Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly
Objectives. The aim of this study was to determine the effects of cardiac rehabilitation and exercise training on plasma lipids, indexes of obesity and exercise capacity in the elderly and to compare the benefits in elderly patients with coronary heart disease with benefits in a younger cohort. Back...
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| Veröffentlicht in: | Journal of the American College of Cardiology 1993-09, Vol.22 (3), p.678-683 |
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| creator | Lavie, Carl J. Milani, Richard V. Littman, Andrew B. |
| description | Objectives. The aim of this study was to determine the effects of cardiac rehabilitation and exercise training on plasma lipids, indexes of obesity and exercise capacity in the elderly and to compare the benefits in elderly patients with coronary heart disease with benefits in a younger cohort.
Background. Despite the well proved benefits of cardiac rehabilitation and exercise training, elderly patients with coronary heart disease are frequently not referred or vigorously encouraged to pursue this therapy. In addition, only limited data are available for these elderly patients on the benefits of cardiac rehabilitation on plasma lipids, indexes of obesity and exercise capacity.
Methods. At two large multispecialty teaching institutions, baseline and post-rehabilitation data including plasma lipids, indexes of obesity and exercise capacity were compared in 92 elderly patients (≥ 65 years, mean age 70.1 ± 4.1 years) and 182 younger patients (< 65 years, mean 53.9 ± 7.4 years) enrolled in phase II cardiac rehabilitation and exercise programs after a major cardiac event.
Results. At baseline, body mass index (26.0 ± 3.9 vs. 27.8 ± 4.2 kg/m2, p < 0.001), triglycerides (141 ± 55 vs. 178 ± 105 mg/dl, p < 0.01) and estimated metabolic equivalents (METs) (5.6 ± 1.6 vs. 7.7 ± 3.0, p < 0.0001) were lower and high density lipoprotein cholesterol was greater (40.4 ± 12.1 vs. 37.5 ± 10.4 mg/dl, p < 0.05) in the elderly than in younger patients. After rehabilitation, the elderly demonstrated significant improvements in METs (5.6 ± 1.6 vs. 7.5 ± 2.3, p < 0.0001), body mass index (26.0 ± 3.9 vs. 25.6 ± 3.8 kg/m2, p < 0.01), percent body fat (24.4 ± 7.0 vs. 22.9 ± 7.2%, p < 0.0001), high density lipoprotein cholesterol (40.4 ± 12.1 vs. 43.0 ± 11.4 mg/dl, p < 0.001) and the ratio of low density to high density lipoprotein cholesterol (3.6 ± 1.3 vs. 3.3 ± 1.0, p < 0.01) and a decrease in triglycerides that approached statistical significance (141 ± 55 vs. 130 ± 76 mg/dl, p = 0.14) but not in total cholesterol or low density lipoprotein cholesterol. Improvements in functional capacity, percent body fat and body mass index, as well as lipids, were statistically similar in the older and younger patients.
Conclusions. Despite baseline differences, improvements in exercise capacity, obesity indexes and lipids were very similar in older and younger patients enrolled in cardiac rehabilitation and exercise training. These data emphasize that elderly patients should not be categoricall |
| doi_str_mv | 10.1016/0735-1097(93)90176-2 |
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Background. Despite the well proved benefits of cardiac rehabilitation and exercise training, elderly patients with coronary heart disease are frequently not referred or vigorously encouraged to pursue this therapy. In addition, only limited data are available for these elderly patients on the benefits of cardiac rehabilitation on plasma lipids, indexes of obesity and exercise capacity.
Methods. At two large multispecialty teaching institutions, baseline and post-rehabilitation data including plasma lipids, indexes of obesity and exercise capacity were compared in 92 elderly patients (≥ 65 years, mean age 70.1 ± 4.1 years) and 182 younger patients (< 65 years, mean 53.9 ± 7.4 years) enrolled in phase II cardiac rehabilitation and exercise programs after a major cardiac event.
