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  • Title: [Effect of diet and exercise therapy on body weight, performance and lipid metabolism of post-infarct patients during a 4-week rehabilitation program].
    Author: Schmid P, Puespoek J, Wolf W.
    Journal: Wien Med Wochenschr; 1986 Nov 30; 136(21-22):562-7. PubMed ID: 3825162.
    Abstract:
    From a total of 130 male patients following myocardial infarction a symptom-limited stress cycling ergometer was carried out at the beginning as well as at the end of a 4-week rehabilitation, as well as controls of body weight, the Broca-Index, and Triglyzeride, Cholesterol, HDL-Cholesterol, LDL-Cholesterol and VLDL-Cholesterol fractions. With regard to the Broca-Index, the patients received respectively a 1600 Kcal normal diet (Broca-Index 1.00, n = 34), a 1100 Kcal reductional diet (Broca-Index 1.20, n = 67) and a 600 Kcal reductional diet (Broca-Index 1.32, n = 29). During the whole duration of their stay, the patients underwent a program of physical exercise related to their personal physical performance, which consisted of gymnastic, cycle training, swimming (facultative) and physical training. The improvements of the physical performance were statistically significant, and consisted of 19.4% (normal diet), 18.2% (1100 Kcal diet), namely 11.3% in the 600 Kcal diet group. Weight, Broca-Index and parameters of fat-metabolism remained unchanged under a normal diet. In both reductional diet groups a significant reduction of weight and Broca-Index as well as all blood-fat-metabolism parameters were noted, with the exception of the HDL-Cholesterol fraction, which remained unchanged. Statistical significant correlations between weight reduction, namely increases of physical performance and parameters of blood-fat-metabolism were only noted in cases of a 600 Kcal diet. The noted changes in weight, physical performance and blood-fat-metabolism can be considered as a reduction of the cardiovascular risk profile.
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