1. Short-term effects of two integrated, non-pharmacological body weight reduction programs on coronary heart disease risk factors in young obese patients
- Author
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Sartorio, A., Claudio Lafortuna, Marinone, P. G., Tavani, A., La Vecchia, C., and Bosetti, C.
- Subjects
Adult ,Blood Glucose ,Male ,Adolescent ,Cholesterol, HDL ,Blood Pressure ,Coronary Disease ,Middle Aged ,Body Mass Index ,Cholesterol ,Patient Education as Topic ,Risk Factors ,Weight Loss ,Humans ,Female ,Nutritional Physiological Phenomena ,Obesity ,Energy Intake ,Energy Metabolism ,Exercise - Abstract
In order to evaluate the short-term effects (3 weeks) on selected coronary heart disease (CHD) risk factors, 90 obese in-patients (body mass index, BMI, > or = 35 kg/m2 received a same low-calorie diet (1200-1800 kcal/day), nutritional education and psychological counselling, and were randomly assigned to either a non-specific, high-volume, low-intensity exercise training program (NET), or to an individualised, low-volume and high-intensity exercise training program (IET), for 5 days/week for 3 weeks. NET and IET programs lead to a significant reduction in blood glucose (6.2 and 7.7% respectively), total cholesterol (17.3%, 12.3%), HDL-cholesterol (13.7%, 15.2%), systolic (8.9%, 5.3%) and diastolic resting blood pressure (10.6%, 3.3%). Total CHD scores were also significantly improved (38.1%, 33.1%). The changes occurred with a relatively moderate decrease in body weight (4.2%, 4.4%) and with still elevated BMI values (41.6 kg/m2). Although IET, compared to NET program, induced smaller reductions of blood pressure, it requires 30% daily training period and may possibly enhance long-term patient compliance.
- Published
- 2004