HEALTH-RELATED FITNESS AND CHD RISK FACTORS IN MIDDLE-AGED FEMALES
Ere Raudsepp, Toivo Jurimae (Tartu University, Tartu, Estonia)
The aim of this study was to evaluate the relationships between health-related fitness test results and CHD risk factors in middle-aged females (n=30, 51.03±7.9 yrs, 162.2±3.36 cm, 69.33±10.18 kg, BMI 26.26±3.63). The following "EUROFIT FOR ADULTS" (1995) health-related fitness tests were used: 2 km walk test, dynamic sit-up, side bending, sit-and-reach, single leg balance, vertical jump, bent arm hang, shoulder abduction, hand grip and plate tapping. The VO2max was measured directly using treadmill test. The body fat % was measured using bioelectrical impedance analysis (BODYSTAT-500, UK) and the ratio of waist to hip circumferences (WHR) was calculated. The resting blood pressure was assessed. The concentrations of CHOL, HDL-C, TG and GL were measured in the venous blood samples and the ratio of HDL-C/CHOL was calculated. The results of health-related fitness tests did not correlate significantly with blood lipid concentrations (except the correlation between CHOL and hand grip; r=-0.534). High body fat % was negatively related (p<0.05) to the results of bent arm hang (r=-0.530), shoulder abduction (r=-0.455) and 2 km walk test index (r=-0.490). It was concluded that CHD risk factors were significantly related to aerobic capacity and muscle strength in middle-aged females.
ECHOCARDIOGRAPHIC EVALUATION OF CARDIAC INVOLVEMENT IN RHEUMATOID ARTHRITIS
P Borman, A Sivri, A Abaci, Z Hasgelik. Hacettepe University, Ankara, Turkey
Rheumatoid arthritis (RA); is a chronic, nonsupurative and inflammatory disease with different possibilities and prevalences of heart involvement. In recent years there has been an increasing interest in the study of cardiac function with doppler echocardiographic evaluation. In this study, our aim was to investigate pericardial and valve involvement with diastolic and systolic heart functions using doppler echocardiography in patients suffering from RA; with no clinical evidence of heart disease and to compare the results with healthy control subjects.
32 RA patients (31 women, 1 man) with a mean age of 46.35±10.77 years and 43 healthy control subjects (40 women, 3 men) with a mean age of 44.1±8.1 years were included in the study.
We observed pericardial effusion in 2 RA patients, mitral and aort valve involvement in 9 RA patients. 17/32 (53.1%) of the patients with RA without clinically evident cardiovascular disease, had statistically abnormal values of left ventricular diastolic function, when compared with control subjects. A peak, E dec, IVRT values of patient group were higher, E/A values were lower than the control group (p<0.05). We could not find any correlation between the presence of diastolic abnormalities and any of the epidemiological and clinical parameters.
There is a need for further studies, to define the clinical significance of ventricular filling disturbance and the effects on prognosis and mortality of the disease.