Body Composition Changes During Traditional Versus Intensive Cardiac Rehabilitation in Coronary Artery Disease

Objective. To examine long-term changes in physical function and body composition in coronary artery disease (CAD) patients participating in ongoing community-based cardiac rehabilitation (CR).Design. Thirty-four individuals (69.7±8.2years; 79% men) participated in this longitudinal observational study. Baseline and follow-up assessments included incremental shuttle walk, short physical performance battery, handgrip strength, chair stands, body composition, last year physical activity, and CR attendance.Results. Participants attended38.5±30.3%sessions during1.6±0.2year followup. A significant increase in 30-second chair stands (17.0±4.7to19.6±6.4,P<0.001), body weight (75.8±11.1to77.2±12.1 kg,P=0.001), and body fat (27.0±9.5to29.1±9.6%,P<0.001) and a decline in handgrip strength (36.4±9.4to33.0±10.6kg·f,P<0.001) and muscle mass (40.8±5.6to39.3±5.8%,P<0.001) were observed during followup. There was no significant change in shuttle walk duration. CR attendance was not correlated to observed changes.Conclusions. Elderly CAD patients participating in a maintenance CR program improve lower-body muscle strength but experience a decline in handgrip strength and unfavourable changes in body composition, irrespective of CR attendance.

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Effects of Community-Based Cardiac Rehabilitation on Physical Function and Body Composition in Coronary Artery Disease: 1.5-Year Follow-Up

Heart Lung and Circulation ◽

10.1016/j.hlc.2012.03.060 ◽

2012 ◽

Vol 21 (8) ◽

pp. 499-500

Author(s):

S. Mandic ◽

C. Hodge ◽

E. Stevens ◽

H. Horwood ◽

R. Walker ◽

...

Keyword(s):

Coronary Artery Disease ◽

Body Composition ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Physical Function ◽

Community Based ◽

Artery Disease

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COMPARING THE EFFECT OF CARDIAC REHABILITATION PROGRAMS ON BODY COMPOSITION AND CARDIAC BIOMARKERS IN PATIENTS WITH CORONARY ARTERY DISEASE

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)32307-1 ◽

2019 ◽

Vol 73 (9) ◽

pp. 1701

Author(s):

Alex Mirman ◽

Nolan Nardoni ◽

Alessandra Chen ◽

Tamara Horwich

Keyword(s):

Coronary Artery Disease ◽

Body Composition ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Cardiac Biomarkers ◽

Rehabilitation Programs ◽

Artery Disease

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HOW BODY COMPOSITION AFFECTS CARDIAC REHABILITATION OUTCOMES IN PATIENTS WITH CORONARY ARTERY DISEASE

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(20)32243-9 ◽

2020 ◽

Vol 75 (11) ◽

pp. 1616

Author(s):

Alex Mirman ◽

Alessandra Chen ◽

Dennis Ruenger ◽

Nicholas Jackson ◽

Tamara Horwich

Keyword(s):

Coronary Artery Disease ◽

Body Composition ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Rehabilitation Outcomes ◽

Artery Disease

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The influence of cardiac rehabilitation on heart rate variability indices in men with type 2 diabetes and coronary artery disease

Diabetes and Vascular Disease Research ◽

10.1177/14791641211020184 ◽

2021 ◽

Vol 18 (3) ◽

pp. 147916412110201

Author(s):

Katarzyna Szmigielska ◽

Anna Jegier

Keyword(s):

Type 2 Diabetes ◽

Coronary Artery Disease ◽

Heart Rate ◽

Heart Rate Variability ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Interval Training ◽

Patients With Diabetes ◽

Artery Disease

The study evaluated the influence of cardiac rehabilitation (CR) on heart rate variability (HRV) in men with coronary artery disease (CAD) with and without diabetes. Method: The study population included 141 male CAD patients prospectively and consecutively admitted to an outpatient comprehensive CR program. Twenty-seven patients with type-2 diabetes were compared with 114 males without diabetes. The participants performed a 45-min cycle ergometer interval training alternating 4-min workload and a 2-min active restitution three times a week for 8 weeks. The training intensity was adjusted so that the patient’s heart rate achieved the training heart rate calculated according to the Karvonen formula. At the baseline and after 8 weeks, all the patients underwent the HRV assessment. Results: HRV indices in the patients with diabetes were significantly lower as compared to the patients without diabetes in SDNN, TP, LF parameters, both at the baseline and after 8 weeks of CR. After 8 weeks of CR, a significant improvement of TP, SDNN, pNN50% and HF occurred in the patients without diabetes, whereas in the patients with diabetes only HF component improved significantly. Conclusions: As regards HRV indices, CR seems to be less effective in patients with CAD and type-2 diabetes.

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