Exercise testing and training in physically disabled men with clinical evidence of coronary artery disease
Autor: | Sandra B. Dunbar, Lyn Almon, Gerald F. Fletcher, Barbara J. Fletcher, G Cotsonic, Betsy E. Jensen, Joel M. Felner |
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Rok vydání: | 1994 |
Předmět: |
Adult
Male medicine.medical_specialty Diet therapy Blood lipids Coronary Disease Physical exercise law.invention Coronary artery disease Physical medicine and rehabilitation Randomized controlled trial law Internal medicine Humans Medicine Disabled Persons Prospective Studies Prospective cohort study Aged Analysis of Variance Ejection fraction business.industry Rehabilitation Middle Aged medicine.disease Dietary Fats Lipids Exercise Therapy Rate pressure product Clinical evidence Exercise Test Physical therapy Cardiology Cardiology and Cardiovascular Medicine business |
Zdroj: | The American Journal of Cardiology. 73:170-174 |
ISSN: | 0002-9149 |
DOI: | 10.1016/0002-9149(94)90209-7 |
Popis: | A prospective, randomized, controlled clinical trial in patients with coronary artery disease (CAD) and a concurrent physical disability evaluated the effects of a home exercise training program on cardiovascular function and blood lipids. Eighty-eight men between the ages of 42 and 72 years (mean 62) with documented CAD and a physical disability with functional use of > or = 2 extremities including 1 arm were randomized to either a 6-month home exercise training program using wheelchair ergometry or to a control group that received usual and customary care. Both groups received dietary instructions and were requested to follow a fat-controlled diet. Exercise test variables with echocardiography and blood lipids were measured at baseline and at 6 months. The home exercise training group significantly improved both peak exercise left ventricular ejection fraction (p = 0.007) and fractional shortening (p = 0.01) between baseline to 6 months, whereas the control group showed no significant changes. Exercise training effects of decreased resting heart rate (p = 0.03) and decreased peak rate pressure product (p = 0.03) were also found in the treatment group. No exercise-related cardiac complications occurred. Both groups significantly (p < or = 0.01) increased high-density lipoprotein cholesterol levels. These results indicate that physically disabled men with CAD can safely participate in a home exercise training program which may result in intrinsic cardiac benefits. The metabolic cost of activities of daily living imposed on this disabled population may also have a positive effect on high-density lipoprotein cholesterol levels. |
Databáze: | OpenAIRE |
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