Open AccessThe Treatment of Obesity in Cardiac Rehabilitation
Author(s) -
Philip A. Ades,
Patrick D. Savage
Publication year - 2021
Publication title -
journal of cardiopulmonary rehabilitation and prevention
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 66
eISSN - 1932-751X
pISSN - 1932-7501
DOI - 10.1097/hcr.0000000000000637
Subject(s) - cardiorespiratory fitness , medicine , rehabilitation , obesity , weight loss , physical therapy , disease , mandate , secondary prevention , gerontology , intensive care medicine , political science , law
Cardiac rehabilitation (CR) programs have evolved from exercise-only programs designed to improve cardiorespiratory fitness to secondary prevention programs with a broader mandate to alter lifestyle-related behaviors that control cardiac risk factors and, thereby, reduce overall cardiovascular risk. As the obesity epidemic has evolved in the late 20th and early 21st centuries, the prevalence of type 2 diabetes mellitus and the metabolic syndrome have soared and blunted the otherwise expected downturn in deaths from coronary heart disease related to better control of risk factors. In that the causes of obesity are behavioral in origin, the most effective treatment strategy requires a comprehensive, behavioral-based approach.