Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly

Lavie, Carl J.; Milani, Richard V.; Littman, Andrew B.

doi:10.1016/0735-1097(93)90176-2

Cited by 233 publications

(97 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Kolesterol değerlerindeki bu farkın çalışmalar arasındaki tasarım farklılığından kaynaklanabileceği söylenebilir. Bu çalışmada, Lavie ve ark.nın (20) 1993-1995'de koroner arter hastalarıyla yaptıkları çalışmayla benzer olarak, verilen eğitim sonrasında egzersiz sürelerinin uzadığı ve yaşam kalitesinin arttığı bulunmuştur. Bu çalışmanın bulgularını destekleyen diğer bir çalışma ise; Schuller ve ark.ları (21), 12 ay süreyle izledikleri olgulardan düzenli egzersiz yapan grupta, kontrol olarak izlenmiş olan gruba göre hastalığın daha yavaş ilerlediğini gözle-mişlerdir.…”

Section: Discussionunclassified

Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease

Kurçer¹,

Özbay²

2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

ÖZETAmaç: Bu çalışma; koroner arter hastalarına (KAH) yaşam tarzı değişikliği konusunda yapılacak olan eğitim ve danışmanlık müdahalesinin hastaların aldıkları medikal, invaziv veya cerrahi tedavi tiplerine göre yaşam kalitesine etkisini saptamak amacıyla yapıldı. Yöntemler: Araştırmanın örneklemini KAH tanısı konulan 102 hastadan 18 yaşın üzerinde, algılama bozukluğu, iletişim sorunu olmama kriterleri karşılayan ve çalışmaya katılmayı kabul eden 82 hasta (%80.3) oluşturmuştur. Araştırma dizaynı prospektif kohorttur. Hastalara 'Hasta Bilgi Formu', 'SF-36 Yaşam Kalitesi Ölçeği' uygulanmış ve sağlıklı beslenme, fiziksel aktivite, sağlıklı vücut ağırlığının korunması, sigara ve alkolün bırakılması konularında eğitim ve danışmanlık müdahalesi yapılmıştır. Üç ay sonra hastalara tekrar 'Hasta Bilgi Formu', 'SF-36 Yaşam Kalitesi Ölçeği' uygulanarak müdahalenin etkinliği değerlendirilmiştir. Elde edilen verileri tekrarlı ölçümler için varyans analizi (ANOVAR), Ki-kare önem-lilik testi ve nonparametrik testlerden Wilcoxon işaret ve Kruskal-Wallis varyans testleriyle analiz edilmiştir. Bulgular: Hastalara verilen eğitim ve danışmanlık sonrasında, diyete uyumları ve egzersiz süreleri artmış, diyastolik kan basınç ortalaması düşmüş ve SF-36 yaşam kalitesi alan puanları yükselmiştir (tümü için p<0.05). Ancak eğitim ve danışmanlıktan sonra sistolik kan basınç ortalaması, hastaların beden kitle indeks ortalamaları, lipit düzeyleri, günlük içilen sigara sayısı ve alınan alkol kadeh miktarı anlamlı düzeyde değişmemiştir. Sonuç: KAH hastalarına yapılan eğitim ve danışmanlık müdahalesiyle, fiziksel aktivite artışının sağlandığı, diyete uyum düzeyinin arttığı, diyastolik kan basıncında anlamlı düzeyde azalma olduğu, SF-36 yaşam kalitesi ölçeğinin 8 skalasında da, pozitif yönde artma olduğu görülmüştür. ABSTRACTObjective: The aim of this study is to investigate the effects of patient education and counseling intervention success on quality of life (QoL) in patients with coronary artery disease patients. Methods: Sample of this study included 82 (80.3%) of total 102 patients diagnosed with coronary artery disease. Patients were older than 18 age and they had no perception and communication problems. QoL was measured by means of the Short Form-36 (SF-36) and then subscale scores were calculated in before getting the education and counseling intervention. Subject of education and counseling intervention consists of healthy nutrition, physical activity, maintaining healthy body weight, smoking and alcohol quit issues. After educations and counseling intervention three months later, Short Form-36 was administered. One way analyses of variance for repeated measures (ANOVAR), Chi-square significance test, t-test and nonparametric tests (Wilcoxon sign and Kruskal Wallis Variance) were used to compare demographic and clinic characteristic values of the patient's groups. Results: After education and counseling intervention, SF 36 QoL points, mean exercise duration and number of patients with well -adjusted diet program increased, and diastol...

