2020, Number 2
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CorSalud 2020; 12 (2)
Cardiovascular responses of obese patients to exercise stress test
Pereira-Rodríguez JE, Peñaranda FDG, Pereira-Rodríguez R, Pereira-Rodríguez P, Santamaría-Pérez KN, Sánchez-Cajero OA
Language: Spanish
References: 30
Page: 162-170
PDF size: 847.98 Kb.
ABSTRACT
Introduction:
Obesity is a multisystemic disease and a coronary risk factor that is frequently associated with others, such as high blood pressure, diabetes and dyslipidemia. These all increase the risk of heart disease.
Objective:
We aimed to determine the cardiovascular response of obese patients during a stress test.
Methods:
An observational, descriptive and cross-sectional study was conducted with 67 obese participants (45 women and 22 men) aged 35±12.6 years on average. To develop our research, we analyzed anthropometric variables and vital signs. The Borg scale, a cardiovascular risk factor interview and a Bruce treadmill stress test protocol were also applied.
Results:
The main cardiovascular risk factors found were sedentary lifestyle (100%) and family history of disease (76%). An average maximum heart rate of 172.82±18.81 beats per minute was obtained, which was higher in women (173.9±17.5 vs. 168.9±22.1). It was found to be higher in patients with less than four cardiovascular risk factors (179.4±17.7 vs. 167.1±18.6) when associated with cardiovascular risk factors.
Conclusions:
A decrease in cardiovascular response was found in relation to the expected test effort. The greater the number of cardiovascular risk factors, the lower the maximum heart rate achieved.
REFERENCES
Barroso Camiade C. La obesidad, un problema de salud pública. Espacios Públicos. 2012;33:200-15.
Moreno-Martínez FL. Obesidad y distribución regional de la grasa: viejos temas con nuevas reflexiones. CorSalud [Internet]. 2011 [citado 26/05/2019];3(1). Disponible en: http://www. corsalud. sld. cu/sumario/2011/v3n1a11/distribucion. htm
Malo-Serrano M, Castillo N, Pajita D. La obesidad en el mundo. An Fac Med. 2017;78(2):173-8.
Dávila-Torres J, González-Izquierdo JJ, Barrera-Cruz A. Panorama de la obesidad en México. Rev Med Inst Mex Seguro Soc. 2015;53(2):240-9.
James WPT, Jackson-Leach R, Ni Mhurchu C, Kalamara E, Shayeghi M, Rigby NJ, et al. Overweight and obesity (high body mass index). En: Ezzatti M, Lopez AD, Rodgers A, Murray CJL, eds. Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. Vol. 1. Part: Other nutrition-related risk factors and physical inactivity. Geneva: WHO; 2004. p. 497-596. Disponible en: https://www. who. int/publications/cra/chapters/volume1/0497-0596. pdf
Warren TY, Barry V, Hooker SP, Sui X, Church TS, Blair SN. Sedentary behaviors increase risk of cardiovascular disease mortality in men. Med Sci Sports Exerc. 2010;42(5):879-85.
Williams MH. Nutrición para la salud, condición física y deporte. 7ª ed. México DF: McGraw-Hill; 2005.
Elias MF, Goodell AL. Diet and exercise: blood pressure and cognition: to protect and serve. Hypertension. 2010;55(6):1296-8.
Pollock ML. Wilmore JH. Exercise in health and disease: Evaluation and prescription for prevention and rehabilitation. 2ª ed. Philadelphia: W. B. Saunders; 1990.
Barbany JR. Adaptaciones Fisiológicas al entrenamiento. En: Barbany JR, ed. Fisiología del ejercicio físico y del entrenamiento. Barcelona: Editorial Paidotribo; 2002. p. 155-67.
Yoshioka M, Stpierre S, Richard D, Labrie A, Tremblay A. Effect of exercise intensity on postexercise energy metabolism (A375). FASEB J. 1996;10(3):2171.
