EXERCISE-BASED REHABILITATION FOR METABOLIC SYNDROME - CASE REPORT
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.
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