Individualios aerobinės fizinės treniruotės veiksmingumas asmenims, kuriems nustatytas metabolinis sindromas

Doctoral dissertation „The Effectiveness of Individual Aerobic Training in Subjects with Metabolic Syndrome” prepared by Ieva Slivovskaja is designated to actual problem of our days medicine – promotion of physical activity and physical training in subjects with metabolic syndrome. Complex assessment of subjects with metabolic syndrome in heart rate targeted aerobic physical training interventional group and in the control group where only the recommendations for physical activity were provided was carried out at baseline, after two and eight months. Two groups – interventional and control, were compared on the basis of changes in anthropometric, blood pressure, laboratory parameters, the components of the metabolic syndrome as well as by assessing the dynamics of arterial wall parameters (pulse wave velocity, mean aortic blood pressure) and the changes in psycho-emotional condition, cardiorespiratory physical fitness, quality of life, motivation for physical training. It was shown definite prevalence of the heart rate targeted aerobic physical training over only provided recommendations for physical activity in the subjects with metabolic syndrome

The effectiveness of individual aerobic training in subjects with metabolic syndrome

Doctoral dissertation „The Effectiveness of Individual Aerobic Training in Subjects with Metabolic Syndrome” prepared by Ieva Slivovskaja is designated to actual problem of our days medicine – promotion of physical activity and physical training in subjects with metabolic syndrome. Complex assessment of subjects with metabolic syndrome in heart rate targeted aerobic physical training interventional group and in the control group where only the recommendations for physical activity were provided was carried out at baseline, after two and eight months. Two groups – interventional and control, were compared on the basis of changes in anthropometric, blood pressure, laboratory parameters, the components of the metabolic syndrome as well as by assessing the dynamics of arterial wall parameters (pulse wave velocity, mean aortic blood pressure) and the changes in psycho-emotional condition, cardiorespiratory physical fitness, quality of life, motivation for physical training. It was shown definite prevalence of the heart rate targeted aerobic physical training over only provided recommendations for physical activity in the subjects with metabolic syndrome

Sveikatos mokymo poveikis apatinės nugaros dalies skausmui valdyti, taikant sveikatos įsitikinimų modelį ir apsisprendimų teoriją

The number of people suffering from lower back pain is increasing all over the world. This is a serious health problem that may cause disability, absence and increased yearly healthcare costs. The effectiveness of lower back pain treatment is the object of numerous scientific studies. Scientific evidence shows that people’s outlook and motivation to participate in the illness management process can have a significant effect on the management and prognosis of such pain. In the process of preserving and strengthening health, an important role goes to educating the patients, where it is important to not only provide knowledge about the illness but also to encourage the patient’s active participation in pain management. The model of Health Belief reveals a link between these beliefs and behaviour. With this model, a person’s behaviour is usually determined by being aware of a risk to their health, as well as believing in the benefits of preventive actions, confidence in their own ability to take action and personal encouragement to act. A proper environment and support from the loved ones as well as the medical staff have a significant effect on the patient’s behaviour. According to the Theory of self-determination, when the basic psychological needs (for autonomy, competence and relationships) are catered for, the patients’ participation in managing their illness becomes more likely and leads to better results.Visame pasaulyje daugėja asmenų, besiskundžiančių dėl apatinės nugaros dalies skausmų. Tai didelė sveikatos problema, galinti nulemti negalią, pravaikštas ir kasmetines išlaidas sveikatos priežiūrai. Apatinės nugaros skausmo gydymo efektyvumas yra daugelio mokslinių tyrimų objektas. Yra mokslinių įrodymų, kad žmonių požiūris, įsitikinimai bei motyvacija dalyvauti kontroliuojant ligos procesą gali labai paveikti tokio skausmo valdymą ir prognozes. Stiprinant ir išsaugant sveikatą svarbus pacientų mokymas, kurio metu ne tik suteikiama žinių apie ligą, bet ir skatinama pacientus aktyviai dalyvauti valdant skausmą. Sveikatos įsitikinimų modelis atskleidžia ryšį tarp su sveikata susijusių įsitikinimų ir elgesio. Pagal šį modelį žmogaus elgesį daugiausia lemia pavojaus savo sveikatai suvokimas, tikėjimas prevencinių veiksmų nauda, pasitikėjimas savo gebėjimais imtis veiksmų bei asmens skatinimas veikti. Tinkama aplinka, medikų bei artimųjų palaikymas ypač veikia paciento elgesį. Pagal apsisprendimų teoriją, kai yra palaikomi pagrindiniai psichologiniai poreikiai, – autonomijos, kompetencijos ir santykių, – pacientų dalyvavimas valdant savo ligą yra labiau tikėtinas ir lemia geresnius rezultatus

