Mediterranean diet, moderate-to-high intensity training, and health-related quality of life in adults with metabolic syndrome

Landaeta-Díaz, Leslie; Fernández, JM; Grigoletto, Marzo Edir Da Silva; Rosado-Álvarez, Daniel; Gomez-Garduño, Angela; Gómez-Delgado, Francisco; López‐Miranda, José; Pérez‐Jiménez, Francisco; Fuentes-Jiménez, Francisco

doi:10.1177/2047487312445000

Cited by 69 publications

(75 citation statements)

References 36 publications

(45 reference statements)

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“…Similarly, data from controlled randomized studies also confirm this association, revealing improvement in the MetS components, followed by better QOL scores after interventions to change lifestyle [28][29][30][31][32][33][34][35][36][37], in up to 24 months of follow-up [28]. Cohort studies assessing association between MetS and QOL corroborate these data, even though analyzing data in a different way.…”

Section: Introductionmentioning

confidence: 70%

Association between metabolic syndrome and quality of life

Saboya

Bodanese²,

Zimmermann³

et al. 2016

Sci Med

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Aims: Despite all progress made in understanding and treating metabolic syndrome, the study of its impact on quality of life is still controversial and not well understood. The aim of this study was to test the hypothesis that metabolic syndrome can be associated with a worse quality of life. Methods: A controlled cross-sectional study included individuals with metabolic syndrome, from the sub-analysis of a randomized clinical trial about lifestyle modification and cardiovascular risk factors, as well as individuals with no metabolic syndrome, attended as outpatients in several clinics at a general university hospital in Southern Brazil. Measurements were made in individual interviews and included data collection, laboratory tests, and application of general scales such as Mini-Mental State Examination and Medical Outcomes Study Short Form, General Health Survey (SF-36). Comparisons of quantitative data used the Student's t test, followed by analysis of covariance or multiple linear regression for adjustment, and correlation coefficient. For categorical data, the Chi-square or Fisher's exact test were used. Results: The study included 229 individuals, 118 metabolic syndrome and 111 no metabolic syndrome. In univariate analysis, metabolic syndrome was significantly associated with lower scores in the social functioning (p<0.001) and role emotional (p=0.019) quality of life domains, and with the Mental Component Summary score of the SF-36 (p=0.013). However, after adjustments for confounding factors, especially body mass index, the significance of these associations was lost. The only significant association between metabolic syndrome and quality of life that has remained after the adjustments was with worse QOL in the role emotional domain, but only in men (p=0.049). Conclusions: After adjusting for multiple variables, metabolic syndrome was significantly associated with decreased quality of life scores in men in the role emotional domain.Key woRds: metabolic syndrome X; risk factors; quality of life.RESuMO objetivos: Apesar dos avanços no entendimento e tratamento da síndrome metabólica, o estudo do seu impacto sobre a qualidade de vida é ainda controverso e inconclusivo. O objetivo deste estudo foi testar a hipótese de que a síndrome metabólica estaria associada à piora da qualidade de vida. Métodos: Um estudo transversal controlado incluiu indivíduos com síndrome metabólica, advindos da subanálise de um estudo controlado randomizado sobre modificação de estilo de vida e fatores de risco cardiovascular; e indivíduos sem síndrome metabólica, provenientes de diversos ambulatórios de um hospital geral no sul do Brasil. As medidas foram realizadas em entrevistas individuais, que incluíram coleta de dados demográficos, testes laboratoriais e aplicação do Exame do Estado Mental e o Medical Outcome Study Short Form, General Health Survey (SF-36). Para comparações entre dados quantitativos, foram utilizados teste t de Student, análise de covariância ou regressão linear múltipla para os ajustes dos fatores confu...

