[Descriptive and comparative study of cardiovascular risk factors and physical activity in patients with acute
Maria Isabel Vazquez-Arce1, Elena Marques-Sule2
1Servicio de Rehabilitación y Medicina Física, Hospital Universitario y Politécnico La Fe, Universidad San Vicente Mártir, Valencia, España.
Aim:
To analyse several cardiovascular risk factors by means of the physical activity performed by patients with acute coronary syndrome (ACS).
Design:
Cross-sectional study.
Location:
Cardiovascular prevention service (Health Department, Valencia, Spain).
Participants:
The study included 401 individuals with acute coronary syndrome and discharged from hospital 2-3months before the assessment. The inclusion criteria included age between 30 and 80years-old, no contraindication for physical activity, and no previous participation in cardiac rehabilitation programmes.
Main Measurements:
Metabolic equivalent MET (Kcal/Kg) was calculated, based on the type of activity, frequency, duration and intensity. Participants were divided into two groups: sedentary group (<10METs/week) and physically active group (≥10METs/week). Several variables associated with cardiovascular risk factors were assessed: body mass index (BMI), waist circumference, lipid profile, blood glucose, and arterial pressure.
Results:
The mean consumption was 8.24±12.5METs/week. Prevalent factors were overweight (77.05%), and dyslipidaemia (64.3%), whilst 64.8% were sedentary. The physically active group showed differences when compared to sedentary group in triglycerides (146.53±72.8 vs. 166.94±104.8mg/dL; 95%CI; P=.031), and BMI (27.65±3.86 vs. 28.50±4.38kg/m2; 95%CI; P=.045).
Conclusion:
Physical activity was performed by a limited number of patients with ACS, with a prevalence of overweight and dyslipidaemia. Being physically active improved triglycerides levels and BMI. Therefore, health promotion from Primary Care and encouraging physical activity amongst patients with ACS is crucial.
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