[The role of physical training in lipid metabolic parameters in patients with chronic myocardial infarct]

The aim of the study is to follow the variation of some parameters of the lipidic metabolism, during physical training, at patients with chronic myocardial infarction.

Among 132 patients with chronic myocardial infarction, we selected 22 patients, mean age 47.4 +/- 6.08 years from which 18 followed supervised physical training a period of 3-6 months. There were determined before and at the end of the interval, the following parameters: serum lipids, serum cholesterol, HDLcol, LDLcol, triglicerids, apolipoproteins A,B, Apo B/A ratio. The statistical comparison has been made for each parameters, by univariate and multivariate analysis.

HDLcol increased significantly in the study group at the end of the interval (from 28.9 mg% to 42.3 mg%, p < 0.001); LDLcol and total cholesterol did not vary. Apo A increased significantly, but Apo B/A ratio did not change.

Physical training altered the lipidic profile by increasing the protective fraction of the cholesterol--HDLcol and Apo A.