Acta Medica Medianae
Dejan Petrović1, Stevan Ilić1, Marina Deljanin-Ilić1, Boris Đinđić2, Bojan Ilić1, Katarina Petrović1, Ljubiša Nikolić1 and Vesna Karanikolić3
It has been established that multifactorial rehabilitation programs that include physical activity, nutritional education, consulting, psychological support and pharmacological treatment, have the most favourable influence on lipid level.
The Objective was to establish the effect of cardiovascular rehabilitation on the extent of obesity and lipid risk factors depending on the age of patients after myocardial infarction.
The investigated group included 65 years old and older (n=67) patients, average age 72.1±3.2, and the control group with patients younger than 65 years old (n=46) average age 50.7±4.1. Laboratory tests were performed on all the examined both in and out patients (glycemia, lipid status, total cholesterol, HDL cholesterol, LDL cholesterol and triglyceride), as well as waist circumference measurement, body mass (BM) and body mass index (BMI).
A group of older patients, in comparison to a control group of younger patients, did not significantly differ in the extent or type of obesity. The analyses of values, before and after the rehabilitation treatment showed that in both groups of the examined patients and in all patients on CV rehabilitation program, significant reduction in BMI and waist circumference was found after the RH treatment.
In both groups of patients values of lipid parameters (total, LDL cholesterol and triglyceride) and morning glucemia were significantly lower after the RH program had been finished, while the values of HDL cholesterol showed significant increase after the RH program. Values of most atherogenic indexes were significantly higher in younger patients in comparison to the group of older patients. In both groups of patients on cardiovascular rehabilitation program there were significant reductions of BMI and OS, as well as improvement of lipid disorders and impaired glicoregulation. After the CV rehabilitation, values of all atherogenic indexes were significantly reduced. This is the indicator of the importance of cardiovascular rehabilitation program, especially in the elderly patients despite the fact that they remained higher in younger patients. Acta Medica Medianae 2009;48(4): 17-21.
Key words: cardiovascular rehabilitation, elderly patients, obesity, lipid disorders