The effect of obesity on functional capacity, anxiety and daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation

Yıl 2018, Cilt: 4 Sayı: 2, 85 - 91, 04.04.2018

Meliha Kasapoğlu Aksoy İlknur Aykurt Karlıbel Hasan Arı Lale Altan

https://doi.org/10.18621/eurj.332008

Cited By: 1

Öz

Objective. The aim of our study was to investigate the effect of
cardiac rehabilitation (CR) program on obese and non-obese patients with
coronary artery disease. Methods. The records of 60
coronary artery disease patients aged between 18-75 years, who were included in
CR were evaluated. Of the study subjects, 20 had undergone coronary artery
bypass grafting (CABG) and 40 had undergone percutaneous coronary intervention
(PCI). The patients were
divided into two groups by body mass index (BMI), with Group I being non-obese
(BMI < 30 kg/m²) and Group 2 being obese (BMI ≥ 30 kg/m²).
The effect of 30 session CR on the two groups were evaluated with 6-min walk
test (6MWT), Short Form-36 (SF-36) and Beck Anxiety Inventory (BAI). Results. Baseline characteristics
of the group 1 (39 patients) and group 2 (21 patients) were similar.
Statistically significant improvement was detected in group 1 and group 2
patients by CR program in 6MWT, BAI and SF-36 parameters (p < 0.05). 6MWT, BAI and SF-36 parameters changes by cardiac
rehabilitation were compared between the two groups. According to the
comparison 6MWT (group 1; 60 (20-183) vs group 2; 34 (15-180), p = 0.012) and MET (group 1; 1.44 ± 0.56
vs group 2; 1.09 ± 0.41, p = 0.015
changes were significantly higher in group 1 than in group 2. However, the
changes of BAI and SF-36 parameters were similar in two groups (p > 0.05). Conclusion. CR was found
to be effective and safe in terms of functional capacity, daily life activities
and anxiety in both obese and non-obese patients. Functional capacity gain in
the obese group was less than non-obese patients. 

Anahtar Kelimeler

cardiac rehabilitation, obesity, quality of life, functional capacity, anxiety

Kaynakça

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