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VENERE研究:北欧健走康复治疗对患有心血管疾病的肥胖或超重糖尿病患者的有效性

The VENERE Study: EffectiVenEss of a Rehabilitation Treatment With Nordic Walking in ObEse or OveRweight Diabetic PatiEnts With Cardiovascular Disease.

作者信息

Torri Anna, Volpato Eleonora, Merati Giampiero, Milani Martina, Toccafondi Anastasia, Formenti Damiano, La Rosa Francesca, Agostini Simone, Agliardi Cristina, Oreni Letizia, Sacco Alice, Rescaldani Marta, Lucreziotti Stefano, Giglio Ada, Ferrante Giulia, Barbaro Maristella, Montalto Claudio, Buratti Stefano, Morici Nuccia

机构信息

IRCCS Fondazione Don Carlo Gnocchi, ONLUS, Milan, Italy.

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

出版信息

CJC Open. 2024 Jan 16;6(5):735-744. doi: 10.1016/j.cjco.2024.01.002. eCollection 2024 May.

Abstract

BACKGROUND

Nordic walking (NW) has several potential benefits for individuals with cardiovascular (CV) disease, type 2 diabetes, and obesity and/or overweight. NW improves cardiovascular health, including exercise capacity and blood pressure control. NW enhances glycemic control and insulin sensitivity in diabetes, and aids in weight management and body composition improvement. NW offers additional advantages, such as improvement in muscular strength, joint mobility, physical activity levels, and psychological well-being.

METHODS

This open-label study with 3 arms will aim to evaluate the efficacy, safety, and adherence to exercise prescription in obese and/or overweight diabetic patients with CV complications. The primary objective will be to assess the CV performance of participants after a 6-month and a 12-month follow-up period, following a 3-month NW intervention, compared with standard rehabilitation, and with cardiological counseling (control group) training lasting 3 months.

RESULTS

The results of the study will provide valuable insights into the comparative effectiveness of a NW intervention vs standard rehabilitation and control group training in improving CV performance in obese and/or overweight diabetic patients with CV complications. Additionally, safety and adherence data will help inform the feasibility and sustainability of the exercise prescription over an extended period.

CONCLUSIONS

These findings may have implications for the development of tailored exercise programs for this specific patient population, with the aim of optimizing CV health outcomes.

CLINICAL TRIALS REGISTRATION

NCT05987410.

摘要

背景

北欧健走(NW)对患有心血管疾病(CV)、2型糖尿病以及肥胖症和/或超重的个体具有若干潜在益处。北欧健走可改善心血管健康,包括运动能力和血压控制。它能增强糖尿病患者的血糖控制和胰岛素敏感性,并有助于体重管理和身体成分改善。北欧健走还有其他优势,如增强肌肉力量、改善关节活动度、提高身体活动水平以及增进心理健康。

方法

这项三臂开放标签研究旨在评估患有心血管并发症的肥胖和/或超重糖尿病患者对运动处方的疗效、安全性和依从性。主要目标是在为期3个月的北欧健走干预后,与标准康复以及为期3个月的心脏咨询(对照组)训练相比,评估参与者在6个月和12个月随访期后的心血管表现。

结果

该研究结果将为北欧健走干预与标准康复及对照组训练在改善患有心血管并发症的肥胖和/或超重糖尿病患者心血管表现方面的相对有效性提供有价值的见解。此外,安全性和依从性数据将有助于了解长期运动处方的可行性和可持续性。

结论

这些发现可能对为这一特定患者群体制定量身定制的运动计划具有启示意义,旨在优化心血管健康结果。

临床试验注册

NCT05987410。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df9/11150951/ae941a0bbc12/ga1.jpg

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