Issue №3-20, 2020

https://doi.org/10.38025/ 2078-1962-2020-97-3-96-104

Gender features of metabolic status and tolerance to physical activity in patients with acute coronary syndrome in the dynamics of rehabilitation measures

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1 Chistyakova Yu.V., 1 Dovgalyuk Yu.V., 1 Abramova I.V., 1 Mishina I.E.

1 Ivanovo State Medical Academy, Ivanovo, Russian Federation


ABSTRACT

The gender peculiarities of metabolic status were studied in patients with acute coronary syndrome who underwentoutpatient rehabilitation in the day hospital. It was found that in the overwhelming majority of patients of both sexesthere was not only an increase in body mass index values relative to normal values, but also the waist circumference asa sign of abdominal fat tissue deposition. In the group of women the values of these indices were higher than in men.They were much more frequently diagnosed with 1st and 3rd degree obesity as compared to men with higher frequencyand severity of abdominal obesity. The study of blood lipid and carbohydrate spectra revealed initially more significantfat metabolism disorders in male patients, but in comparison with female patients after rehabilitation measures morepronounced positive dynamics of blood biochemical indices was observed: decrease of values of low density lipoproteins,atherogenicity index and triglycerides. In carrying out stress testing, men, compared with women, both before and afterrehabilitation showed a higher tolerance for physical activity and aerobic reserves of the cardiorespiratory system, which,among other indicators, indicates a higher efficiency of their rehabilitation course.


KEYWORDS: cardiological rehabilitation, acute coronary syndrome, metabolic status, lipid metabolism, carbohydrate metabolism, exercise tolerance, stress testing, gender differences.

For citation: Chistyakova Yu.V., Dovgalyuk Yu.V., Abramova I.V., Mishina I.E. Gender features of metabolic status and tolerance to physical activity in patients with acute coronary syndrome in the dynamics of rehabilitation measures. Bulletin of rehabilitation medicine. 2020; 97 (3): 96-104. https://doi.org/10.38025/2078-1962-2020-97-3-96-104



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