O treinamento físico combinado em indivíduos com síndrome metabólica

Abstract

Objective: To investigate the influence of a concurrent physical training (CT) on the carotid intima-media thickness (IMT) and vascular age (VA) of individuals with metabolic syndrome (MS). Methods: Twelve sedentary volunteers (51,50 ± 6,52 years old) were submitted to a CT during 30 weeks, three times per week. Over the weeks of CT, subjects were instructed to walk in a relatively fast velocity during 45 minutes and to perform 3 sets of 15 repetitions in each of 11 resistance exercises during an average of 45 minutes. Before and after the CT, anthropometric, functional and biochemical variables were analyzed. It was performed a two-dimensional ultrasound of carotid IMT and the quantification and comparison of carotid IMT of participants was named VA. The difference between VA and chronological age was named age’s delta and the Framingham risk score was calculated. Furthermore, the modified Framingham risk score (MFS) was calculated, replacing chronological age for VA. Results: The carotid IMT, the VA, the age’s delta and the Framingham score did not decrease statistically after 30 weeks of CT. However, the scoring in MFS decreased after the intervention (p < 0.05). Besides, the CT increased the high-density lipoprotein cholesterol (HDL-C) levels (p < 0.05) and the estimated maximal oxygen uptake (p < 0.01) in individuals with MS. Conclusion: The proposed concurrent training did not alter the carotid IMT and the VA, although has decreased the MFS scoring, which can identify individuals previously not recognized with a high risk and assist in the individual therapy of patients with MS.