Results. At baseline, body mass index (26.0 ± 3.9 vs. 27.8 ± 4.2 kg/m2, p < 0.001), triglycerides (141 ± 55 vs. 178 ± 105 mg/dl, p < 0.01) and estimated metabolic equivalents (METs) (5.6 ± 1.6 vs. 7.7 ± 3.0, p < 0.0001) were lower and high density lipoprotein cholesterol was greater (40.4 ± 12.1 vs. 37.5 ± 10.4 mg/dl, p < 0.05) in the elderly than in younger patients. After rehabilitation, the elderly demonstrated significant improvements in METs (5.6 ± 1.6 vs. 7.5 ± 2.3, p < 0.0001), body mass index (26.0 ± 3.9 vs. 25.6 ± 3.8 kg/m2, p < 0.01), percent body fat (24.4 ± 7.0 vs. 22.9 ± 7.2%, p < 0.0001), high density lipoprotein cholesterol (40.4 ± 12.1 vs. 43.0 ± 11.4 mg/dl, p < 0.001) and the ratio of low density to high density lipoprotein cholesterol (3.6 ± 1.3 vs. 3.3 ± 1.0, p < 0.01) and a decrease in triglycerides that approached statistical significance (141 ± 55 vs. 130 ± 76 mg/dl, p = 0.14) but not in total cholesterol or low density lipoprotein cholesterol. Improvements in functional capacity, percent body fat and body mass index, as well as lipids, were statistically similar in the older and younger patients.
Conclusions. Despite baseline differences, improvements in exercise capacity, obesity indexes and lipids were very similar in older and younger patients enrolled in cardiac rehabilitation and exercise training. These data emphasize that elderly patients should not be categorically denied the psychosocial, physical and risk factor benefits of secondary coronary prevention including formal cardiac rehabilitation and supervised exercise training.]]></description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/0735-1097(93)90176-2</identifier><identifier>PMID: 8354798</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Analysis of Variance ; Biological and medical sciences ; Coronary Disease - epidemiology ; Coronary Disease - physiopathology ; Coronary Disease - prevention & control ; Coronary Disease - rehabilitation ; Diseases of the cardiovascular system ; Evaluation Studies as Topic ; Exercise Therapy - methods ; Exercise Therapy - statistics & numerical data ; Female ; Hemodynamics ; Humans ; Louisiana - epidemiology ; Male ; Massachusetts - epidemiology ; Medical sciences ; Middle Aged ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Risk Factors</subject><ispartof>Journal of the American College of Cardiology, 1993-09, Vol.22 (3), p.678-683</ispartof><rights>1993</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-2ecf56299961390cd03996a800f7bf698053eb62d4ea9e5fd7a792b213ae83e73</citedby><cites>FETCH-LOGICAL-c486t-2ecf56299961390cd03996a800f7bf698053eb62d4ea9e5fd7a792b213ae83e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0735-1097(93)90176-2$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4884083$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8354798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lavie, Carl J.</creatorcontrib><creatorcontrib>Milani, Richard V.</creatorcontrib><creatorcontrib>Littman, Andrew B.</creatorcontrib><title>Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description><![CDATA[Objectives. The aim of this study was to determine the effects of cardiac rehabilitation and exercise training on plasma lipids, indexes of obesity and exercise capacity in the elderly and to compare the benefits in elderly patients with coronary heart disease with benefits in a younger cohort.
Background. Despite the well proved benefits of cardiac rehabilitation and exercise training, elderly patients with coronary heart disease are frequently not referred or vigorously encouraged to pursue this therapy. In addition, only limited data are available for these elderly patients on the benefits of cardiac rehabilitation on plasma lipids, indexes of obesity and exercise capacity.
Methods. At two large multispecialty teaching institutions, baseline and post-rehabilitation data including plasma lipids, indexes of obesity and exercise capacity were compared in 92 elderly patients (≥ 65 years, mean age 70.1 ± 4.1 years) and 182 younger patients (< 65 years, mean 53.9 ± 7.4 years) enrolled in phase II cardiac rehabilitation and exercise programs after a major cardiac event.
