Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/10886
Title: | Long-term effect of rehabilitation in coronary artery disease patients: randomized clinical trial of the impact of exercise volume | Authors: | HANSEN, Dominique DENDALE, Paul Raskin, Anita Schoonis, Annick BERGER, Jan Vlassak, Irmien Meeusen, Romain |
Issue Date: | 2010 | Publisher: | SAGE PUBLICATIONS LTD | Source: | CLINICAL REHABILITATION, 24 (4). p. 319-327 | Abstract: | Objective: To assess whether exercise volume during phase II rehabilitation affects long-term clinical benefits in patients with coronary artery disease. Design: Prospective randomized clinical trial with long-term follow-up. Setting: Hospital outpatient clinic. Subjects: Coronary artery disease patients (age 65 +/- 9 years, 82% males) attending a phase II rehabilitation programme were randomized into two groups of exercise volumes: 40-versus 60-minute training sessions. Patients exercised for three days per week for seven weeks, at 65% of baseline oxygen uptake capacity. Next, they were followed up for 18 months. Out of 165 patients with coronary artery disease who completed the exercise intervention, 119 attended the 18-month follow-up assessment. Main measurements: Body anthropometrics, resting haemodynamics, blood lipid profile, glycaemia, and C-reactive protein level, smoking behaviour, habitual physical activity, cardiovascular disease incidence and mortality. Results: In total population, a significant worsening of various cardiovascular disease risk factors was found at 18 months follow-up (P<0.05), and few patients (27% of total group) adhered to the recommended minimal physical activity level. No difference in change of body anthropometrics, resting haemodynamics, blood lipid profile, glycaemia, and C-reactive protein level, and smoking behaviour was seen between different exercise volumes (P>0.05). In addition, total cardiovascular disease incidence (13% versus 22% in 40-versus 60-minute group, respectively) and habitual physical activity were not different between groups (P>0.05). Conclusion: In patients with coronary artery disease following cardiac rehabilitation, the cardiovascular disease risk profile worsened significantly during long-term follow-up. A smaller exercise volume during phase II rehabilitation generated equal long-term clinical benefits compared to a greater exercise volume. | Notes: | [Meeusen, Romain] Vrije Univ Brussels, Fac LK, Dept Human Physiol & Sportsmed, B-1050 Brussels, Belgium. [Hansen, Dominique; Dendale, Paul; Raskin, Anita; Schoonis, Annick; Berger, Jan; Vlassak, Irmien] Jessa Hosp, Rehabil & Hlth Ctr, Heart Ctr Hasselt, Hasselt, Belgium. [Dendale, Paul] Hasselt Univ, Fac Med, Diepenbeek, Belgium. rmeeusen@vub.ac.be | Document URI: | http://hdl.handle.net/1942/10886 | ISSN: | 0269-2155 | e-ISSN: | 1477-0873 | DOI: | 10.1177/0269215509353262 | ISI #: | 000276174500004 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2011 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
dendale.pdf Restricted Access | Published version | 147.36 kB | Adobe PDF | View/Open Request a copy |
SCOPUSTM
Citations
43
checked on Sep 2, 2020
WEB OF SCIENCETM
Citations
47
checked on Jun 1, 2024
Page view(s)
60
checked on Sep 6, 2022
Download(s)
44
checked on Sep 6, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.