RESUMO
Antecedentes y objetivo: La enfermedad aterosclerótica ha aumentado en Europa debido, en parte, al estilo de vida sedentario de la población. El ejercicio físico es efectivo en prevención cardiovascular. La marcha nórdica (MN) moviliza numerosos grupos musculares y es muy popular en el norte de Europa. No se tienen datos en el entorno sanitario del área mediterránea. Proponemos un programa de MN para promover la actividad física y el control de factores de riesgo cardiovascular (FRCV), mejorar la calidad de vida y el cumplimiento terapéutico en pacientes con cardiopatía isquémica crónica o síndrome metabólico. Métodos: Se seleccionaron pacientes con FRCV no controlados. Realizaron 2 sesiones semanales durante un año. Los datos basales de la historia clínica, cuestionarios de calidad de vida y cumplimiento terapéutico se compararon con los obtenidos tras el programa. Resultados: Los FRCV no controlados se redujeron de 4,78 a 3, con una tendencia a la mejoría de la calidad de vida y el cumplimiento terapéutico. Conclusiones: Un programa de MN es factible en el sistema sanitario público y puede ser útil para mejorar el control de los FRCV (AU)
Background and objective: The incidence of atherosclerotic diseases has increased in Europe due in part to the populations sedentary lifestyle. Physical activity is useful for cardiovascular prevention. Nordic walking (NW) mobilizes a great number of muscular groups and is very popular in northern Europe. There is no data available on its impact in the healthcare system of the Mediterranean area. We propose the implementation of a NW program to promote physical activity and control cardiovascular risk factors (CVRF), as well as to improve quality of life and the adherence to medical treatment in patients with a chronic ischemic heart disease or metabolic syndrome. Methods: We selected patients with uncontrolled CVRFs. These patients performed 2 weekly sessions of NW over the course of one year. Baseline data extracted from the patients medical history, quality of life questionnaires and on adherence to treatment was compared with the results obtained at the end of the program. Results: A reduction in the rate of CVRFs from 4.78 to 3 was observed, with an evident trend towards the improvement of the patients quality of life and a better adherence to the treatment. Conclusions: The implementation of a NW program is feasible in the public healthcare system and can aid in the management of CVRFs (AU)
Assuntos
Humanos , Terapia por Exercício/métodos , Doenças Cardiovasculares/prevenção & controle , Caminhada/fisiologia , Síndrome Metabólica/epidemiologia , Isquemia Miocárdica/epidemiologia , Fatores de RiscoRESUMO
BACKGROUND AND OBJECTIVE: The incidence of atherosclerotic diseases has increased in Europe due in part to the population's sedentary lifestyle. Physical activity is useful for cardiovascular prevention. Nordic walking (NW) mobilizes a great number of muscular groups and is very popular in northern Europe. There is no data available on its impact in the healthcare system of the Mediterranean area. We propose the implementation of a NW program to promote physical activity and control cardiovascular risk factors (CVRF), as well as to improve quality of life and the adherence to medical treatment in patients with a chronic ischemic heart disease or metabolic syndrome. METHODS: We selected patients with uncontrolled CVRFs. These patients performed 2 weekly sessions of NW over the course of one year. Baseline data extracted from the patients' medical history, quality of life questionnaires and on adherence to treatment was compared with the results obtained at the end of the program. RESULTS: A reduction in the rate of CVRFs from 4.78 to 3 was observed, with an evident trend towards the improvement of the patients' quality of life and a better adherence to the treatment. CONCLUSIONS: The implementation of a NW program is feasible in the public healthcare system and can aid in the management of CVRFs.
