Benefits of Cardiac Rehabilitation in Coronary Artery Disease: DOES WEIGHT MATTER?

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.

authors

Braga M,Nascimento H,Pinto R,Araújo P,Nunes A,Rodrigues J,Araújo V,Parada-Pereira F,Maciel MJ,Rocha A

doi

10.1097/HCR.0000000000000442

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

386-390

issue

6

eissn

1932-7501

issn

1932-751X

pii

01273116-201911000-00006

journal_volume

39

pub_type

杂志文章
  • The Urgent Need to Sit Less and Move More During the COVID-19 Pandemic.

    abstract::The coronavirus disease-2019 (COVID-19) pandemic containment and mitigation strategies may lead to excessive physical inactivity and sedentary behavior, drastically impacting cardiorespiratory fitness and overall health. It is urgent to safely find ways to sit less and move more. ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000538

    authors: Smirmaul BPC,Arena R

    更新日期:2020-09-01 00:00:00

  • Influence of body mass index on changes in disease-specific quality of life of veterans completing pulmonary rehabilitation.

    abstract:PURPOSE:Body mass index (BMI) has prognostic value in patients with chronic lung disease. Pulmonary rehabilitation improves quality of life. This study investigated whether BMI predicts change in disease-specific quality of life following pulmonary rehabilitation. METHODS:Subjects (N = 61), who completed pulmonary reh...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181e17607

    authors: Velasco R,Pirraglia PA,Casserly B,Nici L

    更新日期:2010-09-01 00:00:00

  • Effect of propionyl-L-carnitine on a background of monitored exercise in patients with claudication secondary to peripheral artery disease.

    abstract:PURPOSE:Exercise training is established for the treatment of peripheral artery disease; however the additional benefit of pharmacologic therapy with exercise has not been studied. This trial tested the hypothesis that propionyl-L-carnitine (PLC), in combination with monitored home-based exercise training, would improv...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/HCR.0b013e3181f1fd65

    authors: Hiatt WR,Creager MA,Amato A,Brass EP

    更新日期:2011-03-01 00:00:00

  • Effects of Water-Based Aerobic Interval Training in Patients With COPD: A RANDOMIZED CONTROLLED TRIAL.

    abstract:PURPOSE:Chronic obstructive pulmonary disease promotes systemic repercussions, which can be minimized with physical exercise. This study investigated the effects of a water-based aerobic interval training program on the autonomic modulation of heart rate (HR), quality of life (QoL), and functional capacity (FC) of pati...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0000000000000352

    authors: Gallo-Silva B,Cerezer-Silva V,Ferreira DG,Sakabe DI,Kel-Souza LD,Bertholo VC,Brasil MTF,Ladeia AOA,Moreno MA

    更新日期:2019-03-01 00:00:00

  • Patient Perception of How Smoking Status Influences Cardiac Rehabilitation Attendance After an Acute Cardiac Hospitalization.

    abstract:PURPOSE:Patients hospitalized with a cardiac condition are less likely to attend cardiac rehabilitation (CR) if they are smokers despite the benefits of doing so. The present study sought to investigate how, if at all, a patient's decision to attend CR was influenced by his or her tobacco use post-discharge. METHODS:W...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000366

    authors: Riley H,Headley S,Lindenauer PK,Goff S,Szalai H,Gaalema DE,Pack QR

    更新日期:2019-05-01 00:00:00

  • Effect of Smoking Status on Exercise Perception and Intentions for Cardiac Rehabilitation Enrollment Among Patients Hospitalized With an Acute Cardiac Condition.

    abstract:PURPOSE:Cardiac rehabilitation (CR) attendance has been associated with higher smoking cessation (SC) rates. However, for unclear reasons, smokers are consistently less likely to enroll in CR than nonsmokers, and it is uncertain what might encourage them to attend. METHODS:We surveyed patients eligible for CR who were...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000288

    authors: Riley H,Headley S,Winter C,Mazur S,Gaalema DE,Goff S,Lindenauer PK,Pack QR

    更新日期:2018-09-01 00:00:00

  • Cardiac rehabilitation: beginning at the bedside.

    abstract:PURPOSE:Despite well-documented positive benefits, cardiac rehabilitation (CR) is an underutilized resource for patients following a cardiac event or intervention. Bias in the CR referral process has led to programs designed to ensure that all eligible patients receive a referral. The purpose of the current investigati...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e31827e14da

    authors: Tiller S,Leger-Caldwell L,OʼFarrell P,Pipe AL,Mark AE

    更新日期:2013-05-01 00:00:00

  • Endothelial progenitor cell mobilization and increased intravascular nitric oxide in patients undergoing cardiac rehabilitation.