show abstract

Section: Discussionunclassified

Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease

Kurçer¹,

Özbay²

2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

show abstract

“…Older patients with CAD have exercise trainability comparable to that of younger patients participating in similar exercise rehabilitation, with elderly male and female patients showing comparable improvement. [45][46][47] However, referral to and participation in exercise rehabilitation is less frequent for older patients, especially for older women. 48 No significant complications or adverse outcomes of exercise training in older patients have been described in any study.…”

Section: Exercise Training For Older Patients With Cadmentioning

confidence: 99%

Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease

Thompson¹,

Buchner²,

Piña³

et al. 2003

ATVB

175

154

View full text Add to dashboard Cite

“…Lifestyle interventions reduce progression to diabetes in individuals with impaired glucose tolerance and the benefits of such interventions persist for several years [4,5]. Even in older people with established vascular disease, exercise interventions reduce cardiovascular and all-cause morbidity and mortality rates, and improve quality of life [6,7]. However, evidence that healthy older people derive similar benefits from exercise interventions is limited.…”

Section: Introductionmentioning

confidence: 99%

The effects of aerobic exercise on metabolic risk, insulin sensitivity and intrahepatic lipid in healthy older people from the Hertfordshire Cohort Study: a randomised controlled trial

et al. 2010

View full text Add to dashboard Cite

Aims/hypothesis We sought to determine the effect of an aerobic exercise intervention on clustered metabolic risk and related outcomes in healthy older adults in a singlecentre, explanatory randomised controlled trial. Methods Participants from the Hertfordshire Cohort Study (born 1931-1939) were randomly assigned to 36 supervised 1 h sessions on a cycle ergometer over 12 weeks or to a non-intervention control group. Randomisation and group allocation were conducted by the study co-ordinator, using a software programme. Those with prevalent diabetes, unstable ischaemic heart disease or poor mobility were excluded. All data were collected at our clinical research facility in Cambridge. Components of the metabolic syndrome were used to derive a standardised composite metabolic risk score (zMS) as the primary outcome. Trial status: closed to follow-up. Results We randomised 100 participants (50 to the intervention, 50 to the control group). Mean age was 71.4 (range 67.4-76.3) years. Overall, 96% of participants attended for follow-up measures. There were no serious adverse events. Using an intention-to-treat analysis, we saw a nonsignificant reduction in zMS in the exercise group compared with controls (0.07 [95% CI −0.03, 0.17], p=0.19). However, the exercise group had significantly decreased weight, waist circumference and intrahepatic lipid, with increased aerobic fitness and a 68% reduction in prevalence of abnormal glucose metabolism ], p=0.035) compared with controls. Results were similar in per-protocol analyses. Conclusions/interpretation Enrolment in a supervised aerobic exercise intervention led to weight loss, increased fitness and improvements in some but not all metabolic outcomes. In appropriately screened older individuals, such interventions appear to be safe.

show abstract

Benefits of cardiac rehabilitation and exercise training in secondary coronary prevention in the elderly

Cited by 233 publications

References 35 publications

Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease

Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease

Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease

The effects of aerobic exercise on metabolic risk, insulin sensitivity and intrahepatic lipid in healthy older people from the Hertfordshire Cohort Study: a randomised controlled trial

Contact Info

Product

Resources

About