Format

Send to

Choose Destination
Rev Port Cardiol. 2015 Nov;34(11):655-64. doi: 10.1016/j.repc.2015.05.004. Epub 2015 Oct 20.

Effects of the Mediterranean diet and exercise in subjects with coronary artery disease.

[Article in English, Portuguese]

Author information

1
Escola Superior de Tecnologia da Saúde do Porto - Instituto Politécnico do Porto, Área Técnico-Científica de Fisioterapia, Porto, Portugal; Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, Aveiro, Portugal. Electronic address: arn@estsp.ipp.pt.
2
Escola Superior de Tecnologia da Saúde do Porto - Instituto Politécnico do Porto, Área Técnico-Científica de Fisioterapia, Porto, Portugal.
3
Escola Superior de Tecnologia da Saúde do Porto - Instituto Politécnico do Porto, Área Técnico-Científica de Fisioterapia, Porto, Portugal; Hôpital du Jura bernois SA, Saint-Imier, Suíça.
4
Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal.
5
Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, Aveiro, Portugal.

Abstract

INTRODUCTION:

The association of the Mediterranean diet and exercise appears to have a protective role, reducing cardiovascular risk. This study investigated the effects of education sessions on the Mediterranean diet and an exercise program in modifying eating behaviors, body composition and abdominal fat.

METHODS:

An experimental study was performed on 20 subjects with known coronary heart disease randomly assigned to experimental (n=10) and control (n=10) groups. Both groups received education sessions on the Mediterranean diet, but the experimental group also followed an eight-week program of specific exercises. A semiquantitative food frequency questionnaire was administered to analyze food intake, bioimpedance was used to measure weight, fat mass and lean mass, and waist circumference was measured to calculate waist-to-height ratio.

RESULTS:

After eight weeks, protein (p<0.05) and cholesterol (p<0.05) intake in the experimental group had decreased significantly compared with the control group. Between the beginning and end of the study, there were significant decreases in the control group in carbohydrate (p<0.05) and saturated fat intake (p<0.05). In both groups the percentage of total fat (p<0.05) and fat mass (p<0.05) was significantly decreased. In the experimental group the waist-to-height ratio was significantly reduced (p<0.05).

CONCLUSION:

The Mediterranean diet reduced carbohydrate and saturated fat intake, reflected in reduced fat mass. The association of the exercise program showed additional benefits in reduction of protein and cholesterol intake and abdominal fat.

KEYWORDS:

Cardiac rehabilitation; Cardiovascular disease; Dieta mediterrânica; Doenças cardiovasculares; Exercise program; Mediterranean diet; Programa de exercícios; Reabilitação cardiovascular

PMID:
26493478
DOI:
10.1016/j.repc.2015.05.004
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Ediciones Doyma, S.L.
Loading ...
Support Center