Does Lifestyle Exercise After a Cardiac Event Improve Metabolic Syndrome Profile in Older Adults?
Does Lifestyle Exercise After a Cardiac Event Improve Metabolic Syndrome Profile in Older Adults?
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心脏病发作后的生活方式锻炼是否可以改善老年人的代谢综合症？
DOI：
10.1097/jcn.0000000000000473
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Moore,ShirleyM
中科院分区：
文献类型：
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作者：
Wright,KathyD;Moore-Schiltz,Laura;Sattar,Abdus;Josephson,Richard;Moore,ShirleyM
背景：运动是一种常见的建议，以减少代谢综合征的危险因素，但有有限的数据对心脏事件后代谢综合征factors.Objective：本研究的目的是确定生活方式运动的影响是否改善代谢综合征的老年人后，心脏events.Methods：参与者来自心脏事件后的生活方式运动研究。评估了五个代谢综合征因素：腰围、甘油三酯、高密度脂蛋白、血糖、收缩压和舒张压。运动的客观指标是通过心率监测仪获得的，时间超过一年。Logistic回归分析用于确定参与者在12个月期间进行130小时或更长时间的最低推荐运动是否通过改善至少1个代谢综合征因子来改善其代谢综合征特征。（74%的男性;平均年龄67.5岁），43%的人按照推荐的量（≥ 130小时/年）锻炼，28%（n= 33）的人改善了他们的代谢综合征特征。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，每年锻炼至少130小时的受试者改善至少一个代谢综合征因子的可能性是其他受试者的3.6倍（95%置信区间，1.24-10.49）。28%的人改善了他们的代谢综合征，72%的人增加了他们的高密度脂蛋白，60.6%的人减少了他们的腰围和glucos.Conclusions：心脏事件发生后，老年患者谁从事生活方式的锻炼，在推荐的量有改善他们的代谢综合征。
Background: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.Objective:The purpose of this study was to determine whether lifestyle exercise improves metabolic syndrome profile in older adults after a cardiac event.Methods: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.Results: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.Conclusions:After a cardiac event, older patients who engage in lifestyle exercise at the recommended amount have improvement in their metabolic syndrome profile.