| The treatment of obesity in cardiac rehabilitation. | |
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MedLine Citation:
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PMID: 20436355 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Obesity is an independent risk factor for the development of coronary heart disease (CHD). At entry into cardiac rehabilitation (CR), more than 80% of patients are overweight and more than 50% have the metabolic syndrome. Yet, CR programs do not generally include weight loss programs as a programmatic component and weight loss outcomes in CR have been abysmal. A recently published study outlines a template for weight reduction based on a combination of behavioral weight loss counseling and an approach to exercise that maximized exercise-related caloric expenditure. This approach to exercise optimally includes walking as the primary exercise modality and eventually requires almost daily longer-distance exercise to maximize caloric expenditure. In addition, lifestyle activities such as stair climbing and avoidance of energy-saving devices should be incorporated into the daily routine. Risk factor benefits of weight loss and exercise training in overweight CHD patients are broad and compelling. Improvements in insulin resistance, lipid profiles, blood pressure, clotting abnormalities, endothelial-dependent vasodilatory capacity, and measures of inflammation such as C-reactive protein have all been demonstrated. Cardiac rehabilitation/secondary prevention programs can no longer ignore the challenge of obesity management in CHD patients. Individual programs need to develop clinically effective and culturally sensitive approaches to weight control. Finally, multicenter randomized clinical trials of weight loss in CHD patients with assessment of long-term clinical outcomes need to be performed. |
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Authors:
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Philip A Ades; Patrick D Savage; Jean Harvey-Berino |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review |
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 Sep-Oct |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-06-02 Revised Date: 2011-09-13 |
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: 289-98 Citation Subset: IM |
Affiliation:
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University of Vermont College of Medicine, Burlington, 05482, USA. philip.ades@vtmednet.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Behavior Therapy C-Reactive Protein Coronary Artery Disease / psychology, rehabilitation* Diet Directive Counseling Energy Metabolism Exercise Therapy Humans Inflammation Life Style Obesity / psychology, therapy* Risk Factors Treatment Outcome Weight Loss |
| Grant Support | |
ID/Acronym/Agency:
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R01 HL072851-05/HL/NHLBI NIH HHS; R01-HL72851/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
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9007-41-4/C-Reactive Protein |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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