BODY COMP/CORONARY RISK FACTOR INTERACTIONS IN REHAB OF OLDER CORONARY PTS.

在这项研究中，105名冠心病患者接受了评估， 包括运动压力测试、24小时饮食回忆、空腹血脂 曲线、胰岛素和葡萄糖水平以及双X射线吸收测定法。的 其中，71人在3个月的心脏检查后返回进行重复检查。 康复运动训练。主要研究假设是， 训练引起的身体成分和体脂分布的变化 将预测几个心脏风险因素的有利变化，包括 血清甘油三酯、HDL-胆固醇、葡萄糖和胰岛素水平。 我们最初的分析集中在身体成分和身体脂肪 老年女性冠心病患者的分布。我们发现她的腰围 腰臀比（WHR）与血清甘油三酯显著相关 （r=0.65，P=0.002）、HDL-chol（r=0.46，P=0.05）和空腹胰岛素水平 （r=0.76，P<0.001）。峰值耗氧量是最好的预测因子， LDL-chol（r=0.73，P<0.01）。我们将很快补充这一分析 这些变量对运动条件反射的反应数据。我们 预计这些数据将集中注意力的重要性，腰臀比， 冠状动脉患者康复的结果变量。

In this study, 105 coronary patients have undergone evaluations which include exercise stress testing, 24 hour dietary recall, fasting lipid profiles, insulin and glucose levels and dual x-ray absorptiometry. Of these, 71 have returned for repeat testing after 3 months of cardiac rehabilitation exercise training. The primary study hypothesis is that training-induced changes in body composition and body fat distribution will predict favorable changes in several cardiac risk factors including serum triglycerides, HDL-cholesterol, glucose and insulin levels. Our initial analysis focused on body composition and body fat distribution in older female coronary patients. We found that waist to hip ratio (WHR) was significantly correlated with serum triglycerides (r=0.65, P=0.002), HDL-chol (r=0.46, P=0.05) and fasting insulin levels (r=0.76, P<0.001). Peak oxygen consumption was the best predictor of LDL-chol (r=0.73, P<0.01). We wll soon be supplementing this analysis wth data on response of these variables to exercise conditioning. We expect that these data will focus attention of the importance of WHR as an outcome variable in the rehabilitation of coronary patients.