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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Is there any difference between non-obese male and female in response to cardiac rehabilitation programs?
Masoumeh Sadeghi1, Fatemeh E Ghashghaei, Katayoun Rabiei
1Cardiac Rehabilitation Research Center, Isfahan Cardiovascular, Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
A supervised cardiac rehabilitation program significantly improved functional capacity and lipid profiles in non-obese males and females with coronary artery disease. The program showed benefits for both genders, with notable improvements in functional capacity between groups.
Area of Science:
- Cardiology
- Preventive Medicine
- Exercise Physiology
Background:
- Coronary artery disease (CAD) is a leading global cause of mortality and morbidity.
- Sedentary lifestyles and dyslipidemia are key risk factors for CAD progression.
- Gender-specific differences exist in CAD risk between non-obese males and females.
Purpose of the Study:
- To evaluate the impact of a comprehensive cardiac rehabilitation program (CRP) on functional capacity and lipid profiles.
- To compare the benefits of CRP between non-obese males and females with CAD.
- To assess changes in total cholesterol, triglycerides, LDL-C, and HDL-C.
Main Methods:
- 585 non-obese male and female CAD patients participated in a 2-month CRP.
- The program included 24 supervised exercise sessions, medical evaluations, and consultations.
- Functional capacity and lipid profiles were assessed via exercise tests and blood samples pre- and post-program.
Main Results:
- Significant improvements in functional capacity (P=0.00) and most lipid profiles were observed in both groups.
- High-density lipoprotein cholesterol (HDL-C) did not significantly improve in non-obese females.
- While lipid profiles showed no significant gender differences, functional capacity changes were significant between groups (P=0.00).
Conclusions:
- Supervised CRP is crucial for enhancing functional capacity and lipid profiles in non-obese CAD patients.
- The program demonstrates effectiveness irrespective of gender.
- Improvements in functional capacity were notably significant between male and female participants.
Introduction:
Coronary artery disease (CAD) is the leading cause of death and disability all over the world. A sedentary lifestyle and dyslipidemia are known to be the major risk factors, which play an important role in the progression of coronary artery disease. Regarding gender differences, the risk of developing coronary heart disease is recognized as being different between non-obese males and non-obese females. Hence, the aim of this study is to assess the benefits of a comprehensive cardiac rehabilitation program (CRP) on the functional capacity and lipid profiles, such as, total cholesterol, triglycerides, low density lipoprotein cholesterol, and high density lipoprotein cholesterol in non-obese males and non-obese females with coronary artery disease, and comparing these groups.
Materials And Methods:
We evaluated 585 non-obese males and females with coronary artery disease. All the participants completed the cardiac rehabilitation program for two months, which included 24 exercise training sessions, medical evaluation, and consultation. For investigation of the effects of the cardiac rehabilitation program on the functional capacity and lipid profiles, exercise tests were carried out by each patient, and also, their blood samples were taken on entrance and at the end of this period.
Results:
The findings, following 24 sessions in the cardiac rehabilitation program, showed that the functional capacity (P = 0.00) and all lipid profiles had significantly improved in both the groups, except that the high density lipoprotein cholesterol did not show a significant difference in non-obese females. In addition, comparing the two groups did not show any significant differences in lipid profiles, but the changes in functional capacity were significant (P = 0.00) between the two groups, following the cardiac rehabilitation program.
Conclusion:
The CRP, which was performed by the patients under supervision of a physician and an exercise physiologist, plays a key role in improving the functional capacity (FC) and all lipid profiles in non-obese males and females with coronary artery disease, without any attention to gender differences.
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