April 26, 1993Archives of Internal Medicine
Factors Predicting Improvements in Lipid Values Following Cardiac Rehabilitation and Exercise Training
Key result
Cardiac rehabilitation and exercise training improved LDL (-4%), HDL (7%), and triglycerides (-13%), with baseline dyslipidemic values being the strongest predictors of improvement (P<0.0001).
Why the study?
What clinical variables predict improvements in plasma lipid values following outpatient phase 2 cardiac rehabilitation and exercise training?
Population
237 consecutive patients from two institutions enrolled in outpatient phase 2 cardiac rehabilitation and…
Design
Cohort
Authors
Discussion
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Implication
Baseline dyslipidemia may identify patients with greatest lipid gains after cardiac rehab; leaves open 60-70% unexplained variance from other factors.
Study Design
Type
Cohort (n=237)
Multicenter
Yes
Structured PICO
What clinical variables predict improvements in plasma lipid values following outpatient phase 2 cardiac rehabilitation and exercise training?
P
Population
237 consecutive patients from two institutions enrolled in outpatient phase 2 cardiac rehabilitation and exercise programs
I
Intervention
Outpatient phase 2 cardiac rehabilitation and exercise programs
O
Outcome
Improvements in plasma lipid values (low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides)surrogate
Patients with the worst baseline lipid values experience the greatest improvements following cardiac rehabilitation, though clinical variables only account for 30% to 40% of the variance in lipid changes.
Cite This Study
Carl J. Lavie (1993) conducted a cohort in Major cardiac events (n=237). Cardiac rehabilitation and exercise training was evaluated on Improvements in plasma lipid values. Cardiac rehabilitation and exercise training improved LDL (-4%), HDL (7%), and triglycerides (-13%), with baseline dyslipidemic values being the strongest predictors of improvement (P<0.0001).