| Resistance and balance training improves functional capacity in very old participants attending cardiac rehabilitation after coronary bypass surgery. | |
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MedLine Citation:
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PMID: 23176104 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG). DESIGN: Randomized controlled trial. SETTING: In-hospital CR. PARTICIPANTS: Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days. INTERVENTION: Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk). MEASUREMENTS: Six-minute walk test, cardiopulmonary exercise testing, Timed-Up-and-Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health-related quality of life (HRQL). RESULTS: There were significant improvements (P < .001) in all measured variables over the duration of CR. Improvements in functional capacity were significantly greater in the IG than the CG for 6-minute walk distance (6-MWD) (IG Δ 67.3 ± 49.0 m vs CG Δ 41.9 ± 51.7 m; P = .003), TUG time (IG Δ -2.4 ± 2.2 seconds vs CG Δ -1.2 ± 3.4 seconds; P = .005), and relative workload (IG Δ 0.19 ± 0.21 W/kg vs CG Δ 0.13 ± 0.11 W/kg; P = .03). CONCLUSION: There were significant improvements in all measured variables in very old adults participating in CR soon after CABG. With additional functional exercise training, participants randomized to IG improved significantly more than those randomized to CG on 6-MWD, TUG time, and relative workload. |
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Authors:
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John C Busch; Dorothea Lillou; Godehard Wittig; Petra Bartsch; Detlev Willemsen; Neil Oldridge; Birna Bjarnason-Wehrens |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2012-11-23 |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 60 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-12 Completed Date: 2013-02-14 Revised Date: 2013-04-23 |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 2270-6 Citation Subset: IM |
Copyright Information:
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© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society. |
Affiliation:
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Institute of Cardiology and Sports Medicine, German Sport University Cologne, Cologne, Germany. jobusch@gmx.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Coronary Artery Bypass / rehabilitation* Exercise Therapy* Female Health Status Humans Male Muscle Strength Physical Fitness* Postural Balance Quality of Life Resistance Training |
| Comments/Corrections | |
Erratum In:
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J Am Geriatr Soc. 2013 Mar;61(3):479 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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