Beneficial effects of cardiac rehabilitation and exercise after percutaneous coronary intervention on hsCRP and inflammatory cytokines in CAD patients

Recent studies showed that tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), as well as high-sensitive C-reactive protein (hsCRP) levels are predictive factors of cardiovascular risk. However, the effect of cardiac rehabilitation (CR) intervention in coronary artery disease (CAD) patients on...

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Veröffentlicht in:Pflügers Archiv 2008-03, Vol.455 (6), p.1081-1088
Hauptverfasser: Kim, Young-Joo, Shin, Young-Oh, Bae, Jun-Sang, Lee, Jeong-Beom, Ham, Joo-Hyun, Son, Youn-Jung, Kim, Jung-Kyu, Kim, Chul, Lee, Byoung-Kwon, Oh, Jae-Keun, Othman, Timothy, Min, Young-Ki, Yang, Hun-Mo
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container_end_page 1088
container_issue 6
container_start_page 1081
container_title Pflügers Archiv
container_volume 455
creator Kim, Young-Joo
Shin, Young-Oh
Bae, Jun-Sang
Lee, Jeong-Beom
Ham, Joo-Hyun
Son, Youn-Jung
Kim, Jung-Kyu
Kim, Chul
Lee, Byoung-Kwon
Oh, Jae-Keun
Othman, Timothy
Min, Young-Ki
Yang, Hun-Mo
description Recent studies showed that tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), as well as high-sensitive C-reactive protein (hsCRP) levels are predictive factors of cardiovascular risk. However, the effect of cardiac rehabilitation (CR) intervention in coronary artery disease (CAD) patients on these factors is not known. The aim of this study was to evaluate the effects of CR and exercise on hsCRP and inflammatory cytokine levels in patients with CAD after percutaneous coronary intervention (PCI). CAD patients who underwent PCI were divided into a CR and exercise group (CRE, n  = 29) or a control group (CON, n  = 10). CR and exercise consisted of 6 weeks supervised exercise training and 8 weeks home-based, self-managed exercise. Compared to pre-experimental levels, TNF-α (by 20.4%; p  = 0.006) and IL-6 (by 49.0%; p  
doi_str_mv 10.1007/s00424-007-0356-6
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However, the effect of cardiac rehabilitation (CR) intervention in coronary artery disease (CAD) patients on these factors is not known. The aim of this study was to evaluate the effects of CR and exercise on hsCRP and inflammatory cytokine levels in patients with CAD after percutaneous coronary intervention (PCI). CAD patients who underwent PCI were divided into a CR and exercise group (CRE, n  = 29) or a control group (CON, n  = 10). CR and exercise consisted of 6 weeks supervised exercise training and 8 weeks home-based, self-managed exercise. Compared to pre-experimental levels, TNF-α (by 20.4%; p  = 0.006) and IL-6 (by 49.0%; p  &lt; 0.0001), as well as hsCRP (by 59.4%; p  &lt; 0.0001), were markedly decreased after CR and exercise in CAD patients but not in control group, except for IL-6 (by 41.6%; p  = 0.001). However, there was no significant alteration of adiposity-related variables such as BMI, percent body fat, and waist circumferences, in both groups. 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However, the effect of cardiac rehabilitation (CR) intervention in coronary artery disease (CAD) patients on these factors is not known. The aim of this study was to evaluate the effects of CR and exercise on hsCRP and inflammatory cytokine levels in patients with CAD after percutaneous coronary intervention (PCI). CAD patients who underwent PCI were divided into a CR and exercise group (CRE, n  = 29) or a control group (CON, n  = 10). CR and exercise consisted of 6 weeks supervised exercise training and 8 weeks home-based, self-managed exercise. Compared to pre-experimental levels, TNF-α (by 20.4%; p  = 0.006) and IL-6 (by 49.0%; p  &lt; 0.0001), as well as hsCRP (by 59.4%; p  &lt; 0.0001), were markedly decreased after CR and exercise in CAD patients but not in control group, except for IL-6 (by 41.6%; p  = 0.001). However, there was no significant alteration of adiposity-related variables such as BMI, percent body fat, and waist circumferences, in both groups. 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We suggest that CR and exercise in CAD patients after PCI induce significant reduction in hsCRP and inflammatory cytokines (TNF-α and IL-6), and marked increase in exercise tolerance and capacity.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>17906875</pmid><doi>10.1007/s00424-007-0356-6</doi><tpages>8</tpages></addata></record>
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subjects Adiposity - physiology
Aged
Angioplasty, Balloon, Coronary
Biomedical and Life Sciences
Biomedicine
Blood Cell Count
Blood Chemical Analysis
Blood Pressure - physiology
C-Reactive Protein - metabolism
Cardiovascular disease
Cell Biology
Coronary Artery Disease - physiopathology
Coronary Artery Disease - rehabilitation
Cytokines - metabolism
Exercise
Exercise Test
Exercise Therapy
Exercise Tolerance - physiology
Female
Fibrinogen - metabolism
Heart Function Tests
Human Physiology
Humans
Leukocyte Count
Lipids - blood
Male
Medical research
Middle Aged
Molecular Medicine
Neurosciences
Oxygen Consumption
Receptors
Temperature Regulation
Tumor Necrosis Factor-alpha - metabolism
title Beneficial effects of cardiac rehabilitation and exercise after percutaneous coronary intervention on hsCRP and inflammatory cytokines in CAD patients
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