The aim – to compare the effectiveness of group versus individual patients’ training of the medical basics to control the essential cardiovascular risk factors. Materials and methods. The study included 210 patients with high and very high cardiovascular risk. The first group comprised 75 patients who studied in Health Schools «Basics of Healthy Life Style». The second group comprised 75 patients who were offered individual consulting. 60 patients were representatives of the control group. Patients of both experimental groups were examined before the beginning and at the end of the training course. General clinical examination was carried out, anthropometric indicators were identified (body weight, height, body mass index, waist circumference, hip circumference, body build), blood pressure, glucose content, cholesterol and its fractions in blood. Results and discussion. In both groups of patients reliable reduction of blood pressure values was observed. For example, at the beginning of the study the number of patients with blood pressure target values was 31 persons (41.8 %) among the patients of the first group and 46 persons (60.9 %) among the patients of the second group. In the first group the average indicators of lipid metabolism did not show reliable change. However, in the second group the reliable reduction of total cholesterol by 21.1 % (р=0.031), low density lipoprotein cholesterol by 20.1 % (р=0.04) and the rise of the high-density lipoprotein cholesterol by 11 % (р=0.03) were found. Such behavioral risk factors as smoking, alcohol and table salt consumption did not reliably change in both groups of patients. Physical activities, assessed by the number of steps per day, did not reliably change in the first group 2311.6±1672.4 m steps per day and 2033.33±1980.27 steps per day (р=0.205), but it rose in the second group – from (2346.67±1845.54) m steps at the beginning of the study to 2654.67±1922.08 m at the end of the study (р=0.007). In the first group the life quality indicators, assessed by the data from questionnaires using SF-36 Health Status Survey, did not reliably change (58.66±16.21 and 62.54±16.39, р=0.062), in the second group it rose significantly – from 58.16±9.88 to 67.21±14.34 (р=0.008). Conclusions. The results of our research demonstrated higher effectiveness of the individual education compared to the group training. Group training of the patients with high and very high cardiovascular risk in the Health Schools «Basics of Healthy Life Style» encourages better control of blood pressure, but it does not significantly influence behavioral risk factors and lipid metabolism indicators in the patients with high and very high cardiovascular risk. Individual training of the patients with high and very high cardiovascular risk leads to significant reduction of blood pressure values, improves lipid metabolism indicators, increases physical activity and enhances life quality indicators.
Funding Acknowledgements Type of funding sources: None. Background Yoga and resistance exercise are gaining popularity and can improve the health status in the adult population. There is a lack of evidence that compares these two types of physical activity and their influence on lipid profile and cardiovascular risk on people without preexisting cardiovascular disease. Aim To estimate and compare effects of yoga and resistance training on blood lipids and anthropometric parameters in people without preexisting cardiovascular disease. Methods 123 adults without preexisting cardiovascular disease were enrolled in the study. Participants had practiced in yoga (63 people) or resistance exercise (60 people) at least 2 times a week during the last 12 months. The control consisted of 35 people who did not engage in any regular physical exercise. Weight, height, waist, hip circumference and body mass index (BMI), blood pressure, total cholesterol, triglycerides and high-density lipoproteins cholesterol, blood glucose were measured. To assess physical activity and sedentary time, the International Questionnaire on long Physical Activity (IPAQ) was used. Daily calorie food intake were measured by Test of rational nutrition TRN-D03. Result The average age of all participants was 35,06 ± 8,45 years old. BMI was significantly affected in "yoga training" (1-st group) and "resistance training" (2-nd group) groups (22,9 ± 2,6 and 24,2 ± 3,7; p = 0,19), but was significantly lower than in control group (3-rd group) 25,8 ± 2,1. Total Cholesterol, triglycerides, non-HDL cholesterol and blood glucose were not with significant difference between "yoga training" and "resistance training" groups. High-density lipoprotein (HDL) level was in "yoga training" group - 1,65 ± 0,37; in "resistance training" - 1,43 ± 0,21, and in control group - 1,34 ± 0,22 mmol/l (p1-2 = 0,001; p1-3 = 0,0001; p2-3 = 0,037). Low-density lipoprotein (LDL) was in yoga training group - 2,69 ± 0,98; in resistance training group - 2,72 ± 0,77, and in control group - 2,93 ± 0,89 mmol/l (p1-2 = 0,35; p1-3 = 0,053; p2-3 = 0,20). The systolic and diastolic blood pressure were in "yoga training" group - 117,0 ± 9,79; in "resistance training" - 118,5 ± 8,93; 3-rd - 120,2 ± 10,1 mm Hg (p > 0.05). Although, there were no significant differences in LDL-cholesterol levels between the yoga and resistance training groups, we found an association between weekly vigorous physical activity level and LDL cholesterol in the male group. LDL-cholesterol level in group 1 (vigorous physical activity 0-960 MET-min/week) was 3,4 ± 0,88 mmol/l; group 2 (vigorous physical activity 960 - 1440 MET-min/week) was 2,6 ± 0,74 mmol/l and in group 3 (vigorous physical activity > 1440 MET-min/week) - 2,1 ± 0,71 mmol/l (ANOVA-test F = 16,3; p = 0,03). Conclusion Yoga and resistance training have positive effects on HDL, LDL level and BMI, without effects on blood pressure in people without preexisting cardiovascular disease. The level of LDL was influenced not by the type of training, but by intensity of weekly physical activity.
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