BACKGROUND: Few studies have been conducted to investigate the effects of spinning exercise on cardio-vascular weal. AIM: To assess whether a 6 months spinning training, combined with proper diet, is more effective than standard training programs and diet alone in improving metabolic abnormalities in 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 Cholesterol Education 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 spinning physical 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 fasting blood glucose (group B p = 0.01; group C p = 0.008); in Homeostatic Model Assessment of 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 reported adverse events during follow-up. CONCLUSION: Our results confirm the effectiveness of spinning training combined with diet in the management of MetS. CLINICAL REHABILITATION IMPACT: The findings provide a preliminary evidence to support that spinning training may represent a useful and safe intervention also in middle-aged and older adults geriatric with multiple CV risk factors.

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