earticle

영어

The apolipoprotein E (APOE) gene has been suggested to be associated with stroke and dementia. However, the effects of exercise training on dementia according to the APOE genotype are not consistent to those reported by previous studies. Therefore, we examined the effects of ex-ercise training on stroke risk factors including blood pressure, lipid pro-files, homocysteine (Hcy) concentrations, and cognitive function ac-cording to the APOE genotype in stroke patients. We examined the stroke risk factors, Hcy, and cognitive function in 28 ischemic stroke pa-tients before and after 6 months of exercise training. After exercise training, body weight, body mass index (BMI), and percent body fat de-creased significantly in both APOE groups. According to the APOE gen-otype, the changes in BMI in the APOE ε4 group higher than those in APOE ε3 group significantly. Total cholesterol (TC), low-density lipopro-tein (LDL)-C, triglyceride (TG), and Hcy decreased and high-density lipo-protein (HDL)-C increased significantly in the both groups. According to the APOE genotype, systolic blood pressure in the APOE ε4 group de-creased, but in the APOE ε3 group increased after exercise training. TC, LDL-C, and TG in the APOE ε4 group decreased more extensively than those in the APOE ε3 group after exercise training. VO2max (maximal oxy-gen consumption) and cognition increased significantly in both groups. Folate acid intake also increased significantly in both groups. The APOE genotype affects variations in the risk factors of stroke after exercise training. However, the Hcy and cognitive function did not differ based on the APOE genotype.