
Cardiac Rehabilitation Programs Improve Metabolic Parameters in Patients With the Metabolic Syndrome and Coronary Heart Disease
Author(s) -
Pérez Ignacio P.,
Zapata Maria Á.,
Cervantes Carlos E.,
Jarabo Rosario M.,
Grande Cristina,
Plaza Rose,
Garcia Sara,
Rodriguez Miriam L.,
Crespo Silvia,
Perea Jesús
Publication year - 2010
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1751-7176.2009.00259.x
Subject(s) - medicine , metabolic syndrome , waist , cardiology , metabolic equivalent , blood pressure , coronary heart disease , disease , rehabilitation , physical therapy , acute coronary syndrome , myocardial infarction , obesity , physical activity
J Clin Hypertens (Greenwich). This study was performed to determine the effectiveness of a cardiac rehabilitation and exercise training program on metabolic parameters and coronary risk factors in patients with the metabolic syndrome and coronary heart disease. The study involved 642 patients with coronary heart disease. Of them, 171 (26.7%) fulfilled criteria for the metabolic syndrome. Clinical data, laboratory tests, and exercise testing were performed before and after the program, which lasted 2 to 3 months. Except for waist circumference, there were no significant differences between groups; blood pressure, high‐density lipoprotein cholesterol, triglycerides, and fasting glucose improvements during the follow‐up were higher in patients with the metabolic syndrome (all P <.001). At study end, in patients with the metabolic syndrome, functional capacity increased by 26.45% ( P <.001), as measured by metabolic equivalents, with a slight increase of 1.25% ( P =not significant) in the double product. Patients with the metabolic syndrome who took part in this secondary prevention program reported improvements in cardiovascular risk profile and functional capacity.