scholarly journals Predictors of Metabolic Syndrome in Participants of a Cardiac Rehabilitation Program

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Alejandra Farias Godoy ◽  
Andrew Ignaszewski ◽  
Jiri Frohlich ◽  
Scott A. Lear
Keyword(s):  
Metabolic Syndrome ◽  
Waist Circumference ◽  
Cardiac Rehabilitation ◽  
Cardiovascular Events ◽  
Rehabilitation Program ◽  
Program Completion ◽  
Cardiac Rehabilitation Program ◽  
Logistic Regression Models

Metabolic syndrome increases the risk of all-cause mortality, cardiovascular mortality and cardiovascular events in patients with cardiovascular disease (CVD). This study assessed the predictors of metabolic syndrome, both its incidence and resolution in a cohort of cardiac rehabilitation program graduates. Methods. A total of 154 and 80 participants without and with metabolic syndrome respectively were followed for 48 months. Anthropometric measurements, metabolic risk factors, and quality of life were assessed at baseline and at 48 months. Logistic regression models were used to assess the predictors of metabolic syndrome onset and resolution. Results. Increasing waist circumference (OR 1.175, P≤0.001) was an independent predictor for incident metabolic syndrome (R2 for model = 0.46). Increasing waist circumference (OR 1.234, P≤0.001), decreasing HDL-C (OR 0.027, P=0.005), and increasing triglycerides (OR 3.005, P=0.003) were predictors of metabolic syndrome resolution. Conclusion. Patients with CVD that further develop metabolic syndrome are particularly susceptible for the cascade of cardiovascular events and mortality. Increasing waist circumference confers a higher risk for future onset of metabolic syndrome in this group of patients. They will require closer follow-up and should be targeted for further prevention strategies after cardiac rehabilitation program completion.

scholarly journals Effectiveness of e-Health cardiac rehabilitation program on quality of life associated with symptoms of anxiety and depression in moderate-risk patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Raquel Bravo-Escobar ◽  
Alicia González-Represas ◽  
Adela María Gómez-González ◽  
Ángela Heredia-Torres
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cardiac Rehabilitation Program ◽  
Moderate Risk ◽  
Risk Patients ◽  
The Impact

AbstractExploring new models of medical care requires evaluating the impact of new care strategies not only on physiological parameters but also on the quality of life of the patient. On the other hand the presence of anxiety together with depression requires further consideration when planning appropriate management strategies. The aim of this study was to examine the effectiveness of a home-based cardiac rehabilitation program incorporating an e-Health technology on health-related quality of life associated with symptoms of anxiety and depression in moderate-risk patients. A multicenter, randomized controlled clinical trial was designed to compare a traditional hospital based cardiac rehabilitation program (n = 38, 35 male) with a mixed home surveillance program where patients exercised at home with a remote electrocardiographic monitoring device (n = 33, 31 male). The Short Form-36 (SF-36) Health Survey and the Goldberg questionnaire were used to evaluate quality of life and the presence of symptoms of anxiety and depression respectively. The results of this study show that the type of cardiac rehabilitation program did not influence the improvement in quality of life (p = 0.854), but the presence of symptoms of anxiety and depression did (p = 0.001). Although both programs achieved a decrease in anxiety and depression symptoms and improved functional capacity (p ≤ 0.001), a significant interaction effect was found between the group with or without anxiety and depression symptoms and the type of program in the bodily pain dimension (p = 0.021). Trial registration: Retrospectively registered NCT02796404 (10/06/2016) in clinialtrials.gov.

Effects of a Brief Motivational Interviewing Intervention on Adherence of Patients Undergoing Therapy in a Phase II Cardiac Rehabilitation Program

2016 ◽  
Vol 2 (11) ◽  
Author(s):  
Rachel Sieke ◽  
Angele McGrady ◽  
Dalynn Badenhop
Keyword(s):  
Cardiac Rehabilitation ◽  
Motivational Interviewing ◽  
Intervention Group ◽  
Rehabilitation Program ◽  
Program Completion ◽  
Cardiac Rehabilitation Program ◽  
Psychological Benefits ◽  
Relaxation Intervention ◽  
Potential Benefits ◽  
And Control

<p>Patients who complete a structured cardiac rehabilitation program improve physical capacity and reduce distress. However, adherence to program completion ranges widely, and non -completion of cardiac rehabilitation jeopardizes the potential benefits. This study tests the effects of a brief motivational interviewing and relaxation intervention on completion of cardiac rehabilitation in patients referred to the program after a major cardiac event. One hundred four patients were recruited into this study and randomized to the control or a four session intervention group. Patients who completed the intervention were more likely to complete cardiac rehabilitation; specifically the number of sessions completed was significantly greater (p &lt; 0.042) compared to controls. In addition to the intervention, baseline depression and anxiety are important predictors of dropout from rehabilitation. When entering the program, later completers had significantly lower depression (p &lt; 0.009) and anxiety (p &lt; 0.036) scores on standardized psychological inventories in contrast to those patients who later dropped out of rehabilitation. There were no differences in entry diagnosis or number of feet walked between later completers and non-completers. Patients in both the intervention and control groups who completed rehabilitation sustained important physical and psychological benefits. They were able to walk a greater distance and reduced scores on the anxiety and depression inventories.</p>

scholarly journals Effect of Home-Based Cardiac Rehabilitation Program on Exercise Capacity in Open Heart Surgery Patients at Naresuan University Hospital

2017 ◽  
Vol 35 (4) ◽  
pp. 285
Author(s):  
Phavinee Paorod ◽  
Weerapong Chidnok ◽  
Jarun Sayasathid
Keyword(s):  
Cardiac Rehabilitation ◽  
Exercise Capacity ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Rehabilitation Program ◽  
University Hospital ◽  
Open Heart ◽  
Cardiac Rehabilitation Program ◽  
Home Based

Objective: To investigate the effects of home-based cardiac rehabilitation program on exercise capacity using the six-minute walk test (6-MWT) in open heart surgery patients, Naresuan University Hospital.Material and Method: In a quasi-experimental study design, seventy patients who were diagnosed with heart diseases and received open heart surgery at Cardiac Center, Naresuan University Hospital were enrolled and collected data from October 2015 - September 2016 (n=70). The patients completed 8-12 weeks home-based cardiac rehabilitation program. The patients were performed the 6-MWT before hospital discharge, the first and second follow up time point. Data were expressed as average mean and chi-square test were used to determine the relationships among outcome parameters.Results: There was a significant within-group in 6-MWT distance after completed home-based cardiac rehabilitation program (377.0±69.0 meters) compared to before hospital discharge (209.0±62.0 meters) and the first follow up time point (4-8 weeks) (306.0±88.0 meters) (p-value<0.050).Conclusion: The 8-12 weeks home-based cardiac rehabilitation program exhibited significant positive effects on exercise capacity in open heart surgery patients, Naresuan University Hospital.

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