A 15-Month Intervention with Physical Exercise, Improves Health Markers in Obese Women?

Abstract

Introduction: The increasing prevalence of obesity and cardiovascular diseases (CD) attenuates the health of the population, increasing the expenditure of public health systems. The practice of physical exercise can help in the prevention and/or treatment of these diseases, being used by government programs such as the Family Health Support Center (FHSC). Objective: To verify the chronic effects of FHSC physical exercise on obesity and CD markers in obese persons. Methods: A retrospective cross-sectional study was conducted, composed of the analysis of obesity and CD markers of 100 women after 15 months of circuit training. The Friedman test was used for multiple comparisons of body mass index (BMI) and abdominal circumference (ABDC) between months 1, 5, 10 and 15.Results: Significant differences in BMI were found between 1 months, 5.10 and 15 (33.4±5.5, 31.6±5.5, 29.3±5.2 and 27.7±5.0, respectively. p <0.001) and ABDC (101.0±1.4, 97.0±1.2, 92.0±1.0, and 87.0±1.0, respectively. p <0.001). The results corroborate the effectiveness of the FHSC program when compared to other types of intervention and duration, however, despite the positive results on obesity and CD markers, the protocol lacks a review in order to increase its effectiveness. Conclusion: Fifteen weeks of physical exercise through the FHSC improved obesity and CD markers for obese individuals. Program expansion or similar ones may help in the treatment or prevention of these diseases.

Keywords: Health markers, Public health, Physical exercice, Obesity, Cardiovascular disease

References

ACSM guidelines (2017). ACSM’S Guidelines for Exercise Testing and Prescription. Lippincott Williams & Wilkins. https://doi.org/10.1007/s13398-014-0173-7.2

Caspersen, C.J., Powell, K.E., e Christenson, G.M. (1985). Physical Activity, Exercise and Physical Fitness Definitions for Health-Related Research. Public Health Reports.

Dias, I., Montenegro, R., e Monteiro, W. (2014). Exercícios físicos como estratégia de prevenção e tratamento da obesidade: aspectos fisiológicos e metodológicos. Revista Hospital Universitário Pedro Ernesto, 13(1), 70-79. https://doi.org/10.12957/rhupe.2014.9808

FAO (2014). La Declaración de Roma sobre la Nutrición. Segunda Conferencia Internacional sobre Nutrición (CIN2). Organización de la Naciones Unidas para la Alimentación y la Agricultura. http://www.fao.org/resources/infographics/infographics-details/es/c/266120/

Farrell, S.W., Finley, C.E., e Grundy, S.M. (2012). Cardiorespiratory fitness, LDL cholesterol, and CHD mortality in men. Medicine and Science in Sports and Exercise, 44(11), 2132-2137. https://doi.org/10.1249/MSS.0b013e31826524be

Ferrari, T.K., Ferrari, G.L.M., Silva Júnior, J.P. da, Silva, L.J. da, Oliveira, L.C., e Matsudo, V.K.R. (2012). Modifications of adiposity in school-age children according to nutritional status: a 20-year analysis. Jornal de Pediatria, 88(3), 239-245. https://doi.org/doi:10.2223/JPED.2191

Frade, R. (2014). Análise da influência de um programa nutricional e de condicionamento físico em variáveis antropométricas de uma academia de São Paulo. Revista Brasileira de Nutriçao Esportiva, 8(45). http://www.rbne.com.br/index.php/rbne/article/view/449

Gomes, GAO, Kokubun, E., Mieke, GI, Ramos, LR, Pratt, M., Parra, DC, Simões, E., Florindo, AA, Bracco, M., Cruz, D., Malta, D., Lobelo, F., e Hallal, PC (2014). Characteristics of physical activity programs in the Brazilian primary health care system. Cadernos de Saúde Pública, 30(10), 2155-2168. https://doi.org/10.1590/0102-311X00085713

Ho, M., Garnett, S., Baur, L., Burrow, T., Stewart, L., Neve, M., e Collins, C. (2012). Effectiveness of lifestyle interventions in child obesity: A systematic review with meta-analysis. Obesity Research & Clinical Practice, 130(6), e1647-e1671. https://doi.org/10.1016/j.orcp.2012.08.111

Irving, BA, Davis, CK, Brock, DW, Weltman, Y., Swift, D., Ed, M., Barrett, EJ, Glenn, A., e Weltman, A. (2009). Effects of Exercise Training Intensity on Abdominal Visercal Fat & Body Composition. Medicine and Science in Sports and Exercise, 40(11), 1863-1872. https://doi.org/10.1249/MSS.0b013e3181801d40.Effect

Lean, M.E. J., Han, T.S., e Morrison, C.E. (1995). Waist circumference as a measure for indicating need for weight management. BMJ, 311, https://doi.org/10.1136/bmj.311.6998.158

Leonard, E.A., e Marshall, R.J. (2018). Cardiovascular Disease in Women. Primary Care: Clinics in Office Practice, 45(1), 131-141. https://doi.org/10.1016/j.pop.2017.10.004

Lichtenstein, A.H., e Matthan, N.R. (2007). Cardiovascular disease. In: L.U. Thompson, e W.E. Ward, Optimizing Women’s Health through Nutrition (Ch. 9). https://doi.org/10.7748/ns2012.05.26.39.59.c9135

Organización Mundial de la Salud (2015). Obesidad y sobrepeso. OMS.