Results. At baseline, body mass index (26.0 ± 3.9 vs. 27.8 ± 4.2 kg/m2, p < 0.001), triglycerides (141 ± 55 vs. 178 ± 105 mg/dl, p < 0.01) and estimated metabolic equivalents (METs) (5.6 ± 1.6 vs. 7.7 ± 3.0, p < 0.0001) were lower and high density lipoprotein cholesterol was greater (40.4 ± 12.1 vs. 37.5 ± 10.4 mg/dl, p < 0.05) in the elderly than in younger patients. After rehabilitation, the elderly demonstrated significant improvements in METs (5.6 ± 1.6 vs. 7.5 ± 2.3, p < 0.0001), body mass index (26.0 ± 3.9 vs. 25.6 ± 3.8 kg/m2, p < 0.01), percent body fat (24.4 ± 7.0 vs. 22.9 ± 7.2%, p < 0.0001), high density lipoprotein cholesterol (40.4 ± 12.1 vs. 43.0 ± 11.4 mg/dl, p < 0.001) and the ratio of low density to high density lipoprotein cholesterol (3.6 ± 1.3 vs. 3.3 ± 1.0, p < 0.01) and a decrease in triglycerides that approached statistical significance (141 ± 55 vs. 130 ± 76 mg/dl, p = 0.14) but not in total cholesterol or low density lipoprotein cholesterol. Improvements in functional capacity, percent body fat and body mass index, as well as lipids, were statistically similar in the older and younger patients.
Conclusions. Despite baseline differences, improvements in exercise capacity, obesity indexes and lipids were very similar in older and younger patients enrolled in cardiac rehabilitation and exercise training. These data emphasize that elderly patients should not be categorically denied the psychosocial, physical and risk factor benefits of secondary coronary prevention including formal cardiac rehabilitation and supervised exercise training.]]></description><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary Disease - prevention & control</subject><subject>Coronary Disease - rehabilitation</subject><subject>Diseases of the cardiovascular system</subject><subject>Evaluation Studies as Topic</subject><subject>Exercise Therapy - methods</subject><subject>Exercise Therapy - statistics & numerical data</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Louisiana - epidemiology</subject><subject>Male</subject><subject>Massachusetts - epidemiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Risk Factors</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVpSd20_yAFHUpoD5tIq9XXJZCYpA0EeknPQiuNYpW15Err0Pz7yrHxsacZmOcdZh6Ezii5oISKSyIZ7yjR8qtm3zShUnT9G7SgnKuOcS3fosUReY8-1PqbECIU1SfoRDE-SK0WaHUDCUKcK84BO1t8tA4XWNkxTnG2c8wJ2-Qx_IXiYgU8FxtTTE84JlzB5eRtecEul5x2zabAM6TXWAPmFWCYPJTp5SN6F-xU4dOhnqJfd7ePyx_dw8_v98vrh84NSsxdDy5w0WutBWWaOE9Ya60iJMgxCK0IZzCK3g9gNfDgpZW6H3vKLCgGkp2i8_3eTcl_tlBns47VwTTZBHlbjeSaEiWGBg570JVca4FgNiWu2w-GErMTbHb2zM6e0cy8CjZ9i30-7N-Oa_DH0MFom385zG11dgrFpubtiA1KDUSxhl3tMWguniMUU12E5MDHAm42Psf_3_EPYMqYOQ</recordid><startdate>19930901</startdate><enddate>19930901</enddate><creator>Lavie, Carl J.</creator><creator>Milani, Richard V.</creator><creator>Littman, Andrew B.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930901</creationdate><title>Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly</title><author>Lavie, Carl J. ; Milani, Richard V. ; Littman, Andrew B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c486t-2ecf56299961390cd03996a800f7bf698053eb62d4ea9e5fd7a792b213ae83e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary Disease - prevention & control</topic><topic>Coronary Disease - rehabilitation</topic><topic>Diseases of the cardiovascular system</topic><topic>Evaluation Studies as Topic</topic><topic>Exercise Therapy - methods</topic><topic>Exercise Therapy - statistics & numerical data</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Louisiana - epidemiology</topic><topic>Male</topic><topic>Massachusetts - epidemiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lavie, Carl J.</creatorcontrib><creatorcontrib>Milani, Richard V.</creatorcontrib><creatorcontrib>Littman, Andrew B.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lavie, Carl J.</au><au>Milani, Richard V.</au><au>Littman, Andrew B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>1993-09-01</date><risdate>1993</risdate><volume>22</volume><issue>3</issue><spage>678</spage><epage>683</epage><pages>678-683</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract><![CDATA[Objectives. The aim of this study was to determine the effects of cardiac rehabilitation and exercise training on plasma lipids, indexes of obesity and exercise capacity in the elderly and to compare the benefits in elderly patients with coronary heart disease with benefits in a younger cohort.
