A Controlled Trial of Exercise Training in Older Coronary Patients

Abstract

While spontaneous improvements in peak oxygen consumption are seen in older coronary patients in the months following a coronary event, a formal exercise training program results in significantly greater increases in peak exercise capacity and in peak and submaximal exercise efficiency.

Effects of a Phase III Cardiac Rehabilitation Program on Physical Status and Lipid Profiles in Elderly Patients With Coronary Artery Disease Juntendo Cardiac Rehabilitation Program (J-CARP)

“…7 Compared with several previous studies performed in other countries, 7,[19][20][21] in the present study oxygen consumption was already at higher levels at baseline, which may be why no significant improvement in peak V…”

“…17,18 Previous studies of elderly participants have indicated a diminished exercise capacity compared with younger subjects; however, similar improvements in aerobic capacity have been observed after exercise training. 19 Ades and Grunvald demonstrated that elderly patients were usually substantially less fit; however, they obtained greater improvements in their aerobic capacity as shown by enhanced peak oxygen consumption and duration of treadmill exercise after cardiac rehabilitation. 20 On the other hand, Lavie et al reported that improvements in cardiopulmonary variables, such as peak V…”

“…7 Elderly patients with CAD have high rates of disability, partly because of the weakness of the skeletal muscles. 19 Ades et al reported that even activities considered aerobic, such as walking, were limited by reduced leg muscle strength in elderly patients. 22 In elderly patients, improvement of thigh muscle strength may aid in the maintenance of an active lifestyle.…”

Efficacy of Telecardiology in improving the results of Cardiac Rehabilitation after acute myocardial infarction

“…Enrolment rates for Cardiac Rehabilitation have been reported to range from 15-59% [19]. Many services concentrate on relatively low risk, white middle aged patients, while women [20,21] and elderly are less likely to be included [22][23][24]. Poor recruitment is also related to service factors, such as the availability and accessibility of a program [25], the strength of a physician's recommendation to attend [26][27][28] and treatment by a general physician, rather than a cardiologist.…”

Exercise and Physical Activity in the Prevention and Treatment of Atherosclerotic Cardiovascular Disease

“…Older patients with CAD have exercise trainability comparable to that of younger patients participating in similar exercise rehabilitation, with elderly male and female patients showing comparable improvement. [45][46][47] However, referral to and participation in exercise rehabilitation is less frequent for older patients, especially for older women. 48 No significant complications or adverse outcomes of exercise training in older patients have been described in any study.…”