Efeito da hidroginástica nos fatores de risco para aterotrombose em mulheres com obesidade grau III

Abstract

The current study investigated the effect of water gymnastic on the risk factors to atherosclerosis and thrombosis in women with morbid obesity. The sample consisted of 28 volunteers, distributed in two groups: treatment group (n=16, 37,3 + 7,5 years) who participated of the program of water gymnastic, and a control group (n=12, 35,6 + 7,2). The inclusion criteria were: female, age between 20 and 50 years old, BMI > 40kg/m2, to be sedentary, have been allowed to the practice of exercises and to have availability to join the classes of water gymnastic, to be followed up in the bariatric surgery out clinic and to live in Uberlandia. The program of water gymnastic took place in six weeks time, three times a week, for fifty minutes with moderate rhythm. The groups we compared pre and post treatment with regard to: corporal composition, lipid profile, fasting glucose, arterial blood pressure, stress, anxiety and depression. For the statistical analysis the following methods were used: U-test of Mann-Whitney, Wilcoxon, and qui square, taking as significant, values of p<0,05. The final evaluation showed rising in the corporal composition of the Control Group, a tendency to reduction of the values for stress, anxiety and depression in the Treatment Group and rising in the same values in the Control Group, nevertheless the tests didn't show statistical significant difference. For the other variants evaluated there was no statistical significant difference. A deeper evaluation is needed, once the sample size and the short treatment time are limitation in the current study. These results showed favorable effect of water gymnastic on the reduction of abdominal circumference. Regarding to the weight and BMI, water gymnastic was efficient as a contributor to hold that variants, preventing their rising up in the Treatment group when compared to the control group. A tendency to improvement was observed in the stress, anxiety and depression levels in the Treatment group. Values of Arterial Pressure, fasting glucose, and lipid profile didn't change after 16 weeks of water gymnastic. This study points out the need of governmental actions investing in a rehabilitation program for this population, which would improve patient's health and reduce the expenses of the SUS.