EXERCISE-BASED REHABILITATION FOR METABOLIC SYNDROME - CASE REPORT

  • Ioana Madalina ZOTA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • C. STATESCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • R. SASCAU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Gina CIORNOVALIC Clinical Rehabilitation Hospital, Iasi
  • M. ROCA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Maria Magdalena LEON CONSTANTIN “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • F. MITU “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

Physical activity is a key part of cardiac rehabilitation, especially in patients with metabolic syndrome. Recent reports suggest that high-intensity interval training is more effective than continuous moderate intensity training, classically employed in cardiac rehabilitation programs. However, the implementation of a standard training protocol aimed at achieving a target heart rate during exercise can be limited by exaggerated pressor response, especially in deconditioned subjects. We report the case of a 47-year-old male with metabolic syndrome who was enrolled in a one-year exercise based-cardiac rehabilitation program. We implemented a two-phase protocol, starting with 5 continuous training sessions at 25 W, during which we gradually increased exercise duration up to 30 minutes. The second phase of the program consisted of biweekly interval training sessions of 25-50, 50-75 and finally 75-100 W. The switch to higher workloads was made only after the patient presented appropriate pressor response adaptation to current training intensity. Our program positively influenced our subject`s cardiovascular risk factors and allowed discontinuation of antihypertensive drug therapy.

Author Biographies

Ioana Madalina ZOTA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
“Prof. Dr. George I. M. Georgescu” Institute for Cardiovascular Diseases Iasi

C. STATESCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
“Prof. Dr. George I. M. Georgescu” Institute for Cardiovascular Diseases Iasi

R. SASCAU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
“Prof. Dr. George I. M. Georgescu” Institute for Cardiovascular Diseases Iasi

M. ROCA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
Clinical Rehabilitation Hospital, Iasi

Maria Magdalena LEON CONSTANTIN, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
Clinical Rehabilitation Hospital, Iasi

F. MITU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (I)
Clinical Rehabilitation Hospital, Iasi

References

1. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 2016; 37(29): 2315-2381.
2. Grecu M, Floria M, Georgescu CA. Abnormal atrioventricular node conduction and atrioventricular nodal reentrant tachycardia in patients older versus younger than 65 years of age. Pacing Clin Electrophysiol 2009; 32 (Suppl 1): S98-100.
3. Macovei LG, Presura RM, Anghel L, Stanciu B, Lovin N, Haret R, et al. Coronary stent entrapment. Postep Kardiol Inter 2014; 10(3): 216-218.
4. Gănceanu-Rusu R, Mititelu-Tarțău L, et al. Evolution of biological parameters in the metabolic syndrome. MSJ-RMC 2017; 121(3): 638-644.
5. Sadeghi M, Salehi-Abargouei A, Kasaei Z, Sajjadieh-Khajooie H, Heidari R, Roohafza H. Effect of cardiac rehabilitation on metabolic syndrome and its components: A systematic review and meta-analysis. J Res Med Sci 2016; 21: 18-22.
6. Strasser B. Physical activity in obesity and metabolic syndrome. Ann N Y Acad Sci 2013; 1281: 141-159.
7. Mitu F, Roca M, Roca IC. Rolul efortului fizic in reabilitarea cardiovasculara. Iasi: Editura PIM, 2016.
8. Ito S, Mizoguchi T, Saeki T. Review of High-intensity Interval Training in Cardiac Rehabilitation. Intern Med 2016; 55(17): 2329-2336.
9. Ramos JS, Dalleck LC, Borrani F, Beetham KS, Wallen MP, Mallard AR, et al. Low-Volume High-Intensity Interval Training Is Sufficient to Ameliorate the Severity of Metabolic Syndrome. Metab Syndr Relat Disord 2017; 15(7): 319-328.
Published
2018-04-04
Section
INTERNAL MEDICINE - PEDIATRICS