2010, Número 5
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salud publica mex 2010; 52 (5)
Efecto del ejercicio sobre marcadores de riesgo cardiovascular en escolares mexicanos: comparación entre dos rutinas grupales
Balas-Nakash M, Benítez-Arciniega A, Perichart-Perera O, Valdés-Ramos R, Vadillo-Ortega F
Idioma: Ingles.
Referencias bibliográficas: 41
Paginas: 398-405
Archivo PDF: 138.38 Kb.
RESUMEN
Objetivo. Evaluar el efecto de dos rutinas grupales de ejercicio sobre marcadores de riesgo cardiovascular.
Material y métodos. Intervención en 319 escolares mexicanos. Las rutinas fueron implementadas por 12 semanas (rutina A (referencia): 20 min con ejercicios menos intensos vs rutina B (nueva): 40 min con ejercicios aeróbicos). Se midieron al inicio y al final el índice de masa corporal (IMC), masa grasa (%MG), presión arterial sistólica y diastólica, lípidos, lipoproteínas, glucosa e insulina.
Resultados. La rutina A tuvo efecto sobre la presión diastólica; la B tuvo efecto sobre el IMC, %MG, presión arterial y triglicéridos. La rutina B tuvo mayores efectos en la presión arterial que la rutina A. Las prevalencias de obesidad, hipertensión arterial e hipertrigliceridemia disminuyeron en ambos grupos.
El ejercicio aeróbico es una estrategia de promoción exitosa para reducir algunos marcadores de riesgo cardiovascular.
REFERENCIAS (EN ESTE ARTÍCULO)
Zahner L, Puder J, Roth R, Schmid M, Guldimann R, Pühse U et al. A school-based physical activity program to improve health and fitness in children aged 6-13 years (“Kinder-Sportstudie KISS”): study design of a randomized controlled trial [ISRCTN15360785]. BMC Public Health 2006;6:147.
Marcus B, Williams D, Dubbert P, Sallis J, King A, Yancey A et al. Physical activity intervention studies: what we know and what we need to know:a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation 2006;114(24):2739-2752.
Hernández B, Gortmaker S, Colditz G, Peterson K, Laird N, Parra-Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico city. Int J Obes Relat Metab Disord 1999;23(8):845-854.
Balas-Nakash M, Villanueva-Quintana A, Tawil-Dayan S, Schiffman- Selechnik E, Suverza-Fernández A, Vadillo-Ortega F et al. Estudio piloto para la identificación de indicadores antropométricos asociados a marcadores de riesgo de síndrome metabólico en escolares mexicanos. Bol Med Hosp Infan Méx 2008;65(3):100-109.
Kelley G, Kelley K. Aerobic exercise and lipids and lipoproteins in children and adolescents: a meta-analysis of randomized controlled trials. Atherosclerosis 2007;191(2):447-453.
Froberg K, Andersen L. Mini review: physical activity and fitness and its relations to cardiovascular disease risk factors in children. Int J Obes (Lond). 2005;29(Suppl 2):S34-39.
U.S. Department of Health and Human Services. U.S. Department of Agriculture. Dietary Guidelines for Americans, 2005. 6th Edition. Washington, DC: U.S. Government Printing Office, 2005.
Position of the American Dietetic Association: individual-, family-, school-, and community-based interventions for pediatric overweight. J Am Diet Assoc 2006;106(6):925-945.
Torrance B, McGuire K, Lewanczuk R, McGavock J. Overweight, physical activity and high blood pressure in children: a review of the literature. Vasc Health Risk Manag 2007;3(1):139-149.
Epstein L, Paluch R, Kalakanis L, Goldfield G, Cerny F, Roemmich J. How much activity do youth get? A quantitative review of heart-rate measured activity. Pediatrics 2001;108(3):E44.
Tolfrey K, Jones A, Campbell I. The effect of aerobic exercise training on the lipid-lipoprotein profile of children and adolescents. Sports Med 2000;29(2):99-112.
Tolfrey K, Jones A, Campbell I. Lipid-lipoproteins in children: an exercise dose-response study. Med Sci Sports Exerc 2004;36(3):418-427.
Nemet D, Barkan S, Epstein Y, Friedland O, Kowen G, Eliakim A. Shortand long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics 2005;115(4):443-449.
Perichart-Perera O, Balas-Nakash M, Ortiz-Rodríguez V, Morán- Zenteno J, Guerrero-Ortiz J, Vadillo-Ortega F. A program to improve some cardiovascular risk factors in Mexican school age children. Salud Publica Mex 2008;50(3):218-226.
Pate R, Davis M, Robinson T, Stone E, McKenzie T, Young J et al. Promoting physical activity in children and youth: a leadership role for schools: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Physical Activity Committee) in collaboration with the Councils on Cardiovascular Disease in the Young and Cardiovascular Nursing. Circulation 2006;114(11):1214-1224.
Dobbins M, De Corby K, Robeson P, Husson H, Tirilis D. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18. Cochrane Database Syst Rev 2009;21(1):CD007651.
