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Impact of Cardiac Rehabilitation on Metabolic Syndrome in Iranian Patients With Coronary Heart Disease: The Role of Obesity Publisher Pubmed



Kabir A1, 2, 3 ; Sarrafzadegan N4 ; Amini A5 ; Aryan RS6 ; Kerahroodi FH7 ; Rabiei K8 ; Taghipour HR6 ; Moghimi M9
Authors
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Authors Affiliations
  1. 1. Department of Epidemiology, Iran
  2. 2. Shahid Beheshti University of Medical Sciences, Iran
  3. 3. Center for Educational Research in Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Isfahan Cardiovascular Research Center, WHO Collaborating Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Imam Hossein Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Baqiyatallah University of Medical Sciences, Tehran, Iran
  7. 7. Nikan Health Researchers Institute, Tehran, Iran
  8. 8. Isfahan Cardiovascular Research Center, WHO Collaborating Center, Isfahan, Iran
  9. 9. Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Rehabilitation Nursing Published:2012


Abstract

Background: Due to high prevalence of metabolic syndrome (MetS) and coronary heart disease (CHD) in Iran, and their mutual relationship, we evaluated how comprehensive cardiac rehabilitation (CR) can affect MetS in patients with CHD. Method: In this study (1998-2003), we evaluated 547 patients with CHD undergoing comprehensive CR. Results: Cases with MetS decreased from 42.8% to 33.3% after CR program (p < .001). Decrease in high fasting plasma glucose, triglyceridemia, systolic and diastolic blood pressures, and increase in HDL cholesterol, functional capacity, and left ventricular ejection fraction was more prominent in the MetS but not obese group. However, total cholesterol, low-density lipoprotein, weight, body mass index, and waist circumference showed a greater decrease in groups with obesity. Conclusion: Cardiac rehabilitation is an effective treatment of MetS, particularly in the absence of obesity. This represents an additional argument for the prevention of obesity and the linked insulin resistance.
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