[Intervention with rumba and nutrition education to modify cardiovascular risk factors in adults with metabolic syndrome].

[Intervention with rumba and nutrition education to modify cardiovascular risk factors in adults with metabolic syndrome].
复制标题

[通过伦巴舞和营养教育干预来改变代谢综合征成人的心血管危险因素]。

DOI:
10.1097/00004872-200018110-00023
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发表时间:
2015
期刊:
Revista panamericana de salud publica = Pan American journal of public health
影响因子:
--
通讯作者:
Mario A Quintero Velásquez
Mario A Quintero Velásquez
中科院分区:
--
文献类型:
--
作者:
Alexandra Pérez;Katerine Valencia Gómez;J. G. Gallo Villegas;Mónica Arenas Sosa;Mario A Quintero Velásquez

文献摘要

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目的 评价伦巴舞和营养教育干预对哥伦比亚农村地区代谢综合征患者心血管危险因素的影响。 方法 对照、随机临床试验,包括59名30至60岁的代谢综合征患者。干预组(n = 30)参加为期12周的有氧伦巴运动(60 min,每周3 d)和肌肉强化训练(30 min,每周2次)。每周,这些人还接受两个小时的营养教育。对照组(n = 29)继续常规护理。评估干预组对心血管危险因素(生理、代谢、人体测量和营养)的影响。 结果 干预组显示收缩压降低舒张压(-10.0 mmHg; CI 95%:-14.3 ~-5.6,P < 0.001)(-4.8 mmHg; CI 95%:-8.4 to-1.1,P < 0.05)和10年时的总体心血管风险(-1.5%; CI 95%:-2.7 to-0.3,P < 0.05)。氧耗峰值(1.7mlO_2·kg ~(-1)·min ~(-1); CI 95%:0.1 ~ 3.3,P < 0.05)和肌力(P < 0.001)也明显增加。体成分、热量摄入、宏量和微量营养素的摄入量也有显著变化(P < 0.05)。两组代谢指标及炎性标志物差异无统计学意义(P < 0.05)。 结论 一个有伦巴舞和肌肉强化的运动计划,结合营养教育,可以有利地改变代谢综合征患者的心血管危险因素。
OBJECTIVE Evaluate the effect of an intervention with rumba dance and nutrition education on the cardiovascular risk factors in a group of people with metabolic syndrome in a rural area of Colombia. METHODS Controlled, randomized clinical trial that included 59 people between 30 and 60 years of age with metabolic syndrome. The intervention group (n = 30) participated in a 12-week exercise program of aerobic rumba (60 minutes, 3 days per week) and muscle-strengthening work (30 minutes, twice a week). Each week the group also received two hours of nutrition education. The control group (n = 29) continued with conventional care. An assessment was made of the effect on the cardiovascular risk factors (physiological, metabolic, anthropometric, and nutritional) in the intervention group. RESULTS The intervention group showed a reduction in systolic blood pressure (-10.0 mmHg; CI95%: -14.3 to -5.6, P < 0.001), diastolic blood pressure (-4.8 mmHg; CI95%: -8.4 to -1.1, P < 0.05) and overall cardiovascular risk at 10 years (-1.5%; CI95%: -2.7 to -0.3, P < 0.05). Furthermore, there was an increase in peak oxygen con-sumption (1.7 ml O2∙kg-1∙min-1; CI95%: 0.1 to 3.3, P < 0.05) and muscular strength (P < 0.001). Positive changes were also observed in body composition, caloric intake, and consumption of macro and micronutrients (P < 0.05). No differences were detected between metabolic variables in the two groups or in inflammatory markers (P < 0.05). CONCLUSIONS An exercise program with rumba and muscular strengthening, combined with nutrition education, favorably modifies cardiovascular risk factors in people with metabolic syndrome.