Jennings-Aburto N, Nava F, Bonvecchio A, Safdie M, González- Casanova I, Gust et al. Physical activity during the school day in public primary schools in Mexico City. Salud Publica Mex 2009;51:141-147.
Comisión Nacional de Cultura Fisica y Deporte. Pruebas de valoración fisica. Programa Nacional de Actividad Física 2001. Mexico City: CONADE, 2001.
Hernández B, Gortmaker S, Laird N, Colditz G, Parra-Cabrera S, Peterson K. Validity and reproducibility of a questionnaire on physical activity and non-activity for school children in Mexico City. Salud Publica Mex 2000;42(4):315-323.
Tanaka H, Monahan K, Seals D. Age-predicted maximal heart rate revisited. J Am Coll Cardiol 2001;37(1):153-156.
Perichart-Perera O, Balas-Nakash M, Schiffman-Selechnik E, Barbato- Dosal A, Vadillo-Ortega F. Obesity increases metabolic syndrome risk factors in school-aged children from an urban school in Mexico city. J Am Diet Assoc 2007;107(1):81-91.
Centers for Disease Control and Prevention, National Center for Health Statistics. CDC growth charts. Georgia, United States: CDC [Available at http:// www.cdc.gov/growthcharts/.][Accessed 2009 July 11].
Fernandez JR, Redden F, Pietrobelli A, Allison DB. Waist circumference percentiles in nationally representative sample of African-American, European-American and Mexican-American children and adolescents. J Pediatr 2004;145(4):439-444.
Williams D, Going S, Lohman T, Harsha D, Srinivasan S, Webber L et al. Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. Am J Public Health 1992;82(3):358-63.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-76.
International Diabetes Federation Task Force on Epidemiology and Prevention of Diabetes. The metabolic syndrome in children and adolescents: the IDF consensus. Diabetes Voice 2007;52(4):1-24.
Conwell L, Trost S, Brown W, Batch J. Indexes of insulin resistance and secretion in obese children and adolescents: a validation study. Diabetes Care 2004;27(2):314-319.
Keskin M, Kurtoglu S, Kendirci M, Atabek M, Yazici C. Homeostasis model assessment is more reliable than the fasting glucose/insulin ratio and quantitative insulin sensitivity check index for assessing insulin resistance among obese children and adolescents. Pediatrics 2005;115(4):500-503.
Tresaco B, Bueno G, Pineda I, Moreno LA, Garagorri JM, Bueno M. Homeostatic model assessment (HOMA) index cut-off values to identify the metabolic syndrome in children. J Physiol Biochem 2005;61(2):381-388.
Gidding S, Dennison B, Birch L, Daniels S, Gillman M, Gilman M et al. Dietary recommendations for children and adolescents: a guide for practitioners: consensus statement from the American Heart Association. Circulation 2005;112(13):2061-2075.
Ewart CK, Young DR, Hagberg JM. Effects of school-based aerobic exercise on blood pressure in adolescent girls at risk for hypertension. Am J Public Health 1998;88(6):949-51.
Lazaar N, Aucouturier J, Ratel S, Rance M, Meyer M, Duché P. Effect of physical activity intervention on body composition in young children: influence of body mass index status and gender. Acta Paediatr 2007;96(9):1315-1320.
Atlantis E, Barnes E, Singh M. Efficacy of exercise for treating overweight in children and adolescents: a systematic review. Int J Obes (Lond) 2006;30(7):1027-1040.
Strong W, Malina R, Blimkie C, Daniels S, Dishman R, Gutin B et al. Evidence based physical activity for school-age youth. J Pediatr 2005;146(6):732-737.
Carrel AL, Clark RR, Peterson SE, Nemeth BA, Sullivan J, Allen D. Improvement of fitness, body composition, and insulin sensitivity in overweight children in a school-based exercise program: a randomized, controlled study. Arch Pediatr Adolesc Med 2005;159:963-968.
Martínez Vizcaíno V, Salcedo Aguilar F, Franquelo Gutiérrez R, Solera Martínez M, Sánchez López M, Serrano Martínez S et al. Assessment of an after-school physical activity program to prevent obesity among 9- to 10-year-old children: a cluster randomized trial. Int J Obes (Lond) 2008;32(1):12-22.
Webber L, Osganian S, Feldman H, Wu M, McKenzie T, Nichaman M et al. Cardiovascular risk factors among children after a 21/2 year Intervention-the CATCH Study. Prev Med 1996;25(4):432-41.
Woo K, Chook P, Yu C, Sung R, Qiao M, Leung S et al. Effects of diet and exercise on obesity-related vascular dysfunction in children. Circulation 2004;109(16):1981-1986.
Andersen L, Harro M, Sardinha L, Froberg K, Ekelund U, Brage S et al. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet 2006;368(9532):299-304.
Rankinen T, Bouchard C. Genetis and blood pressure response to exercise, and its interactions with adiposity. Prev Cardiol 2002;5(3):138-44.
Webber LS, Harsha DW, Phillips GT, Srinivasan SR, Simpson JW, Berenson GS. Cardiovascular risk factors in Hispanic, white, and black children: the Brooks County and Bogalusa Heart studies. Am J Epidemiol 1991;133(7):704-14.