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Effect of Combined Physical Exercise Training in Reducing Cardiovascular Risk Among Adults with Obesity: A Randomized
Anne Ribeiro Streb1, Jucemar Benedet2,3, Rinelly Pazinato Dutra4
1Postgraduate Program in Physical Education, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, 88040-900, Brasil. anne.streb@ufsc.br.
Journal of Prevention (2022)
|February 23, 2024
Summary
Sixteen weeks of non-periodized exercise training significantly reduced cardiovascular risk in men with obesity. Both training models helped stabilize cardiovascular disease risk in adults with obesity over 10 years.
Area of Science:
- Exercise physiology
- Cardiovascular health
- Obesity research
Background:
- Cardiovascular disease is a leading cause of death, particularly in adults with obesity.
- Understanding the impact of exercise periodization on cardiovascular risk is crucial for effective public health interventions.
- Obesity is associated with increased cardiovascular risk, necessitating targeted exercise strategies.
Purpose of the Study:
- To investigate the effects of two distinct exercise periodization models on cardiovascular risk in adults with obesity.
- To compare the efficacy of non-periodized versus linear periodized combined training in managing cardiovascular risk.
- To analyze sex-specific responses to different exercise periodization strategies in obese individuals.
Main Methods:
- A 16-week randomized clinical trial involving adults with obesity.
- Three groups: control, non-periodized training, and linear periodized training.
- Standardized exercise sessions (3x/week, 60 min) with equalized volume and intensity.
- Cardiovascular risk assessed using the Framingham Risk Score (FRS), with sex-stratified analysis.
Main Results:
- Significant reduction in FRS observed only in men participating in non-periodized training (p=0.001).
- No significant changes in cardiovascular risk for women across intervention groups.
- Control group showed increased cardiovascular risk, while exercise groups stabilized or reduced risk.
- Both periodization models helped stabilize 10-year cardiovascular event risk.
Conclusions:
- Sixteen weeks of non-periodized combined training effectively reduces cardiovascular risk in men with obesity.
- Exercise interventions, regardless of periodization model, are vital for stabilizing cardiovascular disease risk in obese adults.
- Further research is needed to optimize exercise periodization for women with obesity to mitigate cardiovascular risk.
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