Aerobic capacity gains in patients from the Military Hospital cardiac rehabilitation program
Keywords:
Rehabilitation, heart diseases, exercise.Abstract
Objective: To describe aerobic gains in METS, in patients from the cardiac rehabilitation program, analyzing the behavior of the gain in terms of variables like the frequency of weeklytraining, phyisiological changes in heart rate, blood pressure and rate-pressure product. Methods: It is a descriptive study, with data collected retrospectively from the charts of the patients attending phase II at the Military Hospital Cardiac Rehabilitation Program between June 2008 and February 2010. Data analysis included the aerobic gain in METs comparing the first session with the 36 session, the weekly frequency, and the physiological variables during exercise such as blood pressure and heart rate.
Results: 173 Patients were included, 64.3% had a frequency of exercise 3 times a week during phase II of the rehabilitation program and 35.8% had a frequency of 5 times a week. The
mean of systolic and diastolic blood pressure at the beginning and at the end of each session were in normal range, without any significant change during training, we found a progressive
decrease in the initial and final heart rate after exercise training, and significant modification of rate-pressure product, also we found a gain in the aerobic capacity comparing the first
and the last session (36), having a mean gain of 2.95 METs with a standard deviation of 1.33 (z=25.192, p=0.001).
Conclusions: A statistically significant difference was found in the aerobic capacity of the patients in phase II of the cardiac rehabilitation program comparing the 36th session with the first one. This demonstrates a significant relation between the frequency of weekly sessions and the aerobic gain in the patients included in the study.
References
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13. Belardinelli R, Georgiou D, Cianci G, Purcaro A. Randomized, Controlled Trial of Long-Term Moderate Exercise Training in Chronic Heart Failure: Effects on Functional Capacity, Quality of Life, and Clinical Outcome. Circulation. 1999: 99; 1173-1182. McKelvie R. Exercise training.
14. In patients with heart failure: clinical outcomes, safety, and indications. Heart Fail Rev. 2008; 13: 3–11.
15. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical Activity and Public Health. Updated Recommendation for Adults From the American College of Sports Medicine and the American Heart Association. Circulation. 2007; 116: 1081-1093.
16. Faria D, Rabelo M, Rabelo T, Aguiar A, et al, Reduction of Arterial Pressure and Double Product at Rest after Resistance Exercise Training in Elderly Hypertensive Women. Arq Bras Cardiol. 2008; 91(5): 274-279.
2. Dorosz J. Updates in Cardiac Rehabilitation. Phys Med Rehabil Clin N Am. 2009; 20: 719-736.
3. O’Connor GT, Buring JE, Yusuf S, Goldhaber SZ, Olmstead EM, Paffenbarger RS, et al. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation. 1989; 80: 234-244.
4. Balady GJ, Williams MA, Ades PA, Bittner V, Comoss P, Foody JoA, et al. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update: A Scientific Statement From the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2007; 115: 2675-2682.
5. O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, et al. Efficacy and Safety of Exercise Training in Patients With Chronic Heart Failure. HF-ACTION Randomized Controlled Trial. JAMA. 2009;301(14):1439- 1450.
6. Tanasescu M, Leitzmann MF, Rimm EB, et al. Exercise Type and Intensity in Relation to Coronary Heart Disease in Men. JAMA. 2002; 288(16):1994-2000.
7. Williams MA, Fleg JL, Ades PA, Chaitman BR, Miller NH, et al. Secondary Prevention of Coronary Heart Disease in the Elderly (With Emphasis on Patients >75 Years of Age). An American Heart Association Scientific Statement From the Council on Clinical Cardiology Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention. Circulation. 2002; 105: 1735-1743.
8. Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, et al. Resistance Exercise in Individuals With and Without Cardiovascular Disease: 2007 Update. A Scientific Statement From the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation. 2007; 116: 572-584.
9. Coats AJ, Adamopoulos S, Radaelli A, McCance A, Meyer TE, Bernardi L, et al. Controlled Trial of Physical Training in Chronic Heart Failure. Exercise Performance, Hemodynamics, Ventilation, and Autonomic Function. Circulation. 1992; 85; 2119-2131.
10. Kokkinos PF, Narayan P, Colleran JA, et al. Effects of regular exercise on blood pressure and left ventricular hypertrophy in African- American men with severe hypertension. N Engl J Med. 1995; 333: 1462–7.
11. Billman GE, Kukielka M. Effect of endurance exercise training on heart rate onset and heart rate recovery responses to submaximal exercise in animals susceptible to ventricular fibrillation. J Appl Physiol. 2007; 102(1):231– 40.
12. American College of Sports Medicine. ACSM´s Guidelines for Exercise Testing and Prescription.8th ed. Philadelphia. Pen. Lippincott Williams & Wilkins. 2009: 100, 287.
13. Belardinelli R, Georgiou D, Cianci G, Purcaro A. Randomized, Controlled Trial of Long-Term Moderate Exercise Training in Chronic Heart Failure: Effects on Functional Capacity, Quality of Life, and Clinical Outcome. Circulation. 1999: 99; 1173-1182. McKelvie R. Exercise training.
14. In patients with heart failure: clinical outcomes, safety, and indications. Heart Fail Rev. 2008; 13: 3–11.
15. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical Activity and Public Health. Updated Recommendation for Adults From the American College of Sports Medicine and the American Heart Association. Circulation. 2007; 116: 1081-1093.
16. Faria D, Rabelo M, Rabelo T, Aguiar A, et al, Reduction of Arterial Pressure and Double Product at Rest after Resistance Exercise Training in Elderly Hypertensive Women. Arq Bras Cardiol. 2008; 91(5): 274-279.
How to Cite
1.
Alvarez Fernandez OM, Leal Arenas FA, Gutiérrez Ramírez MA, Chaustre Ruiz DM, Ibarra Quintero ML. Aerobic capacity gains in patients from the Military Hospital cardiac rehabilitation program. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2012 Apr. 19 [cited 2024 May 18];20(2):14-26. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/20
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