Özet:

Introduction: Cardiovascular disease is considered worldwide the leading cause of death. The accumulation of fat in the abdomen has been described as the type of obesity that offers the greatest risk to the health of individuals (Pitanga and Lessa, 2005) to be a visceral fat mass, the most serious to increase risk of cardiovascular disease (Martins and Marine, 2003). Objective: Make sure the group of volunteers who joined the treatment (physical training, low-calorie diet and medication use orlistat) decreased more fully the risks of cardiovascular disease than the group that did not commit to the steps. The calculation for risk assessment was the WHR. Materials and Methods: The participants were eight people, two men and six women, three people followed the treatment in all its stages and five were not followed any of the three corresponding steps (exercise, diet or medication). The subjects were observed for 12 weeks. Results: The risk for cardiovascular disease decreased in five of eight volunteers. Discussion: There was one major difference from the waist circumference (WC) and hip circumference (HC) in the initial and final and initial and final of WHR in participantswho adhered completely to treatment than those who did not commit the same way with the stages of weight loss program. Conclusion: There has to be more effective to adhere to treatment altogether when an urgent need to reduce the risk of coronary heart disease.

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