    abstract:PURPOSE:We investigated whether cardiac rehabilitation participation increases circulating endothelial progenitor cells (EPCs) and benefits vasculature in patients already on stable therapy previously shown to augment EPCs and improve endothelial function. METHODS:Forty-six of 50 patients with coronary artery disease ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.HCR.0000265031.10145.50

    authors: Paul JD,Powell TM,Thompson M,Benjamin M,Rodrigo M,Carlow A,Annavajjhala V,Shiva S,Dejam A,Gladwin MT,McCoy JP,Zalos G,Press B,Murphy M,Hill JM,Csako G,Waclawiw MA,Cannon RO 3rd

    更新日期:2007-03-01 00:00:00

  • Short- and Long-term Effects of Pulmonary Rehabilitation in Patients With Mild COPD: A COMPARISON WITH PATIENTS WITH MODERATE TO SEVERE COPD.

    abstract:PURPOSE:Pulmonary rehabilitation (PR) is effective in patients with moderate to severe chronic obstructive pulmonary disease (COPD). However, the effects of PR in patients with mild COPD have not yet been established. Thus, this study investigated the short- and long-term effects of PR in patients with mild COPD in com...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000219

    authors: Jácome C,Marques A

    更新日期:2016-11-01 00:00:00

  • Failure to improve cardiopulmonary fitness in cardiac rehabilitation.

    abstract:PURPOSE:A primary goal of cardiac rehabilitation (CR) exercise is to increase cardiopulmonary fitness. The aim of this study was to identify characteristics of CR participants who fail to improve peak oxygen uptake (peakV(O(2))). METHODS:The study cohort included 385 consecutive patients with directly measured peakV(O...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181b4c8bd

    authors: Savage PD,Antkowiak M,Ades PA

    更新日期:2009-09-01 00:00:00

  • Depression, Socioeconomic Factors, and Ethnicity as Predictors of Cardiorespiratory Fitness Before and After Cardiac Rehabilitation.

    abstract:PURPOSE:To determine whether cardiac patients with psychosocial or socioeconomic problems have lower peak oxygen uptake ((Equation is included in full-text article.)O2peak) and whether these factors modify the effect of cardiac rehabilitation (CR). METHODS:A retrospective cohort study of patients with ischemic heart d...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000367

    authors: Mikkelsen N,Dall CH,Frederiksen M,Holdgaard A,Rasmusen H,Prescott E

    更新日期:2019-07-01 00:00:00

  • Shuttle walking test as predictor of survival in chronic obstructive pulmonary disease patients enrolled in a rehabilitation program.

    abstract:BACKGROUND:The Incremental Shuttle Walking Test (ISWT) is used to assess exercise capacity in chronic obstructive pulmonary disease (COPD) and is employed as an outcome measure for pulmonary rehabilitation. We studied the value of this test in predicting survival in COPD patients enrolled in a rehabilitation program. ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181e1736b

    authors: Ringbaek T,Martinez G,Brøndum E,Thøgersen J,Morgan M,Lange P

    更新日期:2010-11-01 00:00:00

  • Cardiac Rehabilitation After Heart Valve Surgery: COMPARISON WITH CORONARY ARTERY BYPASS GRAFT PATIENTS.

    abstract:PURPOSE:Coronary artery bypass graft (CABG) surgery patients participating in cardiac rehabilitation (CR) experience improvements in aerobic fitness, but there has been little study of outcomes for heart valve (HV) surgical patients. The primary aims of this study were to evaluate baseline peak aerobic capacity for HV ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000104

    authors: Savage PD,Rengo JL,Menzies KE,Ades PA

    更新日期:2015-07-01 00:00:00

  • Evolving Role of Exercise Testing in Contemporary Cardiac Rehabilitation.

    abstract::Symptom-limited (maximal) exercise testing before cardiac rehabilitation (CR) was once an unambiguous standard of care. In particular, it served as an important screen for residual ischemia and instability before initiating a progressive exercise training regimen. However, improved revascularization and therapy for co...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,评审

    doi:10.1097/HCR.0000000000000176

    authors: Reeves GR,Gupta S,Forman DE

    更新日期:2016-09-01 00:00:00

  • Arm Activity During Daily Life in Individuals With Chronic Obstructive Pulmonary Disease.

