The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review

Megan S Joseph,1,* Monica A Tincopa,2,* Patrick Walden,1 Elizabeth Jackson,1 Marisa L Conte,3 Melvyn Rubenfire1 1Division of Cardiovascular Medicine; 2Division of Gastroenterology and Hepatology; 3Taubman Health Science Library, University of Michigan Health System, Ann Arbor, MI, USA*These authors...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Joseph MS, Tincopa MA, Walden P, Jackson E, Conte ML, Rubenfire M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	metabolic syndrome exercise programs obesity Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/a2cf9fda08b44ec79bea311b592994a3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a2cf9fda08b44ec79bea311b592994a3
record_format	dspace
spelling	oai:doaj.org-article:a2cf9fda08b44ec79bea311b592994a32021-12-02T09:52:40ZThe Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review1178-7007https://doaj.org/article/a2cf9fda08b44ec79bea311b592994a32019-11-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-structured-exercise-programs-on-metabolic-syndrome-and-i-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Megan S Joseph,1,* Monica A Tincopa,2,* Patrick Walden,1 Elizabeth Jackson,1 Marisa L Conte,3 Melvyn Rubenfire1 1Division of Cardiovascular Medicine; 2Division of Gastroenterology and Hepatology; 3Taubman Health Science Library, University of Michigan Health System, Ann Arbor, MI, USA*These authors contributed equally to this workCorrespondence: Melvyn RubenfireMichigan Medicine Cardiovascular Medicine, Domino’s Farms, Lobby A, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105, USATel +1 888 287-4480Fax +1 734 998-9587Email mrubenfi@med.umich.eduBackground: The metabolic syndrome (MetS) is highly prevalent and associated with higher risk of diabetes and cardiovascular events. Exercise programs have been shown to improve components of MetS, but the optimal design of a structured exercise program for treatment of the MetS remains unclear.Purpose: To assess the impact of different exercise programs on the MetS and its components.Methods: MEDLINE via PubMed and Embase was searched. Randomized controlled trials of supervised exercise alone and in combination with nutrition programs compared with usual care in adults with the MetS were selected. Two authors independently reviewed articles to select eligible studies and performed data abstraction. Eight studies representing 1218 patients were included. The participants had a median age of 51, median BMI of 29 kg/m2, and were 55% male. Mean weight loss increased with program duration. For combination programs, the mean weight loss was −2.6 kg, −3.7 kg, and −6.5 kg for 3, 6, and 12 months, respectively. The components of the MetS most frequently statistically significantly improved were waist circumference (6/6 studies), blood pressure (4/6 studies), and high-density lipoprotein cholesterol (3/6 studies).Limitations: Studies did not include long-term follow-up post program completion to evaluate persistence of benefit. It is unknown whether the same results would be found in an older, more obese population.Conclusion: Supervised exercise programs yield significant resolution of components of the MetS, particularly in reducing waist circumference. Longer program duration and frequent interval sessions appear to have highest benefit and thus may help reduce cardiovascular risk and diabetes associated with the MetS.Keywords: metabolic syndrome, exercise programs, obesityJoseph MSTincopa MAWalden PJackson EConte MLRubenfire MDove Medical Pressarticlemetabolic syndromeexercise programsobesitySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 2395-2404 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	metabolic syndrome exercise programs obesity Specialties of internal medicine RC581-951
spellingShingle	metabolic syndrome exercise programs obesity Specialties of internal medicine RC581-951 Joseph MS Tincopa MA Walden P Jackson E Conte ML Rubenfire M The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review
description	Megan S Joseph,1,* Monica A Tincopa,2,* Patrick Walden,1 Elizabeth Jackson,1 Marisa L Conte,3 Melvyn Rubenfire1 1Division of Cardiovascular Medicine; 2Division of Gastroenterology and Hepatology; 3Taubman Health Science Library, University of Michigan Health System, Ann Arbor, MI, USA*These authors contributed equally to this workCorrespondence: Melvyn RubenfireMichigan Medicine Cardiovascular Medicine, Domino’s Farms, Lobby A, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105, USATel +1 888 287-4480Fax +1 734 998-9587Email mrubenfi@med.umich.eduBackground: The metabolic syndrome (MetS) is highly prevalent and associated with higher risk of diabetes and cardiovascular events. Exercise programs have been shown to improve components of MetS, but the optimal design of a structured exercise program for treatment of the MetS remains unclear.Purpose: To assess the impact of different exercise programs on the MetS and its components.Methods: MEDLINE via PubMed and Embase was searched. Randomized controlled trials of supervised exercise alone and in combination with nutrition programs compared with usual care in adults with the MetS were selected. Two authors independently reviewed articles to select eligible studies and performed data abstraction. Eight studies representing 1218 patients were included. The participants had a median age of 51, median BMI of 29 kg/m2, and were 55% male. Mean weight loss increased with program duration. For combination programs, the mean weight loss was −2.6 kg, −3.7 kg, and −6.5 kg for 3, 6, and 12 months, respectively. The components of the MetS most frequently statistically significantly improved were waist circumference (6/6 studies), blood pressure (4/6 studies), and high-density lipoprotein cholesterol (3/6 studies).Limitations: Studies did not include long-term follow-up post program completion to evaluate persistence of benefit. It is unknown whether the same results would be found in an older, more obese population.Conclusion: Supervised exercise programs yield significant resolution of components of the MetS, particularly in reducing waist circumference. Longer program duration and frequent interval sessions appear to have highest benefit and thus may help reduce cardiovascular risk and diabetes associated with the MetS.Keywords: metabolic syndrome, exercise programs, obesity
format	article
author	Joseph MS Tincopa MA Walden P Jackson E Conte ML Rubenfire M
author_facet	Joseph MS Tincopa MA Walden P Jackson E Conte ML Rubenfire M
author_sort	Joseph MS
title	The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review
title_short	The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review
title_full	The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review
title_fullStr	The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review
title_full_unstemmed	The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review
title_sort	impact of structured exercise programs on metabolic syndrome and its components: a systematic review
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a2cf9fda08b44ec79bea311b592994a3
work_keys_str_mv	AT josephms theimpactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT tincopama theimpactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT waldenp theimpactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT jacksone theimpactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT conteml theimpactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT rubenfirem theimpactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT josephms impactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT tincopama impactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT waldenp impactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT jacksone impactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT conteml impactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview AT rubenfirem impactofstructuredexerciseprogramsonmetabolicsyndromeanditscomponentsasystematicreview
_version_	1718397960561098752

The Impact Of Structured Exercise Programs On Metabolic Syndrome And Its Components: A Systematic Review

Ejemplares similares