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Delphine De Smedt, Els Clays, Christof Prugger, Johan De Sutter, Zlatko Fras, Guy De Backer, Dragan Lovic, Anneleen Baert, Kornelia Kotseva and Dirk De Bacquer

Background:

The study aim was to assess the physical activity levels as well as the intention to become physically active in patients with stable coronary heart disease (CHD) with a special focus on the association with their risk profile.

Methods:

Analyses are based on the cross-sectional EUROASPIRE IV surveys. Information was available on 8966 patients in EUROASPIRE III and on 7998 patients in EUROASPIRE IV. Physical activity level according to patients risk profile and their medical management was assessed, the intention to become physically active was investigated and a time trend analysis was performed.

Results:

A better cardiovascular risk profile as well as receiving physical activity advice or weight loss advice was associated with better physical activity levels. The physical activity status improved significantly over time, the proportion of patients reporting vigorous physical activity for at least 20 minutes ≥ 3 times/week increased from 14.1% to 20.2% (P < .001). Similarly, a significantly greater proportion of patients are in the maintenance stage (36.6% vs. 27.4%) and a smaller proportion in the precontemplation stage (43.2% vs. 52.3%).

Conclusion:

Although an increase was seen in the proportion of patients being adequately physical active, physical activity levels remain suboptimal in many CHD patients.

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John S. Green, Peter W. Grandjean, Shelly Weise, Stephen F. Crouse and J. James Rohack

Although endurance exercise and supplemental estrogen have both been shown to improve serum lipid cardiac risk profiles in postmenopausal women, data regarding a possible synergistic influence are scarce and inconsistent. The purpose of this study was to determine whether such a synergistic influence could be demonstrated. Serum concentrations of total cholesterol (TC), HDL-cholesterol (HDL-C), HDL2-C, HDL3-C, LDL-C, and triglycerides (TG) were obtained from postmenopausal women (N = 45) in each of 4 groups: currently exercising and taking estrogen replacement, exercising and not taking estrogen, sedentary and taking estrogen, and sedentary and not taking estrogen. HDL-C was on average 21% higher (p < .05) and the HDL-C:LDL-C ratio on average 45% higher (p < .05) in the exercise-plus-estrogen group than in any of the other 3 groups. It was concluded that the combination of endurance exercise and estrogen replacement might be associated with better lipid coronary risk profiles in postmenopausal women than either intervention alone.