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Benefits of Cardiac Rehabilitation in Coronary Artery Disease

DOES WEIGHT MATTER?

Braga, Marta MD; Nascimento, Helena MD; Pinto, Roberto MD; Araújo, Paulo MD; Nunes, Alzira MD; Rodrigues, Joana MD; Araújo, Vítor MD; Parada-Pereira, Fernando MD; Maciel, Maria Júlia PhD; Rocha, Afonso MD

Journal of Cardiopulmonary Rehabilitation and Prevention: November 2019 - Volume 39 - Issue 6 - p 386–390
doi: 10.1097/HCR.0000000000000442
Cardiac Rehabilitation
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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.

We analyzed the response of patients with obesity to a cardiac rehabilitation program (CRP). Patients with obesity represented 23% of a total of 731 patients. Regardless of their lower baseline exercise capacity and chronotropic index, patients with obesity had a remarkably positive response to the CRP compared with patients without obesity.

Departments of Cardiology (Drs Braga, Nascimento, Pinto, Araújo, Nunes, Rodrigues, Araújo, and Maciel) and Physical Medicine and Rehabilitation (Drs Parada-Pereira and Rocha), Centro Hospitalar São João, Porto, Portugal.

Correspondence: Marta Braga, MD, Serviço de Cardiologia, Centro Hospitalar São João, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal (martabraga.hsj@gmail.com).

The authors declare no conflicts of interest.

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