心筋梗塞後の筋トレと栄養素補給

心筋梗塞後のリハにおけるウェイト・トレーニングと適切な栄養素の補給に関するレビュー論文を紹介します。

Gąsiorowski A, Dutkiewicz J. Weight training and appropriate nutrient supplementation as an alternative method to pharmacological treatment in rehabilitation of post-myocardial infarction patients. Ann Agric Environ Med. 2012 Sep 20;19(3):333-8.

特に微量元素やビタミンの心筋梗塞後リハへの効果に関するレビューをしています。アミノ酸、ビタミン類、コエンザイムQ10、ピクノジェノール（フランス海岸松樹皮エキス）、イノシトール、オメガ3系脂肪酸、電解質、微量元素に関しては、全般および心血管の健康に有益という報告があります。

ビタミンや電解質、微量元素が不足（もしくは過剰）の場合に、リハの効果を妨げる可能性があることはわかります。アミノ酸やオメガ3系脂肪酸もわかります。抄録しか読んでいませんが、コエンザイムQ10、ピクノジェノール、イノシトールの効果は個人的にはよくわかりません。

Abstract

The article describes the impact of weight training, micro-elements and vitamins on rehabilitation in post-myocardial infarction patients. Cardiac rehabilitation is a multi-disciplinary and multi-faceted intervention aimed at restoring well-being and retarding disease progression in patients with heart disease. It has been shown that exercise-based cardiac rehabilitation is effective in reducing total and cardiovascular mortality. Intake of vitamins and other diet supplements was reported to exert beneficial effects. Pharmacological medication is associated with an increased risk of severe arrhythmia, and many adverse outcomes. Therefore, since conventional medicine only relieves the symptoms, cellular nutrition should be used in order to improve the quality of life in post-myocardial infarction patients. These elements prevent another infarction. The following nutrients are reported to have beneficial effects on general and cardiovascular health: amino acidacids, macromineral elements, and trace mineral elements. In conclusion, the review s, vitamins, coenzyme Q10, pycnogenol, inositol, omega-3 fatty indicates that appropriate weight training and diet supplementation ensure full recovery and elimination of risk factors for cardiovascular diseases.