Key result
Patients with acute coronary syndrome admitted in 2017 had significantly higher leisure physical activity index (3.00 vs 2.50) and waist-to-hip ratio (1.02 vs 0.97) compared to those admitted in 2002-2005.
Why the study?
Sedentary lifestyle and obesity increase the risk of coronary artery disease, but trends in physical activity levels, questionnaire accuracy, and obesity parameters in acute coronary syndrome patients over the last two decades needed evaluation.
Have physical activity levels and obesity parameters changed in patients presenting with acute coronary syndrome between 2002-2005 and 2017?
Observational (n=209)
No
Have physical activity levels and obesity parameters changed in patients presenting with acute coronary syndrome between 2002-2005 and 2017?
Over a 15-year period, patients presenting with acute coronary syndrome showed an increase in both self-reported leisure physical activity and central obesity (waist-to-hip ratio).
Answers are grounded in this paper and cite their sources.
Higher central obesity despite rising leisure activity in ACS patients signals persistent prevention gaps; leaves open whether trends improve outcomes.
Sedentary lifestyle and obesity increase the risk of coronary disease (CAD). The aims of this prospective study were to estimate the trends in physical activity (PA) level, accuracy of the Baecke's/LRC-PA questionnaires, and trends in obesity parameters (body mass index-BMI/waist-to-hip ratio-WHR) in patients with acute coronary syndrome (ACS) in the last two decades. We grouped 209 patients with ACS (UAP-unstable angina, STEMI-ST-elevation myocardial infarction, NSTEMI-non STEMI) by year of admission (Group 2002-05/Group 2017) and compared them by the levels of PA (Baecke's/LRC-PA questionnaires) and obesity parameters (BMI, WHR). Group 2017 had higher WHR (1.02 vs. 0.97) and leisure PA index (LI) (3.00 vs. 2.50), as well as less high and very low activity patients (P<0.05). Patients with UAP/STEMI had higher WHR in 2017 (1.02 vs. 0.96, 1.02 vs. 0.99, respectively) (P<0.05) and had lower LI in 2002-05 (2.50 vs. 3.25, 2.75 vs. 3.50, respectively) (P<0.05). In conclusion, leisure PA and WHR was increased in the study period both in patients with ACS and in the general population. We emphasize the usage of more precise methods for evaluation of PA and obesity (Baecke's/Four-point LRC-PA questionnaires, WHR), and that only increased PA with dietary changes leads to reduction of central obesity and risk of ACS.
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Zdravko Babić (2022) conducted an observational in Acute coronary syndrome (ACS) (n=209). Admission in 2017 vs. Admission in 2002-2005 was evaluated on Baecke's leisure physical activity index (LI) (p=0.001). Patients with acute coronary syndrome admitted in 2017 had significantly higher leisure physical activity index (3.00 vs 2.50) and waist-to-hip ratio (1.02 vs 0.97) compared to those admitted in 2002-2005.
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