Izvorni znanstveni članak

https://doi.org/10.20471/acc.2021.60.02.05

The Role of Anthropometric Parameters and Physical Activity Level in Patients with Acute Coronary Syndrome Admitted to the Intensive Cardiac Care Unit

Zdravko Babić ; Coronary Care Unit, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Ivan Zeljković ; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Hrvoje Pintarić ; Department of Emergency Medicine, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Mislav Vrsalović ; School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Marko Mornar Jelavić ; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; Institute for Cardiovascular Prevention and Rehabilitation, Zagreb, Croatia
Marjeta Mišigoj-Duraković ; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia

Sažetak

Anthropometric parameters have a role in diagnosing obesity, which increases the
risk of acute coronary syndrome (ACS). The aim of the study was to assess the impact of obesity and
physical activity level on the severity and long-term prognosis of ACS. A total of 116 patients with
ACS were analyzed according to baseline (demography, medical history, anthropometry), severity
(clinical presentation, in-hospital complications, laboratory, echocardiography, coronary angiography)
and prognostic parameters (major adverse cardiovascular events during a six-year period). The levels of
obesity and physical activity (Baecke/Lipid Research Clinics physical activity questionnaires) were
compared with a sample of the Croatian general population. Study results showed the subjects with a
higher number of narrowed coronary arteries (CAs) to have higher body mass index (BMI) and waist
circumference (WC); those with stenosed left anterior descending artery and anterior myocardial infarction
(MI) had higher BMI; waist-to-hip ratio (WHR) positively correlated with creatine kinase
and negatively with left ventricle ejection fraction (p<0.05). Inactive patients more often had multivessel
coronary disease and anterior MI; patients with a higher leisure physical activity index had a
lower number of affected CAs, lower rate of stent implantations and lower stent length, while those
with a higher work physical activity index had a lower rate of anterior MI (p<0.05). During the follow-
up, inactive patients had more strokes and deaths (p<0.05). Our patients had higher body weight,
WC and WHR, as well as lower leisure time and total physical activity indices than the general population
(p<0.05). In conclusion, ACS is less severe and has better long-term prognosis in less obese
patients with a higher level of physical activity. Patients with ACS are more obese and have lower
total, as well as leisure time physical activity indices than the general population.

Ključne riječi

Physical activity; Anthropometry; Acute coronary syndrome; Baecke questionnaire; Lipid Research Clinics physical activity questionnaire; Prognosis

Hrčak ID:

263326

URI

https://hrcak.srce.hr/263326

Datum izdavanja:

1.6.2021.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.158 *