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Rev Port Cardiol. 2013 Mar;32(3):191-9. doi: 10.1016/j.repc.2012.08.005. Epub 2013 Feb 27.

[Long-term effects of a cardiac rehabilitation program in the control of cardiovascular risk factors].

[Article in Portuguese]

Author information

  • 1Hospital de Santo António, Centro Hospitalar do Porto, Porto, Portugal. mag.sandra@gmail.com

Abstract

INTRODUCTION:

Cardiac rehabilitation programs are designed to improve patients' functional capacity, as well as to educate them and to monitor their cardiovascular risk factors.

AIM:

The study aims to evaluate the effects of cardiac rehabilitation programs in patients with coronary disease over a 12-month follow-up period with regard to control of cardiovascular risk factors.

METHODS:

This was a prospective study of patients diagnosed with coronary disease who completed an exercise-based cardiac rehabilitation program between January 2008 and December 2009 and who were not lost to follow-up. Patients were evaluated at an early stage (first medical consultation in phase II of the program) and 3, 6 and 12 months later, the following parameters being assessed: weight and body mass index, waist circumference, lipid profile, HbA1c in diabetic patients, blood pressure, smoking status and physical activity (using the International Physical Activity Questionnaire).

RESULTS:

In the sample of 256 patients (76.2% male, mean age 67 years), dyslipidemia proved to be the most prevalent risk factor (74.2%), followed by overweight (71.5%). There was a statistically significant improvement (p<0,05) in all risk factors studied at the end of phase II of the program, which was maintained at 6 and 12 months of follow-up, with the exception of body mass index (loss of statistical significance at 6-month assessment, p=0,92).

CONCLUSION:

This study highlights the need for cardiac rehabilitation programs in the context of secondary prevention of cardiovascular disease and the importance of implementing strategies that promote long-term maintenance of their benefits.

Copyright © 2012 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

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PMID:
23453535
[PubMed - indexed for MEDLINE]
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