medigraphic.com
SPANISH

Correo Científico Médico de Holguín

ISSN 1560-4381 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2015, Number 3

<< Back Next >>

Correo Científico Médico 2015; 19 (3)

Non-randomized trial: impact of dietary changes and physical exercises in adult patients with metabolic syndrome

Ochoa EK, Rivas EM, Miguel-Soca PE, Batista HA, Leyva SY
Full text How to cite this article

Language: Spanish
References: 33
Page: 465-482
PDF size: 388.06 Kb.


Key words:

metabolic syndrome, lifestyle, diet, exercise, clinical trial.

ABSTRACT

Introduction: metabolic syndrome can be treated with lifestyle changes.
Objective: to evaluate a program of exercise and healthy diets on metabolic disorders in metabolic syndrome.
Method: a non-randomized clinical trial between October 2011 and April 2012 in the health area of Velasco, Gibara municipality was conducted. Thirty five patients for control group and 34 for the experimental group were chosen. The experimental group was recommended a low calorie healthy diet and aerobic exercise program for 30 weeks; the control group continued with their normal activities. To compare the means with t test or Mann-Whitney test, and the association between variables Χ2 test were used, the SPSS statistical package was used, with a significance level of 0.05.
Results: in the experimental group, diastolic blood pressure, total serum cholesterol and total cholesterol/HDL-cholesterol were significantly reduced, and HDL-cholesterol concentrations increased. Anthropometric measurements were not modified.
Conclusions: exercise program and diet favorably altered metabolic disorders in patients with metabolic syndrome.


REFERENCES

  1. Miguel Soca PE. El síndrome metabólico: un alto riesgo para individuos sedentarios. ACIMED. 2009 [citado 10 feb 2015]; 20(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1024-94352009000800007&lng=es

  2. Castelo Elías Calles L, Arnold Domínguez Y, Trimiño Fleitas ÁA, de Armas Rodríguez Y, Parla Sardiñas J. Epidemiología y prevención del síndrome metabólico. Rev Cubana Hig Epidemiol. 2012 [citado 16 feb 2015]; 50(2): 250-6. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032012000200014&lng=es

  3. Peña Lage M, Manresa Reyes L, Rodríguez Legrá E. Enfermedad periodontal y síndrome metabólico. CCM. 2014 [citado 16 feb 2015]; 18(2): 324-6. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812014000200014&lng=es

  4. Miguel Soca PE, Niño Escofet S, Rodríquez López M, Almaguer Herrera A. Pesquisaje de síndrome metabólico en mujeres obesas. CCM. 2004 [citado 11 feb 2015]; 8(4). Disponible en: http://www.cocmed.sld.cu/no84/n84ori5.htm

  5. González Sotolongo O, Arpa Gámez Á, Hernández Sierra Y. Influencia del síndrome metabólico sobre la evolución de pacientes hospitalizados en salas de Medicina Interna. Rev Cubana Med Mil. 2014 [citado 16 feb 2015]; 43(4): 449-58. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572014000400005&lng=es

  6. Babio N, Toledo E, Estruch R, Ros E, Martínez González MA, Castañer O, et al. Mediterranean diets and metabolic syndrome status in the PREDIMED randomized trial; PREDIMED Study Investigators. CMAJ. 2014 [citado 9 feb 2015]; 186(17): 649-57. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234734/

  7. Limberg JK, Kellawan JM, Harrell JW, Johansson RE, Eldridge MW, Proctor LT, et al. Exercise-mediated vasodilation in human obesity and metabolic syndrome: effect of acute ascorbic acid infusion. Am J Physiol Heart Circ Physiol. 2014 [citado 7 feb 2015]; 307(6):840-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25038148

  8. Millán S, Samaniego Sánchez C, Romero A, Quesada Granados JJ, López García de la Serrana H. Metabolic syndrome and nutrition in a Granada's tropical coast population. Nutr Hosp. 2013 [citado 11 feb 2015]; 28(4): 1190-4. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112013000400031&lng=es

