Comparison of the effect of 12- and 24-session cardiac rehabilitation on physical, psychosocial and biomedical factors in ischemic heart disease patients

Abstract

BackgroundCardiac rehabilitation (CR) is a key component of effective care for patients with a wide spectrum of cardiac problems. It seems that the short-term provision of these services can facilitate their use and meeting of related needs for patients participating in the CR programs.Materials and methodsIn this interventional study on patients with ischemic heart disease (IHD) referred to the Cardiac Rehabilitation Center of Chamran Hospital, Isfahan, Iran. One-hundred and twelve patients were randomly divided into two groups of 12 and 24 sessions of CR [mean age: 59.2 ± (9.02) and 60.7 ± (9.3) years, respectively] and underwent a CR program. All information was collected in two stages, before the beginning of the program and after completion of 12- and 24-session rehabilitation programs. The data collection tools were demographics questionnaire, the International Physical Activity Questionnaires (IPAQ), McNew Quality of Life Questionnaire, Beck Depression Inventory (BDI), and Zung Self-Rating Anxiety Scale (SAS).ResultsThe results of this study showed that in both groups, total physical activity (PA) and functional capacity increased, and the quality of life (QOL) was statistically improved. Comparison of changes in mean differences at the end of the rehabilitation periods between the two groups, showed that only the weight, body mass index (BMI), waist circumference (WC) and high-density lipoprotein (HDL) in the 24-session group significantly decreased compared to the 12-session group and, but no significant difference in other variables was observed.ConclusionOverall, the findings of this study support the overall benefits of the CR program in both the short and the long term. Therefore it can be suggested that a short-term program can still be a valuable option for reducing the risk in cardiac patients and meeting their service needs.

Relationship between Changes in Functional Capacity and Anthropometric, Clinical and Psychological Indicators in Cardiac Patients Participating in Cardiac Rehabilitation Program

“…In general, the results of this study showed that the cardiac rehabilitation program is important in the secondary prevention of CVD and cardiac rehabilitation can increase the functional capacity of heart patients in all age groups and different subgroups by activating physiological mechanisms such as oxygen uptake from the blood, increasing the oxidative response and increasing cardiac output [25] [26]. Among anthropometric, clinical and psychologic indices, gender variable, level of primary depression and EF less than 35 were identified as the most effective indicators affecting the improvement of functional capacity.…”

Comportamento da capacidade aeróbia em pacientes com doença arterial coronariana participantes de um programa de reabilitação cardiovascular baseada em exercício físico ao longo de 10 anos

“…Resultados de um estudo clínico recente, que comparou os efeitos da RC com durações diferentes, 12 e 24 semanas sobre a composição corporal, mostraram que apenas aqueles que realizaram 24 semanas de programa reduziram significativamente peso corporal, IMC e circunferência abdominal (SADEGHI et al, 2020). Este achado sugere que períodos mais prolongados de treinamento físico podem ser necessários para alcançar bons resultados na composição corporal.…”