Background. Despite the well proved benefits of cardiac rehabilitation and exercise training, elderly patients with coronary heart disease are frequently not referred or vigorously encouraged to pursue this therapy. In addition, only limited data are available for these elderly patients on the benefits of cardiac rehabilitation on plasma lipids, indexes of obesity and exercise capacity.
Methods. At two large multispecialty teaching institutions, baseline and post-rehabilitation data including plasma lipids, indexes of obesity and exercise capacity were compared in 92 elderly patients (≥ 65 years, mean age 70.1 ± 4.1 years) and 182 younger patients (< 65 years, mean 53.9 ± 7.4 years) enrolled in phase II cardiac rehabilitation and exercise programs after a major cardiac event.
Results. At baseline, body mass index (26.0 ± 3.9 vs. 27.8 ± 4.2 kg/m2, p < 0.001), triglycerides (141 ± 55 vs. 178 ± 105 mg/dl, p < 0.01) and estimated metabolic equivalents (METs) (5.6 ± 1.6 vs. 7.7 ± 3.0, p < 0.0001) were lower and high density lipoprotein cholesterol was greater (40.4 ± 12.1 vs. 37.5 ± 10.4 mg/dl, p < 0.05) in the elderly than in younger patients. After rehabilitation, the elderly demonstrated significant improvements in METs (5.6 ± 1.6 vs. 7.5 ± 2.3, p < 0.0001), body mass index (26.0 ± 3.9 vs. 25.6 ± 3.8 kg/m2, p < 0.01), percent body fat (24.4 ± 7.0 vs. 22.9 ± 7.2%, p < 0.0001), high density lipoprotein cholesterol (40.4 ± 12.1 vs. 43.0 ± 11.4 mg/dl, p < 0.001) and the ratio of low density to high density lipoprotein cholesterol (3.6 ± 1.3 vs. 3.3 ± 1.0, p < 0.01) and a decrease in triglycerides that approached statistical significance (141 ± 55 vs. 130 ± 76 mg/dl, p = 0.14) but not in total cholesterol or low density lipoprotein cholesterol. Improvements in functional capacity, percent body fat and body mass index, as well as lipids, were statistically similar in the older and younger patients.
Conclusions. Despite baseline differences, improvements in exercise capacity, obesity indexes and lipids were very similar in older and younger patients enrolled in cardiac rehabilitation and exercise training. These data emphasize that elderly patients should not be categorically denied the psychosocial, physical and risk factor benefits of secondary coronary prevention including formal cardiac rehabilitation and supervised exercise training.]]></abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8354798</pmid><doi>10.1016/0735-1097(93)90176-2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Analysis of Variance Biological and medical sciences Coronary Disease - epidemiology Coronary Disease - physiopathology Coronary Disease - prevention & control Coronary Disease - rehabilitation Diseases of the cardiovascular system Evaluation Studies as Topic Exercise Therapy - methods Exercise Therapy - statistics & numerical data Female Hemodynamics Humans Louisiana - epidemiology Male Massachusetts - epidemiology Medical sciences Middle Aged Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Risk Factors |
| title | Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly |
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