摘要：Background. Few studies have been conducted to investigate the effects of spinningexercise on cardio-vascular weal.Aim. To assess whether a 6 months spinning training, combined with proper diet, is moreeffective than standard training programs and diet alone in improving metabolic abnormalitiesin middle-aged and older adults.Design. Randomized clinical trial.Setting. Rehabilitation Unit of our Department.Population. Patients with Metabolic Syndrome (MetS) according to the National CholesterolEducation Program Adult Treatment Panel III diagnostic criteria.Methods. Patients were randomly assigned to receive treatment with diet (group A, n =10), with diet and general gymnastics program (group B, n = 10), with diet and spinningphysical training program (group C, n = 10).Results. During the study period we observed a significant reduction in blood pressure(group C: systolic blood pressure p = 0.03; diastolic blood pressure p = 0.004 / group B:systolic blood pressure p = 0.001), in lipid profile (group B: plasma total cholesterol p= 0.001; triglycerides p = 0.001 / group C: plasma total cholesterol p = 0.04); in fastingblood glucose (group B: p = 0.01; group C: p = 0.008); in Homeostatic Model Assessmentof Insulin Resistance (group B: p = 0.01; group C: p = 0.001); in waist circumference(group C: p = 0.005; group A: p = 0.02; group B: p = 0.04). No patients reportedadverse events during follow-up.Conclusion. Our results confirm the effectiveness of spinning training combined withdiet in the management of MetS.Clinical rehabilitation impact. The findings provide a preliminary evidence to supportthat spinning training may represent a useful and safe intervention also in middle-agedand older adults geriatric with multiple CV risk factors.