    abstract:PURPOSE:To determine whether individuals with chronic obstructive pulmonary disease (COPD) have decreased arm activity during daily life compared with healthy controls and explore the relationships between arm activity during daily life and arm functional measures in individuals with COPD. METHODS:This was a prospecti...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000153

    authors: Janaudis-Ferreira T,Mathur S,Romano JM,Goldstein RS,Brooks D

    更新日期:2016-03-01 00:00:00

  • Participation in Pulmonary Rehabilitation by Veterans Health Administration and Medicare Beneficiaries After Hospitalization for Chronic Obstructive Pulmonary Disease.

    abstract:BACKGROUND:Hospitalization with acute exacerbation of chronic obstructive pulmonary disease (COPD) is common and costly to the health care system. Pulmonary rehabilitation (PR) can improve symptom burden and morbidity associated with COPD. The use of PR among Medicare beneficiaries is poor, and the use by Veterans Heal...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000357

    authors: Vercammen-Grandjean C,Schopfer DW,Zhang N,Whooley MA

    更新日期:2018-11-01 00:00:00

  • Validity of the counting talk test in comparison with standard methods of estimating exercise intensity in young healthy adults.

    abstract:PURPOSE:The Talk Test is a method for recommending exercise intensity on the basis of the ability of an individual to carry on a conversation during exercise and has been associated with defining the upper recommended limits of exercise intensity for cardiorespiratory training. The purpose of this study was to assess t...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/01.HCR.0000320072.89093.0d

    authors: Norman JF,Hopkins E,Crapo E

    更新日期:2008-05-01 00:00:00

  • Enhancing standard cardiac rehabilitation with stress management training: background, methods, and design for the enhanced study.

    abstract:PURPOSE:Enhancing Standard Cardiac Rehabilitation with Stress Management Training in Patients with Heart Disease (ENHANCED) is a randomized clinical trial funded by the National Heart Lung and Blood Institute to evaluate the effects of stress management training (SMT) on changes in biomarkers of risk and quality of lif...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0b013e3181d0c1d3

    authors: Blumenthal JA,Wang JT,Babyak M,Watkins L,Kraus W,Miller P,Hinderliter A,Sherwood A

    更新日期:2010-03-01 00:00:00

  • A model for integrating a mind/body approach to cardiac rehabilitation: outcomes and correlators.

    abstract:PURPOSE:Although cardiac rehabilitation programs have been shown to decrease cardiovascular risk, morbidity, and mortality, few programs have integrated a balanced mind/body approach in which patients are taught the relaxation response and utilize cognitive behavior skills for stress management, along with diet and exe...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181a33352

    authors: Casey A,Chang BH,Huddleston J,Virani N,Benson H,Dusek JA

    更新日期:2009-07-01 00:00:00

  • Effect of Initiating Cardiac Rehabilitation After Myocardial Infarction on Subsequent Hospitalization in Older Adults.

    abstract:PURPOSE:Outpatient cardiac rehabilitation (CR) participation after myocardial infarction (MI) reduces all-cause mortality; however, less is known about effects of CR on post-MI hospitalization. The study objective was to investigate effects of CR on hospitalization following acute MI among older adults. METHODS:Medica...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000452

    authors: Bush M,Kucharska-Newton A,Simpson RJ Jr,Fang G,Stürmer T,Brookhart MA

    更新日期:2020-03-01 00:00:00

  • Utility of Equations to Estimate Peak Oxygen Uptake and Work Rate From a 6-Minute Walk Test in Patients With COPD in a Clinical Setting.

    abstract:PURPOSE:To determine the utility of equations that use the 6-minute walk test (6MWT) results to estimate peak oxygen uptake ((Equation is included in full-text article.)o2) and peak work rate with chronic obstructive pulmonary disease (COPD) patients in a clinical setting. METHODS:This study included a systematic revi...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,评审

    doi:10.1097/HCR.0000000000000129

    authors: Kirkham AA,Pauhl KE,Elliott RM,Scott JA,Doria SC,Davidson HK,Neil-Sztramko SE,Campbell KL,Camp PG

    更新日期:2015-11-01 00:00:00

  • Limitations in exercise and functional capacity in long-term postpneumonectomy patients.

    abstract:INTRODUCTION:Pneumonectomy results in impairments of pulmonary function and exercise intolerance associated with respiratory limitations. However, exercise capacity and functional capacity are less known at long-term followup. The aims of this study were to assess exercise tolerance and functional capacity among long-t...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000085

    authors: Vainshelboim B,Fox BD,Saute M,Sagie A,Yehoshua L,Fuks L,Schneer S,Kramer MR

    更新日期:2015-01-01 00:00:00

  • Cardiac rehabilitation outcomes: impact of comorbidities and age.

