Effects of cardiac rehabilitation, diet and exercise on peak aerobic capacity in obiese patient

Obesity is a highly prevalent chronic condition among young population associated with significant morbidity and mortality including increased risk for developing cardiovascular diseases. Cardiac rehabilitation (CR) involving diet and exercise represent basic for improvement of functional capacity and lost of vait in obese patients. We presented the case of a young obese patient who underwent guided diet and cardiovascular rehabilitation with significant improvement on peak aerobic capacity. At beginning of process our patient was obese with body-mass index of 30.1 kg/m2 , his waste circumference was 110 cm. Laboratory analyses showed elevated total cholesterol 5.8 mmol/L and impaired glicemic control with hemoglobin A1c (HbA1c) 6.0 %. The echocardiography was completely normal. Cardiopulmonary test was performed before guided rehabilitation showing very pour functional abilities with peak oxygen consumption (peak VO2) 32,0 ml/kg/min, at middle of rehabilitation with improvement in peak VO2 42.9 ml/kg/min and at the end of process showing significant improvement of the peak VO2 to 49.1 ml/ kg/min, with reduction of BMI to 22.4 kg/m2 and improvement in laboratory findings. Guided CR may improve functional capacity. In long-term, regulation of BMI in young patients may be translated into better quality of life and reduction of potential development of obasity-associated morbidities.