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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Does significant weight reduction in men with coronary artery disease manage risk factors after cardiac
Masoumeh Sadeghi1, Fatemeh Esteki Ghashghaei2, Katayoun Rabiei3
1Department of Cardiology, Cardiac Rehabilitation Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Cardiac rehabilitation programs (CRP) benefit obese and non-obese men with coronary heart disease (CHD). Significant weight reduction during CRP further enhances functional capacity (FC) and fitness in obese men with CHD.
Area of Science:
- Cardiology
- Metabolic Health
- Exercise Physiology
Background:
- Obesity is prevalent in cardiac patients and linked to coronary heart disease (CHD).
- Cardiac rehabilitation programs (CRP) are crucial for managing cardiovascular health.
- The impact of CRP on obese individuals with CHD requires further investigation.
Purpose of the Study:
- To assess CRP's effects on obesity indexes, lipid profiles, and functional capacity (FC) in obese men with CHD.
- To determine if significant weight reduction influences these risk factors and FC.
- To compare outcomes between obese and non-obese men undergoing CRP.
Main Methods:
- An observational study involving 536 men (72 obese, 464 non-obese) who completed a 2-month CRP.
- Obese patients were categorized based on achieving ≥5% weight reduction.
- Statistical analysis included independent and paired t-tests using SPSS v.15.
Main Results:
- CRP improved obesity indexes, lipid profiles, and FC in non-obese men (P < 0.05).
- Obese men showed improvements in obesity indexes, FC, and total cholesterol (P < 0.05).
- Significant differences were observed in obesity indexes and lipid profiles between obese and non-obese groups, and within obese subgroups regarding FC and cholesterol ratios.
Conclusions:
- CRP offers significant benefits for managing obesity, FC, and lipid profiles in both obese and non-obese cardiac patients.
- Weight reduction in obese men undergoing CRP may lead to greater improvements in FC and fitness.
- CRP is a valuable intervention for improving cardiovascular health and metabolic markers in men with CHD.
Background:
Vast majority of cardiac patients who refer to cardiac rehabilitation program (CRP) are obese and obesity is associated with coronary heart disease (CHD). So, the aim of this study is to investigate the effects of CRP on obesity indexes, lipid profiles, and functional capacity (FC) in obese men with CHD and to explore whether significant weight reduction affected these risk factors and FC or not.
Materials And Methods:
In an observational study, we evaluated 536 patients, including 464 non-obese men and 72 obese men. All participants completed CRP for 2 months; then, obese patients were divided into two groups: patients with weight reduction ≥ 5% and patients who didn't have significant weight reduction. Data were analyzed with SPSS software version 15. For comparing the mean of outcomes independent t-tests and paired t-tests were used.
Results:
Results showed following CRP, non-obese men had significant improvement in obesity indexes (P = 0.00), lipid profiles (P < 0.05), and FC (P = 0.00) and in obese men, favorable improvement were seen in obesity indexes (P = 0.00), FC (P = 0.00), and total cholesterol (P = 0.02). Comparing two groups revealed that there were significant differences in obesity indexes, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol/high-density lipoprotein cholesterol ratio. In addition, comparing subgroup of obese patients revealed that there were significant differences in FC (P = 0.00) and low-density lipoprotein cholesterol/ high-density lipoprotein cholesterol ratio (P = 0.04).
Conclusion:
CRP has more advantage in management of obesity, FC, and lipid profiles in both obese and non-obese patients. Also, weight reduction may cause greater improvement in FC and fitness levels in obese men with CHD.
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