Benefit of exercise training on risk factors in hypertensive patients with metabolic sindrom

Abstract

New parameters which evaluate arterial stiffness can be assessed in ambulatory settings: pulse pressure (PP),. Patients and methods: 112 patients with metabolic sindrom, blood pressure (BP) values in the range: systolic blood pressure (SBP) =130-159mmHg and/or diastolic blood pressure (DBP)=85-99mmHg were included in a 3 month life style changing program. They were divided into 2 groups: group Bincluded sedentary or untrained subjects (58p) and group A included trained individuals (54p). The group A were trained at a intensity between 70-80% reached at exercise test. Hemodynamic parameters: SBP, DBP MBP, PP, HR, WaC, CT, LDLc, risc SCORE, capacity of effort, were evaluated initial and after 3 months. We observed at group A: SBP decreased with 8.8(+/-7.5) mmHg; DBP decreases with 4.1(+/-4.5) mmHg ; mean blood pressure (MBP) decreases with 4.1 (+/-4.2) mmHg; pulse pressure (PP) decreases with 4.6 (+/-3.4) mmHg ; heart rate (HR) decrease with 9.1 +/-7.8 beats/min ; total cholesterol (TC) diminish with 55.5 +/-57.6 mg/dl; LDL cholesterol decreased with 42.1 +/-39.1 mg/dl ; waist circumference (WaC) decreased with 2.8 +/-2.5 cm ; the capacity of effort increased with 21.5 W ; the SCORE risk decreases with 2.1 (+/-1.6) % ; the number of smokers decreases form 21 to 8 , and at group B: SBP decreased with 3.1 (+/-7.1) mmHg; DBP decreases with 2.1 (+/-3.9) mmHg; mean blood pressure (MBP) decreases with 1.9 (+/-3.8) mmHg; pulse pressure (PP) decreases with 1.1 (+/-3.4) mmHg ; heart rate (HR) decrease with 2.1 +/-6.8 beats/min ; total cholesterol (TC) diminish with 21.2 +/-57.6 mg/dl; LDL cholesterol decreased with 11.1 +/-35.5 mg/dl; waist circumference (WaC) decreased with 0.5 +/-2.5 cm; the capacity of effort decreased with 4.5 W; the SCORE risk decreases with 0.4 (+/-1.6) %; the number of smokers decreases form 22 to 17. The exercise training decrease the hemodinamic parameters. Regular exercise has an positive impact on arterial stiffness with metabolic syndrome. Cardiac rehabilitation has an positive effect on risk parameters such as waist circumference total cholesterol and LDL cholesterol, also on total risk SCORE.Exercise training is play an important role in quitting smoking at hypertensive patients. Patients who smoke are less in group A than in group B – sedentary group.

Key words:

haemodinamic parametres, exercise training, arterial stiffness ,pulse pressure, endothelial vascular protection.