameters, heart rate, adherence, drop-outs, safety and tolerance.
A multicentre, non-randomised two-armed quasi-experimental study with pre-post design.
Community cardiac prevention centres (Manises, Valencia-LaFe, Játiva-Onteniente Health Department).
The study included a total of 339 overweight participants with acute coronary syndrome; living in the community; aged more than 18; no contraindication for physical exercise; no previous participation in a PF.
Participants were assigned to a CONT training or an INT training (2 months). Each session was divided in warm-up, endurance, and cool-down. Endurance was performed at 12-13 Borg intensity and with heat rate calculated, with maximum heat rate obtained in the baseline ergometry.
Body mass index, waist circumference, lipid profile, blood glucose, glycosylated haemoglobin, resting heat rate, adherence, drop-outs, safety, and tolerance were assessed.
The CONT group showed significantly better differences in body mass index, waist circumference, total cholesterol, triglycerides, blood glucose, glycosylated haemoglobin and resting heat rate. No differences were observed in adherence, drop-outs, safety, and tolerance.
The CONT group obtained better results in all variables except for HDL cholesterol. Both programs offered a high adherence, safety, and tolerance.
我们开展了一项非随机试验，以评估超重急性冠脉综合征患者接受持续物理治疗方案与定期物理治疗方案的效果。
检测超重急性冠脉综合征患者接受持续（CONT）物理治疗方案（PF）与定期（INT）物理治疗方案在人体测量参数、分析参数、心率、依从性、退出率、安全性和耐受性方面的差异。
一项多中心、非随机双臂准实验性研究，采用前后对照设计。
社区心脏预防中心（马尼塞斯、巴伦西亚 - 拉菲、哈蒂瓦 - 翁特涅特卫生部门）。
该研究共纳入339名超重急性冠脉综合征患者；居住在社区；年龄超过18岁；无体育锻炼禁忌证；此前未参加过PF。
参与者被分配到CONT训练组或INT训练组（为期2个月）。每次训练分为热身、耐力和放松阶段。耐力训练在12 - 13级博格强度下进行，并计算心率，最大心率通过基线测力计测定获得。
评估体重指数、腰围、血脂谱、血糖、糖化血红蛋白、静息心率、依从性、退出率、安全性和耐受性。
CONT组在体重指数、腰围、总胆固醇、甘油三酯、血糖、糖化血红蛋白和静息心率方面显示出显著更好的差异。在依从性、退出率、安全性和耐受性方面未观察到差异。
CONT组在除高密度脂蛋白胆固醇外的所有变量中均取得了更好的结果。两种方案均具有高依从性、安全性和耐受性。
