Abstract

Goal: The purpose of this cross-sectional study was to explore a possible relationship between exercise capacity and somatotype components, body composition, and quadriceps strength in individuals with coroner artery disease (CAD) Material and Methods: A convenient sample size of 60 participants between the ages of 45 and 60 years (mean age 56.6 ±4.7; 12 females [mean age 57.7±3.01], 48 males [mean age;56.3±5.1] was established from patients referred to the Department of the Cardiopulmonary Rehabilitation. The exercise was assessed using graded symptom-limited exercise testing while Participants' body composition was detected via Bioelectrical impedance analysis (BIA) technique by using TANITA SC-330 (TANITA, Tokyo, Japan). Finally, quadriceps femoris muscles testing was conducted with Dr Robert W. Lovett’s manual muscle testing method. Results: In the whole sample, exercise capacity was found to be negatively and weakly correlated with the endomorph component (r = - 0.39), whereas a slight and positive correlation was observed between the ectomorph component and exercise capacity (r = 0.28). However, the correlations revealed between exercise capacity and somatotype components differentiated with gender-based analysis. A moderate and weak correlation was found out between exercise capacity and fat mass (FM) in the whole group and the male individuals (r1=-0.45 and r2=-0.34), respectively; in contrast, there was not a meaningful correlation between the same variables in the female individuals(r=-0.002). Exercise capacity had slight and negative relationships with free-fat mass variable (FFM) in both gender (r1 = -0.28 and r2=-0.29), while small to moderate relationship with fat-mass variable (FM) in the male gender (r1=-0.34). Body composition elements, including FM, FFM and BMI, together explained a % 24 of variance in exercise capacity, while somatotype components together explained a % 16 of variance in the exercise capacity. Finally, quadriceps femoris strength was found to be the best predictor of exercise capacity of a patient with CAD (R2=0.44 or % 44) Conclusion: Our results suggest that exercise capacity in individuals with CAD is directly associated with somatotype components, anthropometry/body composition elements, and quadriceps strength.

Highlights

  • Coronary artery disease (CAD) is a significant cardiovascular disorder, which is the leading cause of death in both developed and developing countries [1]

  • The current study was the first to explore the relationship between exercise capacity and body composition, somatotype components, and quadriceps femoris (QF) muscle strength in patients with CAD

  • Exercise capacity was revealed to be positively associated with the ectomorph physique, demonstrating that little fat mass may positively affect the exercise capacity

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Summary

Introduction

Coronary artery disease (CAD) is a significant cardiovascular disorder, which is the leading cause of death in both developed and developing countries [1]. Because of both its most common causal factor of death in both genders and leading to diseases and socialeconomic burden, CAD is a significant health problem [2]. A possible relationship between somatotype components and anaerobic performance was reported in a cross-sectional study conducted by Ryan-Stewart et al [8], indicating a significant correlation between somatotype ratings and anaerobic performance

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