Interrelation between arterial hypertension and body mass index in patients with concomitant ischemic heart disease treated with cardiac rehabilitation

: A goal of the study was to investigate the interrelations between body mass index (BMI) and arterial pressure level and its alterations induced by a long-term cardiac rehabilitation. In the patients with arterial hypertension with concomitant ischemic heart disease (IHD). The study group consisted of 73 patients (46 males and 27 females), with age range 54-64 years (the mean: 59.59 +/- 0.67 years), subjected to the 6-month ambulatory supervised cardiac rehabilitation, which comprised stamina training with cycloergometer combined with generally improving exercises. Arterial pressure level was measured in the resting state (just before the training onset) and at the interval training peak (peak pressure) during the consecutive three initial and three final training sessions. Upon completion of the rehabilitation cycle, statistically significant reduction of resting systolic pressure: 116.85 +/- 1.68 mmHg vs 105.12 +/- 1.43 mmHg (p<0.01) and insignificant reduction of resting diastolic pressure 79.85 +/- 1.24 mmHg vs 77.44 +/- 1.21 mmHg (NS) were observed. Additionally, insignificant lowering both systolic and diastolic peak pressure was noted, respectively: 119.45 +/- 1.92 vs 118.75 +/- 2.3 mmHg and 78.63 +/- 1.22 mmHg vs 76.96 +/- 1.30 mmHg. Correlation analysis concerning the values of resting systolic and diastolic pressure, likewise of peak systolic and diastolic pressure, on the one hand, and the values of body mass index, on the other hand, yielded in the all considered cases the statistically insignificant positive Pearson's coefficients. The further dependence analyzed, between the delta of resting and peak pressure, systolic and diastolic, and the body mass index values was featured by the insignificant statistically negative correlation coefficients. In result of the 6-month rehabilitation, 36 out of 73 patients demonstrated BMI value reduction by 0.65 +/- 0.33, which did not affect significantly an extent of the arterial pressure lowering. Therefore, in the examined patient group with hypertension and IHD, body mass index turned out to determine neither the initial nor the after-rehabilitation pressure levels, both systolic and diastolic.