Treatment of coronary heart disease by diet and exercise

被引:0
作者
Schlierf, G [1 ]
Schuler, G [1 ]
Hambrecht, R [1 ]
Niebauer, J [1 ]
Hauer, K [1 ]
Vogel, G [1 ]
Kubler, W [1 ]
机构
[1] UNIV HEIDELBERG,KLIN INST HERZINFARKTFORSCH,HEIDELBERG,GERMANY
关键词
coronary heart disease; diet; exercise;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Management of risk factors by diet and exercise in patients with coronary heart disease in two controlled studies, resulted in significant modification of atherogenic lipoproteins, myocardial perfusion, and physical work capacity. Moreover, within 1 year there were significantly more regression and less progression of coronary atherosclerosis in the study group compared to usual care control patients. Follow-up for 6 years showed erosion of dietary discipline, unfavorable changes in lipoprotein levels, and subsequent progression of coronary lesions in many patients. It is concluded that the course of coronary heart disease can be favorably modified by intensive dietary counseling and supervised exercise, but that maintenance of positive results remain a challenge for physicians and patients alike.
引用
收藏
页码:S32 / S34
页数:3
相关论文
共 10 条
[1]   BENEFICIAL-EFFECTS OF COMBINED COLESTIPOL-NIACIN THERAPY ON CORONARY ATHEROSCLEROSIS AND CORONARY VENOUS BYPASS GRAFTS [J].
BLANKENHORN, DH ;
NESSIM, SA ;
JOHNSON, RL ;
SANMARCO, ME ;
AZEN, SP ;
CASHINHEMPHILL, L .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 257 (23) :3233-3240
[2]  
BRUSCHKE AVG, 1981, CIRCULATION, V63, P2535
[3]   Various Intensities of Leisure Time Physical Activity in Patients With Coronary Artery Disease: Effects on Cardiorespiratory Fitness and Progression of Coronary Atherosclerotic Lesions [J].
Hambrecht, Rainer ;
Niebauer, Josef ;
Marburger, Christian ;
Grunze, Martin ;
Kaelberer, Barbara ;
Hauer, Klaus ;
Schlierf, Guenter ;
Kuebler, Wolfgang ;
Schuler, Gerhard .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (02) :468-477
[4]   PROGRESSION OF CORONARY ATHEROSCLEROSIS [J].
KRAMER, JR ;
MATSUDA, Y ;
MULLIGAN, JC ;
ARONOW, M ;
PROUDFIT, WL .
CIRCULATION, 1981, 63 (03) :519-526
[5]   LOW-FAT DIET AND PHYSICAL-TRAINING IN PATIENTS WITH CORONARY HEART-DISEASE - LONG-TERM RESULTS OF SECONDARY PREVENTION [J].
NIEBAUER, J ;
HAMBRECHT, R ;
MARBURGER, C ;
SCHLIERF, G ;
KUBLER, W ;
SCHULER, G .
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1994, 119 (1-2) :7-12
[6]   TREATMENT OF CORONARY HEART-DISEASE WITH DIET AND EXERCISE - PROBLEMS OF COMPLIANCE [J].
NIKOLAUS, T ;
SCHLIERF, G ;
VOGEL, G ;
SCHULER, G ;
WAGNER, I .
ANNALS OF NUTRITION AND METABOLISM, 1991, 35 (01) :1-7
[7]   CAN LIFE-STYLE CHANGES REVERSE CORONARY HEART-DISEASE [J].
ORNISH, D ;
BROWN, SE ;
SCHERWITZ, LW ;
BILLINGS, JH ;
ARMSTRONG, WT ;
PORTS, TA ;
MCLANAHAN, SM ;
KIRKEEIDE, RL ;
BRAND, RJ ;
GOULD, KL .
LANCET, 1990, 336 (8708) :129-133
[8]   REGULAR PHYSICAL EXERCISE AND LOW-FAT DIET - EFFECTS ON PROGRESSION OF CORONARY-ARTERY DISEASE [J].
SCHULER, G ;
HAMBRECHT, R ;
SCHLIERF, G ;
NIEBAUER, J ;
HAUER, K ;
NEUMANN, J ;
HOBERG, E ;
DRINKMANN, A ;
BACHER, F ;
GRUNZE, M ;
KUBLER, W .
CIRCULATION, 1992, 86 (01) :1-11
[9]   MYOCARDIAL PERFUSION AND REGRESSION OF CORONARY-ARTERY DISEASE IN PATIENTS ON A REGIMEN OF INTENSIVE PHYSICAL EXERCISE AND LOW FAT DIET [J].
SCHULER, G ;
HAMBRECHT, R ;
SCHLIERF, G ;
GRUNZE, M ;
METHFESSEL, S ;
HAUER, K ;
KUBLER, W .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 19 (01) :34-42
[10]  
1984, JAMA-J AM MED ASSOC, V251, P365