Pazzianotto-Forti, E. M., Moreno, M.A., Plater, E., Baruki, S.B.S., Junior, I.R., e Reid, W.D. (2020). Impact of Physical Training Programs on Physical Fitness in People With Class II and III Obesity: A Systematic Review and Meta-Analysis. Physical Therapy., 100(6), 963-978. https://doi.org/10.1093/ptj/pzaa045

Pedersen, B.K., e Saltin, B. (2015). Exercise as medicine - Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine and Science in Sports, 25, 1-72. https://doi.org/10.1111/sms.12581

Pimenta, M., Bringhenti, I., Souza-Mello, V., Dos Santos Mendes, I.K., Aguila, M.B., e Mandarim-de-Lacerda, C.A. (2015). High-intensity interval training beneficial effects on body mass, blood pressure, and oxidative stress in diet-induced obesity in ovariectomized mice. Life Sciences, 139, 75-82. https://doi.org/10.1016/j.lfs.2015.08.004

Pinheiro, A.R.D.O., De Freitas, S.F.T., e Corso, A.C.T. (2004). Uma abordagem epidemiológica da obesidade. Revista de Nutrição, 17(4). https://doi.org/10.1590/s1415-52732004000400012

Racil, G., Ben Ounis, O., Hammouda, O., Kallel, A., Zouhal, H., Chamari, K., e Amri, M. (2013). Effects of high vs. moderate exercise intensity during interval training on lipids and adiponectin levels in obese young females. European Journal of Applied Physiology, 113(10), 2531-2540. https://doi.org/10.1007/s00421-013-2689-5

Ramos Nascimento, B., Campos, L., Brant, C., Moraes De Oliveira, GM, Vinícius, M., Malachias, B., Moreira, G., Reis, A., Teixeira, RA, Malta, DC, França, E., De Fátima, M., Souza, M., Roth, GA, Luiz, A., e Ribeiro, P. (2018). Epidemiologia das Doenças Cardiovasculares em Países de Língua Portuguesa: Dados do “Global Burden of Disease”, 1990 a 2016. Arq Bras Cardiol, 110(6), 500-511. https://doi.org/10.5935/abc.20180098

Rosa, R.T., Barros, P.V.G., Rios, L.M. dos S., Sá, S.B.F. de L., e Junior, A.M. (2017). Redução de sobrepeso e obesidade na academia da saúde: estudo piloto. Revista E-Ciência, 5(2). https://doi.org/10.19095/rec.v5i2.265

Shah, S.M., Aziz, F., Al Maskari, F., Al Kaabi, J., Khan, U.I., e Jaacks, L.M. (2020). Metabolic Syndrome among children aged 6-11 years, Al Ain, United Arab Emirates: Role of Obesity. Pediatric Diabetes, 21(5), 735-742. https://doi.org/10.1111/pedi.13027

Shahali, A., Tasdighi, E., Barzin, M., Mahdavi, M., Valizadeh, M., Niroomand, M., Azizi, F., e Hosseinpanah, F. (2020). Abdominal obesity phenotypes and risk of kidney function decline: Tehran Lipid and Glucose Study. Obesity Research & Clinical Practice., 14(2), 168-175. https://doi.org/10.1016/j.orcp.2020.03.006

Shiroma, E.J., e Lee, I.M. (2010). Physical activity and cardiovascular health: Lessons learned from epidemiological studies across age, Gender, and race/ethnicity. Circulation, 122(7), 743-752. https://doi.org/10.1161/CIRCULATIONAHA.109.914721

Silva, S.B. da, Souto, R.Q., Alves, F.A.P., Morais, T.G., Araújo, G.K.N. de, e Honorato, M.B. (2018). Características de mulheres obesas assistidas pelo Núcleo de Apoio à Saúde da Família. Revista Enfermagem UERJ, 26. https://doi.org/10.12957/reuerj.2018.22565

Swift, D.L., McGee, J.E., Earnest, C.P., Carlisle, E., Nygard, M., e Johannsen, N.M. (2018). The Effects of Exercise and Physical Activity on Weight Loss and Maintenance. Progress in Cardiovascular Diseases, 61(2), 206-213. https://doi.org/10.1016/j.pcad.2018.07.014

Trapp, E.G., Chisholm, D.J., Freund, J., e Boutcher, S.H. (2008). The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women. International Journal of Obesity, 32(4), 684-691. https://doi.org/10.1038/sj.ijo.0803781

Westcott, W.L. (2012). Resistance Training is Medicine: Effects of Strength Training on Health. Curr Sports Med Rep, 11(4), 209-216. https://doi.org/10.1249/jsr.0b013e31825dabb8

Wewege, M., van den Berg, R., Ward, R.E., e Keech, A. (2017). The effects of high-intensity interval training vs. moderate-intensity continuous training on body composition in overweight and obese adults: a systematic review and meta-analysis. Obesity Reviews, 18(6), 635-646. https://doi.org/10.1111/obr.12532

Yu, E., Ley, S.H., Manson, J.A.E., Willett, W., Satija, A., Hu, F.B., e Stokes, A. (2017). Weight history and all-cause and cause-specific mortality in three prospective cohort studies. Annals of Internal Medicine, 166(9), 613-620. https://doi.org/10.7326/M16-1390

Published
2021-08-12
How to Cite
Alves, R. R., & Silva, M. H. (2021). A 15-Month Intervention with Physical Exercise, Improves Health Markers in Obese Women?. Lecturas: Educación Física Y Deportes, 26(279), 111-125. https://doi.org/10.46642/efd.v26i279.2194
Section
Research Articles