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Section: Introductionmentioning

confidence: 70%

Association between metabolic syndrome and quality of life

Saboya

Bodanese²,

Zimmermann³

et al. 2016

Sci Med

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“…6 Cardiorespiratory fitness is also associated with numerous cardiovascular risk factors reductions such as diabetes mellitus [DM], 7 hypertension, 8,9 and metabolic risk. 10,11 However, data on the association of objectively measured CRF and cardiovascular morbidity are limited, and only few studies have adequately controlled for confounding variables. 12 The aims of the current study were to (1) evaluate the association between CRF and the risk for developing acute coronary syndrome (ACS) in a large cohort of asymptomatic men and women and (2) investigate whether CRF has a direct or indirect effect through mediation by other cardiovascular risk factors on long-term risk for ACS in a large cohort of middle-aged adult males and females without known CHD.…”

mentioning

confidence: 99%

The association between cardiorespiratory fitness and cardiovascular risk may be modulated by known cardiovascular risk factors

Erez

Kivity

Berkovitch

et al. 2015

American Heart Journal

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“…Various modalities of physical training -aerobic, aerobic interval, strength -are used in MetS subjects [10,23,24]. Since previous studies usually implemented 8 or more week duration training programmes in these subjects [9][10][11]25], we assessed if short 4-week duration supervised aerobic physical training could have some initial impact on anthropometric, metabolic, hemodynamic and arterial wall parameters in MetS subjects. We have demonstrated that short-duration supervised aerobic physical training improves anthropometric parameters, metabolic profile, and arterial wall parameters, and could serve as the initial step for continuous improvement of physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…Changes of anthropometric, metabolic and arterial wall parameters occurring after supervised aerobic physical training could contribute to dynamic assessment of cardiovascular risk in MetS subjects and significantly enhance the motivation of these subjects for physically active lifestyle and physical training. Most of the previously conducted physical training interventional studies in MetS patients lasted 8 weeks and more [9][10][11]. Furthermore, none of them have compared the effects that occur as early as after 4 weeks of the supervised aerobic exercise training.…”

Section: Introductionmentioning

confidence: 99%

Positive impact of a 4-week duration supervised aerobic training on anthropometric, metabolic, hemodynamic and arterial wall parameters in metabolic syndrome subjects

Slivovskaja

Buzinskaitė

Ryliškytė

et al. 2017

Seminars in Cardiovascular Medicine

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SummaryObjectives: Metabolic syndrome (MetS) is linked to the development of type 2 diabetes and increased risk of cardiovascular disease (CVD). Physical inactivity is one of the main pathophysiological factors of MetS subjects. The aim of this study was to evaluate if 4-week supervised aerobic training had any impact on anthropometric, metabolic, hemodynamic and arterial wall parameters in MetS subjects.Design and methods: 57 MetS subjects were randomly selected from a Lithuanian High Cardiovascular Risk (LitHiR) national primary prevention programme. Hemodynamic, cardiometabolic risk and arterial wall parameters were evaluated after the 4-week supervised aerobic training.Results: After 4 weeks of aerobic training there was statistically significant decrease in body mass index from 30.58 ± 3.7 to 30.3 ± 3.55 kg/m 2 (p = 0.010), waist circumference from 104.24 ± 9.46 to 102.9 ± 9.48 cm (p = 0.003), decrease of LDL cholesterol from 4.21 ± 1.15 to 3.78 ± 1 mmol/l (p = 0.032) and high sensitivity C-reactive protein from 2.01 ± 2.36 to 1.64 ± 1.92 mg/l (p = 0.009), decrease of diastolic blood pressure (BP) from 83.06 ± 10.18 to 80.38 ± 8.98 mmHg (p = 0.015), mean BP from 100.03 ± 10.70 to 97.31 ± 8.88 mmHg (p = 0.027) and aortic stiffness, assessed as carotid-femoral pulse wave velocity, from 8.34 ± 1.26 to 7.91 ± 1.15 m/s (p = 0.034).Conclusions: In subjects with MetS even short-duration (4-week) supervised aerobic exercise training is associated with improvement of some anthropometric, metabolic and hemodynamic parameters as well as the decrease in aortic stiffness. This training modality could be recommended for initiation of physical training and could increase motivation for further physical activity.

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Mediterranean diet, moderate-to-high intensity training, and health-related quality of life in adults with metabolic syndrome

Abstract: A model of hypocaloric Mediterranean diet combined with periodized moderate-to-high intensity training may lead to greater improvement in HRQoL through a greater effect on physical and functional fitness, bodyweight, and risk factors than diet alone.

Cited by 69 publications

References 36 publications

Association between metabolic syndrome and quality of life

Association between metabolic syndrome and quality of life

The association between cardiorespiratory fitness and cardiovascular risk may be modulated by known cardiovascular risk factors

Positive impact of a 4-week duration supervised aerobic training on anthropometric, metabolic, hemodynamic and arterial wall parameters in metabolic syndrome subjects

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