  9. Miguel Soca PE, Peña Pérez I, Niño Escofet S, Cruz Torres W, Niño Peña A, Ponce De León D. Ensayo clínico aleatorio: papel de la dieta y ejercicios físicos en mujeres con síndrome metabólico. Aten Primaria. 2012 [citado 16 feb 2015]; 44 (7): 387-93. Disponible en: http://www.sciencedirect.com/science/article/pii/S0212656711004252

  10. Miguel Soca PE, Cruz Torres W, González Ferrer J, Cardona Cáceres X, Cruz Lage LA, Hernández Tamayo M. Efectos beneficiosos de cambios en la dieta y ejercicios físicos en mujeres obesas con síndrome metabólico. Rev Panorama Cuba Salud. 2009 [citado 10 feb 2015]; 4(3). Disponible en: http://revpanorama.sld.cu/index.php/panorama/article/view/121/pdf

  11. National Cholesterol Education Program. Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Circulation. 2002 [citado 16 feb 2015]; 106 (25):3143-421. Disponible en: http://circ.ahajournals.org/content/106/25/3143.long

  12. Cuba. Ministerio de Salud Pública. Hipertensión arterial. Guía para la prevención, diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2008.

  13. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2014 [citado 10 feb 2015]; 37 (1): 81-90. Disponible en: http://care.diabetesjournals.org/content/37/Supplement_1/S81.full.pdf+html

  14. Genique Martínez R, Marin Ibáñez A, Cía Gómez P, Gálvez Villanueva AC, Andrés Bergareche I, Gelado JC. Utilidad del perímetro abdominal como método de cribaje del síndrome metabólico en las personas con hipertensión arterial. Rev Esp Sal Púb. 2010 [citado 16 feb 2015]; 84(2): 215-22. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272010000200008&lng=es

  15. Almaguer Herrera A, Miguel Soca PE, Reynaldo Sera C, Mariño Soler AL, Oliveros Guerra RC. Actualización sobre diabetes mellitus. CCM. 2012 [citado 12 ene 2015]; 16(2). Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/507

  16. Tarragó Amaya E, Miguel Soca PE, Cruz Lage LA, Santiesteban Lozano Y. Factores de riesgo y prevención de la cardiopatía isquémica. CCM. 2012 [citado 2 feb 2015]; 16(2). Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/505

  17. Fonte Medina N, Sanabría Negrín JG, Bencomo Fonte LM, Fonte Medina A, Rodríguez Negreria IL. Factores de riesgo asociados y prevalencia de síndrome metabólico en la tercera edad. Rev Cienc Méd. 2014 [citado 6 feb 2015]; 18(6): 963-73. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942014000600004&lng=es

  18. Freyre Borrego Y, Aguilera Lahera M, Franco Martínez M. Trastornos metabólicos en la resistencia a la insulina. CCM. 2013 [citado 12 feb 2015]; 17(3). Disponible en: http://revcocmed.sld.cu/index.php/cocmed/article/view/1343/400

  19. Malin SK, Niemi N, Solomon TPJ, Haus JM, Kelly KR, Filion J, et al. Exercise training with weight loss and either a high or low glycemic diet reduces metabolic syndrome severity in older adults. Ann Nutr Metab. 2012 [citado 12 feb 2015]; 61(2): 135–41. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3586384/pdf/nihms417647.pdf

  20. Yamaoka K, Tango T. Effects of lifestyle modification on metabolic syndrome: a systematic review and meta-analysis. BMC Medicine 2012 [citado 11 feb 2015]; 10:138. Disponible en: http://www.biomedcentral.com/1741-7015/10/138

