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Original article
Effect of a program of physical activity motivated by lipid parameters of patients with obesity and/or overweight
Efecto de un programa de actividad física motivada en los parámetros lipídicos de pacientes con obesidad o sobrepeso
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Fatima Madrona Marcosa, Josefa M. Panisello Royob, M. Loreto Tarraga Marcosc, Nuria Rosichb, Julio A. Carbayo Herenciad, Josep Alinse, Eudald Castellf, Pedro J. Tárraga Lópezg,
Corresponding author
pjtarraga@sescam.jccm.es

Corresponding author.
a EAP Zona 5 A, Albacete, Spain
b Fufosa, Barcelona, Spain
c Unidad Materno Infantil, Hospital Clínico, Zaragoza, Spain
d Universidad Miguel Hernández, Alicante, Spain
e ABS Abrera, Barcelona, Spain
f Hospital Vall d’Hebrón, Barcelona, Spain
g Facultad de Medicina, Universidad Castilla-La Mancha, Albacete, Spain
This item has received
Received 03 December 2018. Accepted 11 February 2019
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Tables (4)
Table 1. Baseline sample data by group.
Table 2. List of baseline and post-intervention anthropometric parameters.
Table 3. Main analytical parameters.
Table 4. List of steps before and after.
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Abstract
Objective

To assess the effect of a motivated physical activity program on the lipid parameters most related to excess weight (triglycerides [TG], and high density lipoprotein cholesterol [HDL]) in a weight-loss intervention in obese and overweight patients.

Methods

A randomised and controlled, 2-arm, clinical trial and a 12-months follow-up was conducted. The patients included in the study were randomised into 2 intervention groups: motivational intervention of obesity with a previously trained nurse (G1), motivational group, with digital platform support and motivated physical activity program (iwopi [G2]).

The anthropometric variables measured were height, weight, body mass index (BMI), as well as the analytical variables, total cholesterol, TG and HDL-C.

Results

A total of 123 patients participated in the study, of which 61 were randomised to G1, and 62 to G2. Both groups significantly decreased weight at the end of the study, with the decrease in G1 being 4.898kg, and 6.292kg in G2. In both groups there was also a significantly decrease (p<0.05) in total cholesterol and TG, and increase in HDL cholesterol, with these changes being more intense in the G2 group, as well as being the group that lost more weight.

Conclusions

Weight reduction is accompanied by favourable changes in lipid parameters related to overweight and obesity, being more intense the greater the weight loss.

Keywords:
Obesity
Physical activity
Lipid parameters
Resumen
Objetivo

Valorar el efecto de un programa de actividad física motivada sobre los parámetros lipídicos más relacionados con el exceso de peso (triglicéridos [TG] y colesterol de las lipoproteínas de alta densidad [cHDL]) en una intervención para reducir peso en pacientes con sobrepeso y obesidad.

Métodos

Ensayo clínico, aleatorizado y controlado, con 2 brazos y un seguimiento de 12 meses.

Los pacientes incluidos en el estudio fueron aleatorizados en 2 grupos de intervención: intervención motivacional de obesidad con enfermera entrenada previamente (G1), grupo motivacional, con apoyo de plataforma digital y programa de actividad física motivada (iwopi [G2]).

Las variables antropométricas medidas fueron estatura, peso, índice masa corporal (IMC) y las analíticas, colesterol total, TG y cHDL.

Resultados

Han participado en el estudio 123 pacientes, de los que 61 fueron aleatorizados al G1 y 62 al G2. Todos los grupos disminuyeron significativamente el peso al final del estudio, siendo la disminución en el G1 (−4,898kg) y del G2 (−6,292kg). También todos los grupos disminuyeron significativamente (p<0,05) el colesterol total y los TG, y aumentaron el cHDL, siendo estos cambios más intensos en el grupo G2, el grupo que más peso perdió.

Conclusiones

La reducción de peso se acompaña de cambios favorables en los parámetros lipídicos relacionados con el sobrepeso y la obesidad, siendo más intensos cuanto mayor es la pérdida de peso.

Palabras clave:
Obesidad
Actividad física
Parámetros lipídicos

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