medigraphic.com
ISSN 1561-2937 (Print)

2022, Number 2

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (2)

Aerobic and strength training to reduce glycemic and lipid levels in heart failure. randomized clinical trial

Pereira-Rodríguez JE, Lara-Vargas JA, Peñaranda-Florez DG, Pereira-Rodríguez P, Meza-Vivanco I, Ceballos-Portilla LF

Language: Spanish
References: 28
Page: 1-7
PDF size: 462.08 Kb.


ABSTRACT

Introduction: Heart failure is a clinical syndrome characterized by abnormalities of ventricular function and neurohormonal regulation. This article aims to determine the effects of strength training as a method to reduce glycemic and lipid levels in heart failure. Methods: A randomized clinical trial was carried out over a period of three years with 511 patients with heart failure, they formed two groups (aerobic exercise plus strength training in the upper limb -MMSS- versus aerobic exercise plus strength training in the lower limb -MMII-). Blood glucose levels and lipid profile were collected. In addition, aerobic capacity, maximum heart rate, anthropometry and hemodynamic tests were performed before and after the 24 training sessions. Results: When comparing the two groups, better results were shown in most of the variables in group 2 (aerobic exercise + LL strength training) (p = <0.05 %). However, no significant post-training differences were found in HDL, LDL, and triglyceride variables (p = >0.05 %). Conclusions: Strength training combined with aerobic exercise generates a significant decrease in glycemic and lipid levels after 24 sessions after surgery. In addition, this type of training increases exercise tolerance, strength, peak VO2, maximum heart rate, and different hemodynamic and metabolic parameters. It is worth noting that, despite improving all the variables evaluated, when comparing group 1 versus group 2, greater benefits of strength training in lower limbs + aerobic exercise were evidenced.


REFERENCES

  1. Slivnick J, Lampert BC. Hypertension and Heart Failure. Heart Fail Clin.2019;15(4):531-41. DOI: https://doi.org.10.1016/j.hfc.2019.06.007. 2. Castro-Beiras A, Anguita-Sánchez M, Comín J, Vázquez-Rodríguez J-M, de Frutos T, Muñiz J. Organización de la atención a la insuficiencia cardíaca en España: unidades existentes y características. Rev Esp Cardiol.2015;68: 633-5. DOI: https://doi.org.10.1016/j.recesp.2015.02.017

  2. Redondo MJ, Foster NC, Libman IM, Mehta SN, Hathway JM, Bethin KE et al. Prevalence of cardiovascular risk factors in youth with type 1 diabetes and elevated body mass index. Acta Diabetol.2016; 53(2):271-7. DOI: https://doi.org.10.1007/s00592-015-0785-1.

  3. Ruiz J, Castillo M-A, Castillo M I. Study of Cardiovascular Risk in Immigrant and Spanish Diabetic Patients in the Province of Almeria. Procedia-Social and Behavioral Sciences.2014 [acceso 13/1/22];132:420-26. Disponible en: https://ur.booksc.me/book/26458830/11c42a.

  4. Homma TK, Endo CM, Saruhashi T, Mori AP, Noronha RM, Monte O et al. Dyslipidemia in Young patients with type I diabetes mellitus. Arch Endocrinol Metab.2015;59:215-19. DOI: https://doi.org.10.1590/2359-3997000000040 .

  5. Wu YP, Rausch J, Rohan JM, Hood KK, Pendley JS, Delamater A, et al. Autonomy support and responsibility-sharing predict blood glucose monitoring frequency among youth with diabetes. Health Psychol.2014; 33 (10): 1224-31. DOI: http://doi.org.10.1037/hea0000034. 7. National Clinical Guideline Centre (UK). Acute Heart Failure: Diagnosing and Managing Acute Heart Failure in Adults. London: National Institute for Health and Care Excellence (UK);2014[acceso13/1/22]Oct. PMID: 25340219. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK248063/pdf/Bookshelf_NBK248063.pdf

  6. American Diabetes Association. Children and Adolescents: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Suppl 1): S126-S136. DOI: https://doi.org.10.2337/dc18-S012.

  7. Daniels SR, Greer FR; Committee on Nutrition. Lipid screening and cardiovascular health in childhood. Pediatrics. 2008;122(1):198-208. DOI: https://doi.org10.1542/peds.2008-1349.

  8. Donaghue KC, Marcovecchio ML, Wadwa RP, Chew EY, Wong TY, Calliari LE et al. ISPAD Clinical Practice Consensus Guidelines 2018: Microvascular and macrovascular complications in children and adolescents. Pediatr Diabetes.2018;19(Suppl 27): 262-74. DOI: https://doi.org10.1111/pedi.12742.

  9. Pereira J. Factores de riesgo cardiovascular. Editorial Académica Española. 2016. ISBN: 978-3-659-70239-6.

  10. American Diabetes Association. Erratum. Glycemic Targets. Sec. 6. In Standards of Medical Care in Diabetes-2017. Diabetes Care 2017;40 (Suppl. 1); S48-S56. DOI: https://doi.org/10.2337/dc17-er07a.

  11. Russell RR 3rd, Zaret BL. Nuclear cardiology: present and future. Curr Probl Cardiol. 2006;31(9):557-629. DOI: https://doi.org.10.1016/j.cpcardiol.2006.05.002.

