Physical rehabilitation after acute myocardial infarction: focus on body weight

Abstract

Aim. To study the effectiveness of 1-year exercise training (ET) after acute myocardial infarction (AMI) during outpatient cardiac rehabilitation in patients with different body mass index (BMI).Material and methods. The study included 312 patients after AMI, who were randomized into four groups depending on BMI: patients who used ET program with BMI 30 kg/m² (group 2 (n=78)); patients who did not use ET program with BMI 30 kg/m² (group 4 (n=78)). ET of moderate intensity (60% of the threshold value) was carried out 3 times a week for a year.Results. In patients with obesity, ET was associated with decrease of blood pressure by 3,3/3,6% (pConclusion. Long-term aerobic ET in patients with any BMI reduced cardiovascular risk factors and the risk of CVE. At the same time, with concomitant obesity, the maximum effect of cardiac rehabilitation was not achieved, which confirms the importance of controlling BMI in patients after AMI.