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A Simple Home-Based Lifestyle Intervention Program to Improve Cardiac Autonomic Regulation in Patients with Increased Cardiometabolic Risk
- Source :
- Sustainability, Vol 12, Iss 7671, p 7671 (2020), Sustainability; Volume 12; Issue 18; Pages: 7671
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Lifestyle modification programs (LMP) represent a new approach to cardiometabolic/oncologic risk reduction. Successful LMP in clinical practice must be feasible, cost effective, efficacious and consider home-based exercise. Likewise, multiple mechanisms implied in cardiometabolic risk reduction such as cardiac autonomic regulation (CAR) should be easily evidenced, in spite of the computational complexity involved. This goal could be facilitated by employing novel, friendlier, simpler techniques, such as the Autonomic Nervous System Index (ANSI), which can be treated as a proxy of CAR. In this observational study, we introduce a simple LMP (based on cognitive behavioral strategies and patient-tailored prescription of nutrition and home-based exercise, managed by a single physician) into the currently existing clinical practice of secondary cardiometabolic prevention. In 26 subjects, we assessed CAR (autoregressive spectral analysis of cardiovascular variabilities), body mass composition (bioelectrical impedance analysis) and stress perception (questionnaires). After LMP, ANSI and lipid profile were improved; % of fat mass, waist circumference and stress perception were reduced. We conclude that this preliminary, proof of concept study provides significant evidence in favor of the hypothesis that it is possible to introduce a convenient, cost effective LMP into the currently existing clinical practice of secondary cardiometabolic prevention. Findings suggest a successful comprehensive behavioral change, possibly facilitated by the simplified approach employed in this study, capable of improving cardiac autonomic regulation in addition to body mass composition and stress perception.
- Subjects :
- medicine.medical_specialty
Waist
Geography, Planning and Development
TJ807-830
030204 cardiovascular system & hematology
Management, Monitoring, Policy and Law
TD194-195
Renewable energy sources
Autonomic regulation
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
prevention
home-based intervention
Medicine
GE1-350
030212 general & internal medicine
Medical prescription
autonomic nervous system
exercise
nutrition
heart rate variability
Environmental effects of industries and plants
medicine.diagnostic_test
Renewable Energy, Sustainability and the Environment
business.industry
Cognition
Environmental sciences
Autonomic nervous system
Observational study
business
Lipid profile
Bioelectrical impedance analysis
Subjects
Details
- ISSN :
- 20711050
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Sustainability
- Accession number :
- edsair.doi.dedup.....ed084bb6a771ea761a99f06f24d23294
- Full Text :
- https://doi.org/10.3390/su12187671