Combined exercise training in men with metabolic syndrome after acute coronary event

Czech version

Authors: H. Svačinová ¹; V. Mrkvicová ¹; J. Pochmonová ¹; B. Rosenbergová ¹; J. Siegelová ¹; P. Dobšák ¹; J. Vítovec ²
Authors‘ workplace: Klinika tělovýchovného lékařství a rehabilitace Lékařské fakulty MU a FN u sv. Anny v Brně, přednosta prof. MUDr. Petr. Dobšák, CSc. ¹; I. interní kardio-angiologická klinika Lékařské fakulty MU a FN u sv. Anny v Brně, přednosta prof. MUDr. Jiří Vítovec, CSc., FESC ²
Published in: Vnitř Lék 2011; 57(9): 764-771
Category: 65th birthday Mudr. Jany Laciné and and 60th birthday Milana Tržila

Overview

Introduction:
Favourable effect of exercise training on cardiovascular prognosis in patients with metabolic syndrome have been documented in lot of studies. Less information exist about results of cardiovascular rehabilitation in patients with different forms of coronary heart disease and associated diseases and abnormalities within metabolic syndrome. Methods: The present article evaluates a benefit of combined, aerobic-resistance training in two groups of patients after percutaneous coronary intervention for acute coronary syndrome: with [group MS(+), n = 42] and without [group MS(–), n = 53] metabolic syndrome. The changes in aerobic capacity (VO_2peak, VO_2peak . kg^–1), physical performance (W_peak, W_peak . kg^–1), blood pressure, BMI and waist circumference after 12 weeks of cardiovascular rehabilitation are evaluated. Results: Significant improvement in aerobic capacity and physical performance were found out both in group MS(+) and MS(–) (p < 0.01, resp. p < 0.001). Decrease of systolic blood pressure was significant in MS(+), whereas in MS(–) together with decrease of diastolic BP in both groups were not significant. The increase in aerobic capacity and physical performance in patients of MS(+) is comparable with those in MS(–); the decrease in systolic BP was more intensive in MS(+) compared to MS(–). The changes in waist circumference and BMI were not significant in both groups. Conclusion: The results show, that in patients with high number of risk factors associated with metabolic syndrome was demonstrated at least comparable benefit from cardiovascular rehabilitation compared with those without metabolic syndrome.

Key words:
metabolic syndrome – acute coronary event – cardiovascular rehabilitation – aerobic capacity

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