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Brief reports| Volume 91, ISSUE 3, P321-325, February 01, 2003

Long-term changes in exercise capacity, quality of life, body anthropometry, and lipid profiles after a cardiac rehabilitation program in obese patients with coronary heart disease

      There are minimal data on long-term exercise capacity and quality of life (QOL) in obese patients with coronary heart disease (CHD) who underwent a cardiac rehabilitation and prevention program (CRPP). Previous studies are limited by the lack of control groups.
      • Lavie C.J.
      • Milani R.V.
      Effects of cardiac rehabilitation, exercise training, and weight reduction on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in obese coronary patients.
      Furthermore, whether the benefit of CRPP is related to the decrease in the severity of obesity is uncertain. Although acute improvement of body mass index or body fat content was observed in some studies,
      • Lavie C.J.
      • Milani R.V.
      Effects of cardiac rehabilitation, exercise training, and weight reduction on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in obese coronary patients.
      ,
      • Milani R.V.
      • Lavie C.J.
      The effects of body composition changes to observed improvements in cardiopulmonary parameters after exercise training with cardiac rehabilitation.
      it was not consistently reported by other investigators,
      • Lavie C.J.
      • Milani R.V.
      Effects of cardiac rehabilitation and exercise training on peak aerobic capacity and work efficiency in obese patients with coronary artery disease.
      and the long-term changes in these indexes are also unknown. Therefore, a prospective, randomized, controlled study was conducted to examine the effect of a short-course CRPP on short- and long-term exercise capacity, QOL, and body anthropometry in obese patients with CHD who had either recent acute myocardial infarction (AMI) or had undergone percutaneous coronary intervention (PCI).
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      References

        • Lavie C.J.
        • Milani R.V.
        Effects of cardiac rehabilitation, exercise training, and weight reduction on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in obese coronary patients.
        Am J Cardiol. 1997; 79: 397-401
        • Milani R.V.
        • Lavie C.J.
        The effects of body composition changes to observed improvements in cardiopulmonary parameters after exercise training with cardiac rehabilitation.
        Chest. 1998; 113: 599-601
        • Lavie C.J.
        • Milani R.V.
        Effects of cardiac rehabilitation and exercise training on peak aerobic capacity and work efficiency in obese patients with coronary artery disease.
        Am J Cardiol. 1999; 83: 1477-1480
        • He M.
        • Tan K.C.
        • Li E.T.
        • Kung A.W.
        Body fat determination by dual energy x-ray absorptiometry and its relation to body mass index and waist circumference in Hong Kong Chinese.
        Int J Obes Relat Metab Disord. 2001; 25: 748-752
        • Ko G.T.
        • Tang J.
        • Chan J.C.
        • Sung R.
        • Wu M.M.
        • Wai H.P.
        • Chen R.
        Lower BMI cut-off value to define obesity in Hong Kong Chinese.
        Br J Nutr. 2001; 85: 239-242
        • Yu C.M.
        • Lau C.P.
        • Cheung B.M.
        • Fong Y.M.
        • Ho Y.Y.
        • Lam K.B.
        • Li L.S.
        Clinical predictors of morbidity and mortality in patients with myocardial infarction or revascularization who underwent cardiac rehabilitation, and importance of diabetes mellitus and exercise capacity.
        Am J Cardiol. 2000; 85: 344-349
        • Durnin J.V.
        • Rahaman M.M.
        The assessment of the amount of fat in the human body from measurements of skinfold thickness.
        Br J Nutr. 1967; 21: 681-689
        • Jette D.U.
        • Downing J.
        Health status of individuals entering a cardiac rehabilitation program as measured by the medical outcomes study 36-item short-form survey (SF-36).
        Phys Ther. 1994; 74: 521-527
        • Morrin L.
        • Black S.
        • Reid R.
        Impact of duration in a cardiac rehabilitation program on coronary risk profile and health-related quality of life outcomes.
        J Cardiopulm Rehabil. 2000; 20: 115-121
        • Beniamini Y.
        • Rubenstein J.J.
        • Zaichkowsky L.D.
        • Crim M.C.
        Effects of high-intensity strength training on quality-of-life parameters in cardiac rehabilitation patients.
        Am J Cardiol. 1997; 80: 841-846
        • Oldridge N.
        • Guyatt G.
        • Jones N.
        • Crowe J.
        • Singer J.
        • Feeny D.
        • McKelvie R.
        • Runions J.
        • Streiner D.
        • Torrance G.
        Effects on quality of life with comprehensive rehabilitation after acute myocardial infarction.
        Am J Cardiol. 1991; 67: 1084-1089
        • Oldridge N.
        • Furlong W.
        • Feeny D.
        • Torrance G.
        • Guyatt G.
        • Crowe J.
        • Jones N.
        Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction.
        Am J Cardiol. 1993; 72: 154-161