  21. Bouchonville M, Armamento Villareal R, Shah K, Napoli N, Sinacore DR, Qualls C, et al. Weight loss, exercise, or both and cardiometabolic risk factors in obese older adults: results of a randomized controlled trial. Int J Obes (Lond). 2014 [citado 12 feb 2015]; 38(3): 423–31. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835728/pdf/nihms-499744.pdf

  22. Yassine HN, Marchetti CM, Krishnan RK, Vrobel TR, Gonzalez F, Kirwan JP. Effects of exercise and caloric restriction on insulin resistance and ardiometabolic risk factors in older obese adults—A randomized clinical trial. J Gerontol A Biol Sci Med Sci. 2009 [citado 13 feb 2015]; 64(1): 90–5. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691195/pdf/gln032.pdf

  23. Foster Schubert KE, Alfano CM, Duggan CR, Xiao L, Campbell KL, Kong A, et al. Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese post-menopausal women. Obesity. 2012 [citado 10 feb 2015]; 20(8): 1628–38. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3406229/pdf/nihms371761.pdf

  24. Felix Mediano MF, de Oliveira Barbosa JS, Sanchez Moura A, Willett WC, Sichieri R. A randomized clinical trial of home-based exercise combined with a slight caloric restriction on obesity prevention among women. Prev Med. 2010 [citado 15 feb 2015]; 51(3): 247–52. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939161/pdf/nihms225020.pdf

  25. Joseph LJ, Prigeon RL, Blumenthal JB, Ryan AS, Goldberg AP. Weight Loss and low-intensity exercise for the treatment of metabolic syndrome in obese postmenopausal women. J Gerontol A Biol Sci Med Sci. 2011 [citado 10 feb 2015]; 66(9): 1022–9. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3156630/pdf/glr093.pdf

  26. Tørris C, Molin M, Smastuen MC. Fish consumption and its possible preventive role on the development and prevalence of metabolic syndrome - a systematic review. Diabetol Metab Syndr. 2014 [citado 10 feb 2015]; 6(1): 112. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210541/pdf/13098_2014_Article_371.pdf

  27. Toji C, Okamoto N, Kobayashi T, Furukawa Y, Tanaka S, Ueji K, et al. Effectiveness of diet versus exercise intervention on weight reduction in local Japanese residents. Environ Health Prev Med. 2012 [citado 10 feb 2015]; 17(4): 332–40. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390570/pdf/12199_2011_Article_258.pdf

  28. Soliman Soares T, Haas Piovesan C, da Silva Gustavo A, Edler Macagnan F, Carlos Bodanese L, Pandolfo Feoli AM. Alimentary habits, physical activity, and Framingham Global Risk Score in metabolic syndrome. Arq Bras Cardiol. 2014 [citado 10 feb 2015]; 102(4): 374–82. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028945/pdf/abc-102-04-0374.pdf

  29. Dutheil F, Lac G, Courteix D, Doré E, Chapier R, Roszyk L, et al. Treatment of Metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: a randomized controlled trial. Nutr J. 2012 [citado 10 feb 2015]; 11: 72. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502154/pdf/1475-2891-11-72.pdf

  30. Golbidi S, Mesdaghinia A, Laher I. Exercise in the metabolic syndrome. Oxid Med Cell Longev. 2012 [citado 10 feb 2015]; 2012: Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399489/pdf/OXIMED2012-349710.pdf

  31. Roberts CK, Hevener AL, Barnard RJ. Compr Physiol. Metabolic syndrome and insulin resistance: underlying causes and modification by exercise training. Compr Physiol. 2013 [citado 10 feb 2015]; 3(1): 1–58. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129661/pdf/nihms604042.pdf

  32. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012 [citado 10 feb 2015]; 2(2): 1143–211. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241367/pdf/nihms-603913.pdf

  33. Richter EA, Ruderman NB. AMPK and the biochemistry of exercise: Implications for human health and disease. Biochem J. 2009 [citado 10 feb 2015]; 418(2): 261–75. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779044/pdf/nihms154496.pdf




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Correo Científico Médico. 2015;19