Background: Improved functional capacity (FC) and inflammatory marker reduction is a good prognostic factor in post-revascularization cardiac patients. However, there is still limited study investigated association of functional capacity and inflammatory marker after cardiac rehabilitation program. We studied the effects of cardiac rehabilitation (CR) program in the improvement of FC and high-sensitive-C Reactive Protein (hs-CRP) reduction and association between those variables. Methods: This was quasi experimental study in post-revascularization CAD patients who attended phase II CR program at CR gymnasium, Dr. Hasan Sadikin General Hospital, Bandung, from October 2014 to May 2015. The CR program included additional education sessions and consistently strict program intensity on 50-80% heart rate reserve based on formula and Borg scale 11 to 15. Functional capacity and hs-CRP were measured before and after the program. Functional capacity was assessed by maximal treadmill test through indirect VO 2 max measurement. Results: A total of 37 patients aged 56.05±7.3 years old were analyzed in this study. They consisted mainly of men (81.1%) which 78.4% of them underwent percutaneous coronary intervention (PCI). Our study revealed significant FC improvement after completion of this newly-modified CR program from an average of 6.76 to 8.68 METs (28.4%) ( p<0.001). Hs-CRP reduction was also occurred from mean of 0.49 mg/L to 0.20 mg/L (59.2%) of log hs-CRP level (p= 0.005). Linear regression analysis showed the improvement of fitness was associated with baseline FC (p<0.001) and reduction of hs-CRP was associated with baseline hs-CRP (p<0.001), and not influenced by age, gender, ejection fraction and type of procedure. There is moderate correlation (r s = 0.636, p<0.001) between functional capacity improvement and hs-CRP reduction. Each 1 METs improvement can reduce 9.317 mg/L of transformed hs-CRP level (p=0.006, 95%CI 2.942,15.693). Conclusions: CR program significantly increased functional capacity and reduce hs-CRP level in post-revascularization CAD patient, and more prominent in a patient with low baseline functional capacity and high hs-CRP level. Functional capacity improvement and hs-CRP reduction were moderately correlated. INTISARILatar belakang: Peningkatan kapasitas fungsional dan penurunan penanda inflamasi merupakan suatu faktor prognostik yang baik pada pasien pasca revaskularisasi jantung. Namun studi mengenai hubungan antara kapasitas fungsional dan penanda inflamasi masih terbatas. Penelitian ini bertujuan mempelajari pengaruh program rehabilitasi jantung terhadap perbaikan kapasitas funsional dan penurunan highsensitive-C Reactive Protein (hs-CRP) serta asosiasi di antara kedua variable tersebut. Metode: Studi eksperimental-kuasi dilakukan pada pasien penderita penyakit arteri koroner pasca revaskularisasi yang menjalani program rehabilitasi jantung fase II di pusat kebugaran rehabilitasi jantung, Rumah Sakit Umum Pusat Dr. Hasan Sadikin, Bandung dari Bulan Oktober 2014 sampai Mei 2015. Program baru...
Objective: To compare the effect of overground walking and treadmill exercise on walking speed and ability in elderly from week to week. Methods: This study was conducted in 6 weeks to 18 elderly at Panti Wreda Karitas and Nazareth Bandung (September-December 2011). They were divided into two groups; overground walking exercise group and treadmill group. Walking speed and ability was measured using 10 meter walk test and 6 minute walk test consecutively. Results: Both group walking speed was improved after 1 and 2 weeks exercise (p=0.019 and p=0.050), consecutively. Walking ability in the overground and treadmill group was improved after 1 and 3 weeks exercise (p=0.019 and p=0.009), consecutively. Overground walking group showed greater improvement in walking speed and ability after 3 weeks exercise (p=0.008 and p=0.017) consecutively. Conclusions: Three weeks overground walking exercise improves walking speed and ability better than treadmill exercise.
Background: Falls are common geriatric problems. The risk factors of falls are the intrinsic and extrinsic risk factors. Studies on falls are scarcely conducted in Indonesia, especially in Bandung. Therefore, this study was conducted to identify the intrinsic risk factors of falls among elderly. Methods: A descriptive study was carried out from August to October 2013 at the Geriatric Clinic of Dr. Hasan Sadikin General Hospital Bandung. Fifty three participants were selected according to the inclusion and exclusion criteria using consecutive sampling. The determined variables in this study were classification of the risk of falls, demographic profile, history of falls, disease, and medications. After the selection, the participants were tested by Timed up-and-go test (TUGT). Moreover, an interview and analysis of medical records were carried out to discover the risk factors of falls. The collected data were analyzed and presented in the form of percentages shown in tables. Results: From 53 patients, women (35.66%) were considered to have higher risk of fall than men (18.34%). The majority of patients (66%) with the risk of fall were from the age group 60-74 years. The major diseases suffered by patients were hypertension, osteoarthritis and diabetes mellitus. Drugs that were widely used were antihypertensive drugs; analgesic and antipyretic drugs and antidiabetic drugs. Conclusions: There are various intrinsic risk factors of falls in elderly and each of the elderly has more than one intrinsic risk factor of falls.
VO2 max can be measured with two protocols, namely direct and indirect. Direct protocols are known to be valid, but more difficult and expensive. The indirect protocol is often asked of its validity, but it is practical and cheapest to use in the field. One of the indirect protocols that can be used in children is 20-meter Multi-Stage Running (20-MST). This study aimed to determine the correlation between the 20-MST with Cardiopulmonary Exercise Testing (CPET) in boys. This research used descriptive analytic study design. The subjects were 38 boys aged from 11 to 12 of extracurricular sports club members. The research variables are VO2 max results with 2 methods of measurement which are 20-MST and CPET. The statistical data were analyzed with Pearson correlation. The result of VO2 max (ml.kg-1-1.min) measurement by the method of 20-MST (28.6 ± 7.962) and result by the method of CPET (40.683 ± 10.7 31) and the correlation value between 20-MST and CPET with R=0.674. We concluded that there is a strong correlation between 20-MST test and CPET test for predicting VO2 max among boys.
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