429 Metabolic syndrome impairs functional recovery in patients with chronic heat failure enrolled in a cardiac rehabilitation program

2006 ◽  
Vol 5 (1) ◽  
pp. 101-101
Author(s):  
G CAMINITI ◽  
G MARAZZI ◽  
R MASSARO ◽  
A TULLI ◽  
B SPOSATO ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Alejandra Farias Godoy ◽  
Andrew Ignaszewski ◽  
Jiri Frohlich ◽  
Scott A. Lear

Metabolic syndrome increases the risk of all-cause mortality, cardiovascular mortality and cardiovascular events in patients with cardiovascular disease (CVD). This study assessed the predictors of metabolic syndrome, both its incidence and resolution in a cohort of cardiac rehabilitation program graduates. Methods. A total of 154 and 80 participants without and with metabolic syndrome respectively were followed for 48 months. Anthropometric measurements, metabolic risk factors, and quality of life were assessed at baseline and at 48 months. Logistic regression models were used to assess the predictors of metabolic syndrome onset and resolution. Results. Increasing waist circumference (OR 1.175, P≤0.001) was an independent predictor for incident metabolic syndrome (R2 for model = 0.46). Increasing waist circumference (OR 1.234, P≤0.001), decreasing HDL-C (OR 0.027, P=0.005), and increasing triglycerides (OR 3.005, P=0.003) were predictors of metabolic syndrome resolution. Conclusion. Patients with CVD that further develop metabolic syndrome are particularly susceptible for the cascade of cardiovascular events and mortality. Increasing waist circumference confers a higher risk for future onset of metabolic syndrome in this group of patients. They will require closer follow-up and should be targeted for further prevention strategies after cardiac rehabilitation program completion.


2021 ◽  
Vol 20 (4) ◽  
pp. 422-432
Author(s):  
Ana Denise Brandão ◽  
Keila Larissa Pereira Reis ◽  
Nathalia Moraes Ribeiro ◽  
Patricia Figueiredo ◽  
Daniela Martins de Fausto ◽  
...  

Background: Metabolic syndrome is a complex disorder represented by a set of cardiovascular risk factors usually related to central fat deposition, insulin resistance, hypertension, and dyslipidemia. It is associated with accelerated atherosclerosis in response to chronic inflammation and vascular endothelial dysfunction, increasing overall mortality. Objective: We aimed to evaluate the effect of a cardiac rehabilitation program on cardiovascular risk factors in patients with metabolic syndrome. Methods: This is prospective interventional study. All patients underwent a 20-session cardiac rehabilitation program with aerobic and resisted exercises as well as an educational program for lifestyle changes. Results: Forty-seven patients participated in the present study. After the cardiac rehabilitation program (CRP), a significant reduction (p = 0,0092) for cardiovascular risk and fatigue (p > 0.001) was observed; 78% of the patients had positive effects on physical capacity, 72% of the patients presented HbA1c reduction, 51% increased HDL-cholesterol, 70% reduced total cholesterol, 63% reduced triglycerides, 61% reduced systolic blood pressure and 53% reduced diastolic blood pressure. Conclusion: Cardiac rehabilitation program with aerobic and resisted exercises associated with educational program for lifestyle changes is an effective approach in the treatment of patients with metabolic syndrome mainly seen by a reduced cardiovascular risk factors and reducing fatigue, improved physical capacity and reduced components of metabolic syndrome.


2015 ◽  
Author(s):  
Liz Midence ◽  
Susan Holtzman ◽  
Donna E. Stewart ◽  
Adrienne Kovacs ◽  
Sherry L. Grace

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