Naslov
IMPORTANCE OF OVERWEIGHT AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH ACUTE CORONARY SYNDROMES

Autori
Babić, Zdravko ; Nikolić Heitzler, Vjeran ; Bulj, Nikola ; Radeljić, Vjekoslav ; Pavlov, Marin ; Erdeljić, Viktorija ; Mihatov, Šime.

Izvornik
Kardiologia (1210-0048) 14 (2005); K/C90-K/C90

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
OVERWEIGHT; PHYSICAL ACTIVITY; ACUTE CORONARY SYNDROMES

Sažetak
INTRODUCTION: Exact data on the relationship between the level of overweight and obesity and physical activity on the one hand, and the appearance and seriousness of the acute coronary syndrome (ACS), on the other still missing in the literature. METHODS: Authors prospectivly investigated 200 patients who had suffered from ACS (STEMI, NSTEMI, UA) and were hospitalized in the CCU, Department of Cardiovascular Diseases, Clinical Hospital “Sestre milosrdnice”, Zagreb, Croatia. Different anthropometric parameters (body mass, body height, waist and hip circumferences) and indexes (BMI, WHR) were used in estimation of overweight and obesity, Baecke and LRC PA questionnaires were used in estimation of physical activity level. Data were compared with data obtained by general population and with markers of seriousness of the ACS (cardioselective and inflammatory markers value, ECG changes, echocardiography and coronarography findings, early and late complications, number of days of hospitalization, and in-hospital mortality). RESULTS: Investigated patients had higher waist circumference and WHR (in age group 45-55 years, also body mass and BMI) in comparison with general population (p<0.01) as well as lower leisure and sport indexes (p<0.05), especially those who suffered STEMI and who had the highest WHR (p<0.05). Body mass and BMI were directly proportional with the level of stenosis and number of occlusions of coronary arteries (p<0.01) as well as with the number of performed PCI (p<0.01). WHR was directly proportional with the values of troponin and the levels of ST-changes (p<0.01). LRCPA questionnaire revealed inversely proportional connection between physical activity and number of affected coronary arteries and value of LVEF after coronary incident, while Baecke questionnaire revealed same connection among fibrinogen level and leissure time and total index. CONCLUSION: The level of overweight and obesity, as well as of physical activity should be evaluated more common in risk stratification in patients hospitalized in CCU with diagnosis of ACS.

Izvorni jezik
Engleski

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