Janiszewski PM, Ross R. The utility of physical activity in the management of global cardiometabolic risk. Obesity (Silver Spring). 2009;17(Suppl 3):S3-S14.
Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB, Samsa GP, et al. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE - A randomized controlled study. Arch Intern Med. 2004;164(1):31-9.
Ellestad M. Pruebas de Esfuerzo: Bases y aplicación clínica. En: Ellestad M, ed. Las pruebas de esfuerzo. Barcelona: Ediciones Consulta; 1988.
Wasserman K, Hansen JE, Sue DY, Stringer WW, Whipp BJ. Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications. Philadelphia: Lippincott Williams & Wilkins; 2004.
Sosa V, De Llano J, Lozano JA, Oliver A, García Alarcón P. Rehabilitación cardíaca: Generalidades, indicaciones, contraindicaciones, protocolos. Monocardio. 1991;28:44-60.
American Thoracic Society, American College of Chest Physicians. ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167(2):211-77.
Piscatella J, Franklin BA. Take a load off your Heart: 109 things you can actually do to prevent, halt and reverse heart disease. Nueva York: Workman Publishing Company; 2003.
Milani RV, Lavie CJ, Mehra MR. Cardiopulmonary exercise testing: how do we differentiate the cause of dyspnea? Circulation. 2004;110(4):e27-31.
Nishime EO, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA. 2000;284(11):1392-8.
Froelicher VF, Myers J. Exercise and the Heart. 5ª ed. Filadelfia: W. B. Saunders; 2006.
Jakobsen MD, Sundstrup E, Persson R, Andersen CH, Andersen LL. Is Borg's perceived exertion scale a useful indicator of muscular and cardiovascular load in blue-collar workers with lifting tasks? A cross-sectional workplace study. Eur J Appl Physiol. 2014;114(2):425-34.
Guzmán JA, Sánchez AO, Montez ML, Díaz S, Vázquez J, Pérez I. Capacidad cardiovascular en pacientes obesos. Rev Mex Med Fis Rehab. 2001;13(4):109-12.
Urquiaga J, Negron S, Gil M, Morales R, Cáceres M, Cabo R. Relación entre los parámetros de incompetencia cronotrópica y las imágenes de perfusión miocárdica mediante tomografía computada por emisión de fotón simple (SPECT). Rev Peru Cardiol. 2007;33(3):148-63.
Miragaya MA, Magri OF. Ecuación más conveniente para predecir frecuencia cardíaca máxima esperada en esfuerzo. Insuf Card. 2016;11(2):56-61.
Cruz-Martínez LE, Rojas-Valencia JT, Correa-Mesa JF, Correa-Morales JC. Maximum Heart Rate during exercise: Reliability of the 220-age and Tanaka formulas in healthy young people at a moderate elevation. Rev Fac Med. 2014;62(4):579-85.
Pereira-Rodríguez J, Boada-Morales L, Jaimes-Martin T, Melo-Ascanio J, Niño-Serrato D, Rincón-González G. Predictive equations for máximum heart rate. Myth or reality. Rev Mex Cardiol. 2016;27(4):156-65.
Pereira Rodríguez JE, Boada Morales L, Niño Rios IM, Cañizares Pérez YA, Quintero Gómez JC. Frecuencia cardiaca máxima mediante 220 menos edad versus prueba de esfuerzo con protocolo de Bruce. Mov Científico. 2017;11(1):15-22.
Bouzas JC, Delgado M, Benito PJ. Precisión de las ecuaciones para estimar la frecuencia cardíaca máxima en cicloergómetro. Arch Med Deporte. 2013;30(1):14-20.
Marino FM, Vidal R, Parada LF, do Valle JC, Fares R, Ivar JR, et al. Respuestas cardiovasculares de mujeres con obesidad mórbida sometidas a un test ergoespirométrico con ergómetro de brazo. Rev Colomb Cardiol. 2017;24(5):532-6.