Izvorni znanstveni članak

https://doi.org/10.20471/acc.2022.61.03.08

Changes in Physical Activity Levels in Patients with Acute Coronary Syndrome between the First and Third Decades of the 21St Century

Zdravko Babić orcid.org/0000-0002-7060-8375 ; Intensive Cardiac Care Unit, Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Marko Mornar Jelavić ; Institute for Cardiovascular Prevention and Rehabilitation, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Hrvoje Pintarić ; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; Polyclinic Medikol, Zagreb, Croatia; Clinic of Traumatology, Sestre Milosrdnice University Hospita Centre Zagreb, Croatia
Mislav Nedić ; Department of Cardiology, Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia
Marjeta Mišigoj-Duraković ; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia

Sažetak

Sedentary lifestyle and obesity increase the risk of coronary disease (CAD). The
aims of this prospective study were to estimate the trends in physical activity (PA) level, accuracy
of the Baecke’s/LRC-PA questionnaires, and trends in obesity parameters (body mass index-BMI/
waist-to-hip ratio-WHR) in patients with acute coronary syndrome (ACS) in the last two decades.
We grouped 209 patients with ACS (UAP-unstable angina, STEMI-ST-elevation myocardial infarction,
NSTEMI-non STEMI) by year of admission (Group 2002-05/Group 2017) and compared
them by the levels of PA (Baecke’s/LRC-PA questionnaires) and obesity parameters (BMI, WHR).
Group 2017 had higher WHR (1.02 vs. 0.97) and leisure PA index (LI) (3.00 vs. 2.50), as well as less
high and very low activity patients (P<0.05). Patients with UAP/STEMI had higher WHR in 2017
(1.02 vs. 0.96, 1.02 vs. 0.99, respectively) (P<0.05) and had lower LI in 2002-05 (2.50 vs. 3.25, 2.75 vs.
3.50, respectively) (P<0.05). In conclusion, leisure PA and WHR was increased in the study period
both in patients with ACS and in the general population. We emphasize the usage of more precise
methods for evaluation of PA and obesity (Baecke’s/Four-point LRC-PA questionnaires, WHR), and
that only increased PA with dietary changes leads to reduction of central obesity and risk of ACS.

Ključne riječi

Physical Activity; Acute Coronary Syndrome; Anthropometric Parameters; Obesity; Sedentary Lifestyle

Hrčak ID:

296112

URI

https://hrcak.srce.hr/296112

Datum izdavanja:

1.11.2022.

Podaci na drugim jezicima: hrvatski

Posjeta: 524 *