Benefits of Cardiac Rehabilitation in Coronary Artery Disease: DOES WEIGHT MATTER?
J Cardiopulm Rehabil Prev
; 39(6): 386-390, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-31688510
ABSTRACT
PURPOSE:
To evaluate the response of patients with obesity to a cardiac rehabilitation program (CRP), compared with patients without obesity.METHODS:
We performed a retrospective analysis of 731 patients who completed phase II of a CRP after an acute coronary syndrome. The response to the CRP was assessed using the relative changes in exercise capacity (EC), resting heart rate (HR), and chronotropic index (CI).RESULTS:
Only 23% of patients had obesity. Patients with obesity showed lower EC and CI at baseline and at the end of phase II of the CRP. Despite that, we reported a higher relative improvement for EC in patients with obesity (median [interquartile range], 23.9% [5.2, 40.8] vs 17.6% [8.1, 35.9], P = .043) and similar improvements in CI (10.9% [-1.4 to 34.2] vs 7.1% [-7.1 to 28.2], P = .100), compared with patients without obesity. There were no significant changes in resting HR.CONCLUSION:
Regardless of their lower exercise performance at baseline, patients with obesity had a remarkably positive response to the CRP compared with patients without obesity.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença da Artéria Coronariana
/
Reabilitação Cardíaca
/
Obesidade
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cardiopulm Rehabil Prev
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Portugal