La transición epidemiológica observada en las últimas décadas ha implicado un aumento creciente de enfermedades crónicas, fenómeno asociados con el estilo de vida de la población, al modelo alimentario y al sedentarismo, lo que predispone a la obesidad y a la resistencia a la insulina, condicionando patologías cardio metabólicas como la hipertensión arterial y la dislipidemia, favoreciendo el desarrollo del síndrome metabólico. El tratamiento consiste en el manejo farmacológico, mejoras en los hábitos alimentarios y la incorporación de la actividad física a la rutina diaria. Tradicionalmente los programas de ejercicio están orientados a un método aeróbico para mejorar los parámetros alterados. Sin embargo, actualmente han surgido nuevas estrategias de intervención como el entrenamiento interválico de alta intensidad, que ha evolucionado como un modelo de intervención eficaz, con real impacto en el estado de salud de la población. El objetivo de esta revisión es entregar una mirada histórica y actualizada del ejercicio interválico de alta intensidad, de su impacto en la población y de las adaptaciones fisiológicas que respaldan su uso como herramienta terapéutica.Palabras claves: Entrenamiento aeróbico interválico de alta intensidad, síndrome metabólico, prescripción de ejercicio.

The aim of this study was to determine the effects of a muscular strength programme on the levels of insulin-like growth factor-1 (IGF-1) and cognitive status in elder women with mild cognitive impairment who lived in areas of high air pollution. A total of 157 women participated in the study, distributed in four groups: Active/Clean (AC n = 38) and Active/Pollution (AP n = 37), who carried out a progressive resistance training programme for 24 months, and Sedentary/Clean (SC n = 40) and Sedentary/Pollution (SP n = 42). Maximum strength in the upper and lower limbs (1RM), cognition (Mini-Mental Scale Examination (MMSE)) and blood IGF-1 were evaluated. At the beginning of the intervention, there were no differences between the groups in the assessed variables. The active groups which carried out the resistance training programme (AC and AP), registered better results in IGF-1 than the sedentary groups. These differences were statistically significant in AC vs. SC (p < 0.01) and AP vs. SC (p < 0.05). Regarding MMSE, group AC registered the highest score increases (+8.2%) (significantly better than the other groups), while group SP worsened (−7%) significantly compared to the other three groups. In conclusion, resistance training had a positive effect on IGF-1, while sedentary behaviour and air pollution had a negative effect on cognitive status.

Background: Concurrent training of strength and endurance has been widely ued in the field of health, with favorable effects on body composition. However, the effect on the body composition of a ludic-motor concurrent proposal in adults with Down syndrome has not been quantified yet. The aim of this study was to determine the effect of a concurrent training program based on motor games on body composition indicators and cardiometabolic risk on schooled male adults with Down syndrome. Methods: The sample is composed of 15 male adults with Down syndrome from Chile. Body composition variables such as body mass index, waist circumference, height to waist ratio, skin folds, perimeters, and muscle areas were assessed at the beginning and end of the program. Subsequently, a program of motor games was designed and implemented for 10 months. Results: Mean and standard deviation for body fat were pre (25.36 ± 5.60) and post (23.01 ± 6.20)%; waist circumference pre (86.00 ± 8.97) and post (82.07 ± 8.38) cm. Brachial perimeter and muscle area were pre (22.30 ± 2.80) and post (23.61 ± 2.28) cm; pre (40.19 ± 10.09) and post (44.77 ± 8.48) cm2, respectively. Our findings showed significant results (p < 0.05): body fat %; sum of folds; waist circumference; height to waist ratio; brachial perimeter and brachial muscle area. Conclusion: A concurrent training program implemented through motor skills games decreases body fat and cardiovascular risk and increases the muscle mass in male adults with Down syndrome.

Autonomic nervous system function is an important predictor of physical fitness. The objective of this study was to find out the associations of autonomic activity parameters, lipid profile, insulin concentrations, and insulin resistance in overweight men with the level of physical activity. A descriptive and correlational study was carried out in 28 overweight men: 14 physically active (PA) and 14 physically inactive (PI). The following variables were assessed: Level of physical activity, HRV (heart rate variability), basal insulin, HOMA-IR index (Homeostasis Model Assessment Insulin-Resistance), and lipid profile. The main results show a positive correlation between the spectral parameters of the HRV and total cholesterol (r = 0.24), LDL (r = 0.59), VLDL (r = 0.86), and insulin (r = 0.88) of sedentary people, evidencing a directly proportional correlation with BMI. We conclude that weight gain and a sedentary lifestyle are associated with an increase in sympathetic discharge, which, in turn, is associated with an increase in lipid profile and insulin levels.