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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Cardiovascular risk reductions associated with aggressive lifestyle modification and cardiac rehabilitation
Steven G Aldana1, William R Whitmer, Roger Greenlaw
1College of Health and Human Performance, Brigham Young University, Provo, Utah 84602, USA.
Insights
The Ornish Program significantly improved cardiovascular disease (CVD) risk factors like cholesterol and blood pressure compared to traditional cardiac rehabilitation or no program. Patients in the Ornish program saw greater overall health benefits.
Area of Science:
- Cardiology
- Preventive Medicine
- Lifestyle Medicine
Background:
- Coronary heart disease (CHD) patients have options: traditional cardiac rehabilitation, the Ornish Program, or no rehabilitation.
- Previous studies have not compared these options regarding cardiovascular disease (CVD) risk factors.
Purpose of the Study:
- To compare changes in CVD risk factors among patients undergoing the Ornish Program, traditional cardiac rehabilitation, or no formal program.
- To evaluate the impact of different post-procedure interventions on cardiovascular health.
Main Methods:
- A longitudinal, observational study involving 84 patients post-coronary artery bypass graft or percutaneous coronary intervention.
- Patients were divided into three groups: Ornish Program, traditional cardiac rehabilitation, and a control group (no formal program).
- Cardiovascular disease risk factors and anginal severity were assessed at baseline, 3 months, and 6 months.
Main Results:
- Ornish Program participants showed significant reductions in anginal frequency, body weight, BMI, systolic blood pressure, total cholesterol, LDL cholesterol, and glucose.
- Ornish participants also experienced increases in complex carbohydrate intake and reductions in dietary fat.
- The control group had the greatest reduction in anginal pain but higher levels of systolic blood pressure, total cholesterol, and LDL cholesterol.
Conclusions:
- The Ornish Program demonstrates superior improvements in CVD risk factors compared to traditional cardiac rehabilitation or no intervention.
- Patients with CVD may achieve better health outcomes by opting for the Ornish Program.
Background:
Patients who have been treated for coronary heart disease can enroll in traditional cardiac rehabilitation, the Ornish Program, or no rehabilitation at all. No study has compared the impact of each on cardiovascular disease risk (CVD) factors.
Methods:
The current study compared CVD risk changes in post coronary artery bypass graft or percutaneous coronary intervention procedure patients who participated in the Ornish Heart Disease Reversing Program, a traditional cardiac rehabilitation, and a control group that received no formal cardiac risk-reduction program. This was a longitudinal, observational study of 84 patients receiving CVD standard of care who elected to participate in 1 of the 3 study groups. Assessments of CVD risk factors and anginal severity were obtained at baseline, 3 months, and 6 months.
Results:
Ornish program participants had significantly greater reductions in anginal frequency, body weight, body mass index, systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, glucose, dietary fat, and increases in complex carbohydrates than were documented in the rehabilitation or control groups. The control group experienced the greatest reduction in anginal pain severity, but also had significantly higher systolic blood pressure, total cholesterol, and low-density lipoprotein cholesterol.
Conclusions:
These findings suggest that CVD patients who choose to participate in the Ornish program can experience greater improvements in CVD risks than patients who choose to participate in traditional cardiac rehabilitation or no formal program.
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