ORIGINAL ARTICLE
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abstractComprehensive
cardiac rehabilitation programs improve weight management in overweight
and obese coronary patients following revascularisation Adina Avram¹, Stela
Iurciuc¹, Laura Craciun¹, Claudiu Avram²,
Lucian Hoble², Mihaela Oravitan², Mircea
Iurciuc¹, Dan Gaita¹, Silvia Mancas¹ 1Victor
Babes University of Medicine and Pharmacy, Timisoara, Romania 2Physical
Education and Sport Faculty, West University Timisoara, Romania
Abstract
Aim:
To asses the benefit of cardiovascular rehabilitation programs in
reducing excessive body weight in obese and overweight coronary
patients who underwent revascularisation procedures. Material
and methods: We performed an analytic retrospective study which
included 227 revascularised coronary patients. Based on their
participation in cardiac rehabilitation programs (CR) following
revascularisation procedures, we split them into 3 groups: Group A
(ambulatory-based CR), Group S (hospital-based CR) and Group C (usual
care). We evaluated life style trends and overweight & obesity
management using questionnaire method, measuring anthropometric and
hemodynamic parameters and performing blood tests at baseline, after
revascularisation (T0) and after a mean period of 16 months (T1).
Results: We found a high prevalence of overweight and obesity at
baseline among study participants in all 3 groups. At the end of the
study the number of obese patients decreased in Group A (p=0.001) and
Group S (p=0.04). The number of patients who declared that they tried
to lose weight was higher in Group A and Group S comparing with Group
C. The majority of patients who tried to lose weight declared that they
followed a hipocaloric diet. Exercise training was performed mainly by
patients in Group A and Group S. We noticed a significant reduction of
body mass index in patients from Group A (p=0.04) and Group S (p=0.02).
Conclusions: Cardiac rehabilitation programmes improve body
weight management comparing with usual care, through increased
awareness regarding overweight and obesity, better adherence to
lifestyle changes, both diet and exercise training.
Key
words:obesity,
myocardial revascularisation, cardiac
rehabilitation.
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