| Cardiovascular rehabilitation in patients with diabetes. | |
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MedLine Citation:
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PMID: 20040882 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The cardiovascular disease risk profile and exercise capacity of coronary heart disease patients with type 2 diabetes mellitus (DM) were measured and compared with those of nondiabetic (NDM) patients before and after a 6-week multidisciplinary cardiac rehabilitation program. METHODS: Subjects included 413 patients with DM (56.9 +/- 7.9 years) and 614 patients with NDM (56.8 +/- 10.3 years). RESULTS: At program entry, DM patients had a higher prevalence of risk factors (hypertension, hypercholesterolemia, hypertriglyceridemia, obesity, excess abdominal fat, and depression), had a lower peak oxygen uptake (14.3 +/- 4.4 vs 16.6 +/- 5.4 mL . kg . min; P < .001), and covered a shorter distance in the 6-minute walk test (404 +/- 117 m vs 445 +/- 116 m; P < .001) than NDM patients. At the end of the exercise program, all patients achieved significant improvements in physical capacity, which were similar in DM and NDM patients (+27.6 +/- 28.2% vs +30.5 +/- 27.7% for peak oxygen uptake and +21.0 +/- 31.5% vs +21.3 +/- 53.2% for the 6-minute distance test). CONCLUSION: DM patients with coronary heart disease had a higher prevalence of cardiovascular disease risk factors as well as lower physical capacity than NDM patients at the beginning of rehabilitation. All patients demonstrated improvement in exercise capacity after rehabilitation. More importantly, the extent of the improvement was similar in DM and NDM patients. This study, which involved a large population, emphasizes the capacity of DM patients to fully benefit from a multidisciplinary risk factor management program, including exercise training and educational programs. |
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Authors:
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Laurent Mourot; Alain Boussuges; S Maunier; S Chopra; F Rivière; X Debussche; P Blanc |
Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation and prevention Volume: 30 ISSN: 1932-751X ISO Abbreviation: J Cardiopulm Rehabil Prev Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-05-10 Completed Date: 2010-08-18 Revised Date: 2011-01-25 |
Medline Journal Info:
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Nlm Unique ID: 101291247 Medline TA: J Cardiopulm Rehabil Prev Country: United States |
Other Details:
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Languages: eng Pagination: 157-64 Citation Subset: IM |
Affiliation:
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Laboratoire dePhysiologie, Faculté de Médecine et de Pharmacie, Université de Franche Comté and Clinical Investigation Centre INSERM CIT 808, Hôpital St Jacques, Besançon, France. mourotlaurent@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Disease
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epidemiology,
rehabilitation* Depression / epidemiology Diabetes Mellitus / epidemiology* Exercise Exercise Tolerance Female Humans Hypercholesterolemia / epidemiology Hypertension / epidemiology Hypertriglyceridemia / epidemiology Male Middle Aged Obesity / epidemiology Oxygen Consumption Risk Factors |
| Comments/Corrections | |
Comment In:
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J Cardiopulm Rehabil Prev. 2010 Jul-Aug;30(4):E1-2; author reply E3-4
[PMID:
21217250
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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