Key result
Cardiac rehab linked to greater metabolic improvements in CHD patients with metabolic syndrome versus those without.
Why the study?
The effectiveness of cardiac rehabilitation and exercise training programs on metabolic parameters and coronary risk factors in patients with metabolic syndrome and coronary heart disease was evaluated.
Does a cardiac rehabilitation and exercise training program improve metabolic parameters and functional capacity in patients with metabolic syndrome and coronary heart disease?
Observational (n=642)
Does a cardiac rehabilitation and exercise training program improve metabolic parameters and functional capacity in patients with metabolic syndrome and coronary heart disease?
p-value: p=<.001
Cardiac rehabilitation and exercise training programs significantly improve metabolic parameters and functional capacity in patients with coronary heart disease and metabolic syndrome.
May support emphasizing cardiac rehab in MetS with CHD; hypothesis-generating and requires randomized confirmation before practice change.
This study was performed to determine the effectiveness of a cardiac rehabilitation and exercise training program on metabolic parameters and coronary risk factors in patients with the metabolic syndrome and coronary heart disease. The study involved 642 patients with coronary heart disease. Of them, 171 (26.7%) fulfilled criteria for the metabolic syndrome. Clinical data, laboratory tests, and exercise testing were performed before and after the program, which lasted 2 to 3 months. Except for waist circumference, there were no significant differences between groups; blood pressure, high-density lipoprotein cholesterol, triglycerides, and fasting glucose improvements during the follow-up were higher in patients with the metabolic syndrome (all P<.001). At study end, in patients with the metabolic syndrome, functional capacity increased by 26.45% ( P<.001), as measured by metabolic equivalents, with a slight increase of 1.25% ( P=not significant) in the double product. Patients with the metabolic syndrome who took part in this secondary prevention program reported improvements in cardiovascular risk profile and functional capacity.
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Pérez et al. (2010) conducted an observational in Metabolic syndrome and coronary heart disease (n=642). Cardiac rehabilitation and exercise training program vs. Patients without metabolic syndrome was evaluated on Metabolic parameters and coronary risk factors (p=<.001). A 2- to 3-month cardiac rehabilitation program improved blood pressure, HDL cholesterol, triglycerides, and fasting glucose significantly more in patients with metabolic syndrome (all P<.001).
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