evidence-based research, cardiovascular health, community-based research, metabolic health
Background: The purpose of this study was to determine the prevalence of individuals who experienced exercise-induced adverse cardiometabolic response (ACR), following an evidence-based, individualized, community exercise program.
Methods: Prevalence of ACR was retrospectively analyzed in 332 adults (190 women, 142 men) before and after a 14-week supervised community exercise program. ACR included an exercise training-induced increase in systolic blood pressure of $10 mmHg, increase in plasma triglycerides (TG) of .37.0 mg/dL ($0.42 mmol/L), or decrease in high-density lipoprotein cholesterol (HDL-C) of .4.0 mg/dL (0.12 mmol/L). A second category of ACR was also defined – this was ACR that resulted in a metabolic syndrome component (ACR-risk) as a consequence of the adverse response.
Results: According to the above criteria, prevalence of ACR between baseline and post-program was systolic blood pressure (6.0%), TG (3.6%), and HDL-C (5.1%). The prevalence of ACR-risk was elevated TG (3.2%), impaired fasting blood glucose (2.7%), low HDL-C (2.2%), elevated waist circumference (1.3%), and elevated blood pressure (0.6%).
Conclusion: Evidence-based practice exercise programming may attenuate the prevalence of exercise training-induced ACR. Our findings provide important preliminary evidence needed for the vision of exercise prescription as a personalized form of preventative medicine to become a reality.
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
DOI of Published Version
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Dalleck, Lance C.; Van Guilder, Gary; Richardson, Tara B.; and Vella, Chantel A., "The Prevalence of Adverse Cardiometabolic Responses to Exercise Training with Evidence-based Practice is Low" (2015). Health and Nutritional Sciences Faculty Publications. 35.