    abstract:PURPOSE:Medical comorbidities (CM) contribute to cardiac rehabilitation (CR) underutilization. Whether individuals with coronary heart disease and an increased CM burden achieve similar benefits from CR as those with a low CM burden is unknown. METHODS:We analyzed 794 patients with coronary heart disease completing CR...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e31822f189c

    authors: Listerman J,Bittner V,Sanderson BK,Brown TM

    更新日期:2011-11-01 00:00:00

  • . . . But watch out for the weather: factors affecting adherence to progressive resistance exercise for persons with COPD.

    abstract:PURPOSE:Exercise is an important treatment modality for persons with chronic obstructive pulmonary disease (COPD), but factors influencing adherence have been examined infrequently. The purpose of this investigation was to explore adherence factors to a progressive resistance exercise program for persons with COPD. ME...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.HCR.0000270686.78763.c8

    authors: O'Shea SD,Taylor NF,Paratz JD

    更新日期:2007-05-01 00:00:00

  • Patient Perspectives on Declining to Participate in Home-Based Cardiac Rehabilitation: A MIXED-METHODS STUDY.

    abstract:PURPOSE:A minority of eligible patients participate in cardiac rehabilitation (CR) programs. Availability of home-based CR programs improves participation in CR, yet many continue to decline to enroll. We sought to explore among patients the rationale for declining to participate in CR even when a home-based CR program...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000493

    authors: Schopfer DW,Nicosia FM,Ottoboni L,Whooley MA

    更新日期:2020-09-01 00:00:00

  • The V˙E/V˙CO2 Slope During Maximal Treadmill Cardiopulmonary Exercise Testing: REFERENCE STANDARDS FROM FRIEND (FITNESS REGISTRY AND THE IMPORTANCE OF EXERCISE: A NATIONAL DATABASE).

    abstract:PURPOSE:Cardiopulmonary exercise testing (CPX) is the gold standard approach for the assessment of cardiorespiratory fitness (CRF). The primary aim of the current study was to determine reference standards for the minute ventilation/carbon dioxide production (V˙E/V˙CO2) slope in a cohort from the "Fitness Registry and ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000566

    authors: Arena R,Myers J,Harber M,Phillips SA,Severin R,Ozemek C,Peterman JE,Kaminsky LA

    更新日期:2021-01-14 00:00:00

  • Rates of enrollment for men and women referred to outpatient cardiac rehabilitation.

    abstract:OBJECTIVE:Outpatient cardiac rehabilitation (CR) services are underutilized. Fewer women participate in CR than men. It is unclear whether women referred to CR enroll at the same rate as men. The purpose of this study was to compare enrollment rates of men and women who were referred to CR. METHODS:A retrospective med...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e318207d2fa

    authors: Weingarten MN,Salz KA,Thomas RJ,Squires RW

    更新日期:2011-07-01 00:00:00

  • Effect of Cardiac Rehabilitation on Sexual Satisfaction Among Patients After Coronary Artery Bypass Graft Surgery.

    abstract:PURPOSE:After coronary artery bypass graft (CABG) surgery, many patients experience diminished sexual function and satisfaction. The present study aimed to investigate the effect of outpatient cardiac rehabilitation (OCR) on the level of sexual satisfaction among post-CABG patients. METHODS:A clinical trial was perfor...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0000000000000434

    authors: Rakhshan M,Toufigh A,Dehghani A,Yaktatalab S

    更新日期:2019-11-01 00:00:00

  • Comparison of baseline characteristics and outcomes in younger and older patients completing cardiac rehabilitation.

    abstract:PURPOSE:Cardiac rehabilitation (CR) in patients with coronary heart disease (CHD) remains underutilized especially among older patients. The present study compares baseline characteristics and CR outcomes between younger and older patients participating in CR. METHODS:Comparisons were made between "younger" (<65 years...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181ac7870

    authors: Maniar S,Sanderson BK,Bittner V

    更新日期:2009-07-01 00:00:00

  • In-class Active Video Game Supplementation and Adherence to Cardiac Rehabilitation.

    abstract:PURPOSE:The application of active video games (AVGs) during cardiac rehabilitation (CR) sessions could potentially facilitate patient adherence. The feasibility, safety, and efficacy of in-class AVG supplementation as an alternative to conventional phase 2 programs were investigated. METHODS:A pilot, evaluator-blinded...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0000000000000224

    authors: Ruivo JMADS,Karim K,OʼShea R,Oliveira RCS,Keary L,OʼBrien C,Gormley JP

    更新日期:2017-07-01 00:00:00