Document Detail

The impact of high-calorie-expenditure exercise on quality of life in older adults with coronary heart disease.
MedLine Citation:
PMID:  21558566     Owner:  NLM     Status:  In-Data-Review    
The acceptability of a high-calorie-expenditure (HCE) exercise program in older coronary heart disease patients participating in a behavioral weight-control program was evaluated. Seventy-four overweight patients (median age 63 yr) were randomly assigned to a 5-mo intervention of HCE exercise (3,000-3,500 kcal/wk daily walking) or standard cardiac-rehabilitation (CR) exercise (700-800 kcal/wk). Both groups received counseling to achieve a dietary caloric deficit of 3,500 kcal/ wk. Assessments at baseline and 5 mo included self-reported measures of quality of life and psychosocial variables. The HCE group experienced significantly greater weight loss (8.2 ± 4 vs. 3.7 ± 5 kg, p < .001). Changes from baseline to 5 mo on scores of physical, emotional, and social functioning were greater for the HCE than CR group (p < .05). HCE exercise also resulted in greater positive change in exercise enjoyment (p = .05), which was mediated by weight change. Even high-risk older adults can be successful in an HCE exercise program and experience no adverse physical or emotional changes.
Lizzy Pope; Jean Harvey-Berino; Patrick Savage; Janice Bunn; Maryann Ludlow; Neil Oldridge; Phil Ades
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of aging and physical activity     Volume:  19     ISSN:  1063-8652     ISO Abbreviation:  J Aging Phys Act     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-05-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9415639     Medline TA:  J Aging Phys Act     Country:  United States    
Other Details:
Languages:  eng     Pagination:  99-116     Citation Subset:  IM    
Dept. of Nutrition and Food Sciences, University of Vermont, Burlington, VT.
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