Positive impact of a 4-week duration supervised aerobic training on anthropometric, metabolic, hemodynamic and arterial wall parameters in metabolic syndrome subjects.

Objectives: Metabolic syndrome (MetS) is linked to the development of type 2 diabetes and increased risk of cardiovascular disease (CVD). Physical inactivity is one of the main pathophysiological factors of MetS subjects. The aim of this study was to evaluate if 4-week supervised aerobic training had any impact on anthropometric, metabolic, hemodynamic and arterial wall parameters in MetS subjects. Design and methods: 57 MetS subjects were randomly selected from a Lithuanian High Cardiovascular Risk (LitHiR) national primary prevention programme. Hemodynamic, cardiometabolic risk and arterial wall parameters were evaluated after the 4-week supervised aerobic training. Results: After 4 weeks of aerobic training there was statistically significant decrease in body mass index from 30.58 ± 3.7 to 30.3 ± 3.55 kg/m2 (p = 0.010), waist circumference from 104.24 ± 9.46 to 102.9 ± 9.48 cm (p = 0.003), decrease of LDL cholesterol from 4.21 ± 1.15 to 3.78 ± 1 mmol/l (p = 0.032) and high sensitivity C-reactive protein from 2.01 ± 2.36 to 1.64 ± 1.92 mg/l (p = 0.009), decrease of diastolic blood pressure (BP) from 83.06 ± 10.18 to 80.38 ± 8.98 mmHg (p = 0.015), mean BP from 100.03 ± 10.70 to 97.31 ± 8.88 mmHg (p = 0.027) and aortic stiffness, assessed as carotid-femoral pulse wave velocity, from 8.34 ± 1.26 to 7.91 ± 1.15 m/s (p = 0.034). Conclusions: In subjects with MetS even short-duration (4-week) supervised aerobic exercise training is associated with improvement of some anthropometric, metabolic and hemodynamic parameters as well as the decrease in aortic stiffness. This training modality could be recommended for initiation of physical training and could increase motivation for further physical activity

Detection of early heart failure with preserved ejection fraction (HFpEF) in metabolic syndrome patients detected as part of a National Screening Programme in middle aged subjects

Background We wished to investigate if community detected Metabolic Syndrome (MetS) is associated with the burden of incipient HFpEF in the community. Methods and Results We prospectively studied 148 consecutive MetS patients identified from the Lithuanian High Cardiovascular Risk primary prevention programme and investigated them further for unknown HFpEF through cardiopulmonary stress testing as well as assessment of BNP levels and of arterial stiffness. Subjects with a peak VO2 value lower than 90% of predicted and/or BNP≥35 ng/l were categorized as having early phase HFpEF. For comparison of this early phase HFpEF with others already clinically diagnosed with HFpEF, patients with both established HFpEF and MetS were selected retrospectively from patients attending our cardiopulmonary stress testing laboratory (n=38). Two thirds of the screening programme-derived MetS population (n=96) demonstrated a reduced exercise capacity and/or an elevated BNP, indicating signs of early HFpEF. Both the clinically diagnosed HFpEF and the screening programme detected MetS group with early HFpEF demonstrated similarly decreased exercise tolerance evaluated by peak oxygen uptake (79.8 ± 22.1% vs 82.7 ± 14.0%, p>0.05). Analysis of arterial markers in the screening programme group revealed statistically significant differences of augmentation index values between groups with and without signs of early HFpEF (p=0.016). Conclusions A considerable proportion of patients having MetS may be diagnosed with previously undetected early stage HFpEF. The use of objective parameters of exercise capacity and neurohormonal activation might be effectively used for the early detection of HFpEF. Also early HFpEF in this setting is found to be associated with increased arterial stiffnes