Ann Rehabil Med.  2019 Jun;43(3):297-304. 10.5535/arm.2019.43.3.297.

Comparison of Obesity Related Index and Exercise Capacity Between Center-Based and Home-Based Cardiac Rehabilitation Programs

Affiliations
  • 1Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, Gwangju, Korea. rmhanjy@daum.net

Abstract


OBJECTIVE
To compare a center-based cardiac rehabilitation (CR) program with a home-based CR program in terms of improving obesity related index and cardiopulmonary exercise capacity after the completing a phase II CR program.
METHODS
In this study, there were seventy-four patients with acute myocardial infarction after percutaneous coronary intervention who were analyzed. Patients with mild to moderate risk (ejection fraction >40%) were included in the group. The patients underwent an exercise tolerance test by measurement of the modified Bruce protocol at three assessment points. Those in the center-based CR group participated in a 4-week training program with electrocardiography monitoring of the patient's progress and results, while those patients who were in the home-based CR group underwent self-exercise training. We measured the obesity related indices such as body mass index, fat free mass index (FFMI), and cardiopulmonary exercise capacity including peak oxygen consumption (VO(2max)), metabolic equivalents (METs), heart rate, resting systolic blood pressure and the diastolic blood pressure of the participants and noted the results.
RESULTS
Of the 74 patients, 25 and 49 participated in the center-based and home-based CR programs, respectively. Both groups showed significant improvement in VO(2max) and METs at 1-month and 6-month follow-up. However, FFMI was significantly improved only in the center-based CR group after 1 month of the phase II CR.
CONCLUSION
Both groups identified in the study showed significant improvement of VO(2max) and METs at 1-month and 6-month follow-up. However, there was no significant difference in the intergroup analysis. A significant improvement of FFMI was seen only in the center-based CR group after phase II CR.

Keyword

Rehabilitation; Myocardial infarction; Exercise tolerance; Obesity; Home care services

MeSH Terms

Blood Pressure
Body Mass Index
Education
Electrocardiography
Exercise Tolerance
Follow-Up Studies
Heart Rate
Home Care Services
Humans
Metabolic Equivalent
Myocardial Infarction
Obesity*
Oxygen Consumption
Percutaneous Coronary Intervention
Rehabilitation*
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