  12. Maahs DM, Dabelea D, D'Agostino RB Jr, Andrews JS, Shah AS, Crimmins N, et al. SEARCH for Diabetes in Youth Study. Glucose control predicts 2-year change in lipid profile in youth with type 1 diabetes. J Pediatr. 2013 Jan;162(1): 101-7.e1. DOI: https://doi.org.10.1016/j.jpeds.2012.06.006.

  13. Pozehl B, McGuire R, Norman J. Team-based Care for Cardiac Rehabilitation and Exercise Training in Heart Failure. Heart Fail Clin. 2015;11(3):431-49. DOI: https://doi.org/10.1016/j.hfc.2015.03.007.

  14. Taylor RS, Long L, Mordi IR, Madsen MT, Davies EJ, Dalal H, et al. Exercise-Based Rehabilitation for Heart Failure: Cochrane Systematic Review, Meta-Analysis, and Trial Sequential Analysis. JACC Heart Fail. 2019;7(8):691-705. DOI: https://doi.org.10.1016/j.jchf.2019.04.023.

  15. Sociedad Interamericana de Cardiología, Sociedad Sudamericana de Cardiología, Comité Interamericano de Prevención y Rehabilitación Cardiovascular. Consenso de Rehabilitación Cardiovascular y Prevención Secundaria de las Sociedades Interamericana y Sudamericana de Cardiología. Rev Urug Cardiol. 2013;28:189-224.

  16. Frisancho R. Anthropometric standard for the assessment of growth and nutritional status. Chapter II: Methods and materials. Ann Arbor: University of Michigan Press. 1993[acceso 13/1/22];9-31. Disponible en: https://www.scielo.edu.uy/pdf/ruc/v28n2/v28n2a11.pdf.

  17. Fett CA, Fett WC, Marchini JS. Circuit weight training vs jogging in metabolic risk factors of overweight/obese women. Arq Bras Cardiol. 2009Nov;93(5):519-25. DOI: https://doi.org.10.1590/s0066-782x2009001100013.

  18. Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 1998;158(5 Pt 1):1384-7. DOI: https://doi.org.10.1164/ajrccm.158.5.9710086.

  19. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166 (1):111-7. DOI: https://doi.org.10.1164/ajrccm.166.1.at1102

  20. Barrett-O'Keefe Z, Lee JF, Berbert A, Witman MA, Nativi-Nicolau J, Stehlik J, et al. Hemodynamic responses to small muscle mass exercise in heart failure patients with reduced ejection fraction. Am J Physiol Heart Circ Physiol. 2014; 307(10):H1512-20. DOI: https://doi.org.10.1152/ajpheart.00527.2014.

  21. Borlaug BA, Nishimura RA, Sorajja P, Lam CS, Redfield MM. Exercise hemodynamics enhance diagnosis of early heart failure with preserved ejection fraction. Circ Heart Fail. 2010; 3(5):588-95. DOI: https://doi.org.10.1161/CIRCHEARTFAILURE.109.930701.

  22. Scheen AJ. Management of the metabolic syndrome. Minerva Endocrinol. 2004[acceso 13/1/22];29(2): 31-45. PMID:15257254. Disponible en: https://orbi.uliege.be/handle/2268/11710.

  23. Reddy YNV, Olson TP, Obokata M, Melenovsky V, Borlaug BA. Hemodynamic Correlates and Diagnostic Role of Cardiopulmonary Exercise Testing in Heart Failure With Preserved Ejection Fraction. JACC Heart Fail. 2018;6 (8): 665-75. DOI: https://doi.org.10.1016/j.jchf.2018.03.003.

  24. Olson TP, Johnson BD, Borlaug BA. Impaired Pulmonary Diffusion in Heart Failure With Preserved Ejection Fraction. JACC Heart Fail. 2016;4(6):490-8. DOI: https://doi.org.10.1016/j.jchf.2016.03.001.

  25. Nanayakkara S, Haykowsky M, Mariani J, Van Empel V, Maeder MT, Vizi D. Hemodynamic Profile of Patients With Heart Failure and Preserved Ejection Fraction Vary by Age. J Am Heart Assoc. 2017;6(9):e005434. DOI: https://doi.org0.1161/JAHA.116.005434.

  26. Dorfs S, Zeh W, Hochholzer W, Jander N, Kienzle RP, Pieske B et al. Pulmonary capillary wedge pressure during exercise and long-term mortality in patients with suspected heart failure with preserved ejection fraction. Eur Heart J. 2014;35(44):3103-12. DOI: https://doi.org.10.1093/eurheartj/ehu315.

  27. Kasawara K., Miñana M, Hanada M, Reid, WD. Pathophysiology of Muscle in Pulmonary and Cardiovascular Conditions. Cardiopulmonary Physical Therapy Journal. 2019;30:5-14. DOI: https://doi.org.10.1097/CPT.0000000000000096.

  28. Najafipour F, Mobasseri M, Yavari A, Nadrian H, Aliasgarzadeh A, Mashinchi Abbasi N, et al. Effect of regular exercise training on changes in HbA1c, BMI and VO2max among patients with type 2 diabetes mellitus: an 8-year trial. BMJ Open Diabetes Res Care. 2017;5(1):e000414. DOI: https://doi.org.10.1136/bmjdrc-2017-000414.




2020     |     www.medigraphic.com