The effect of obesity on functional capacity, anxiety and daily life activities in patients with coronary artery disease and phase II cardiac rehabilitation

Authors : Meliha KASAPOĞLU AKSOY, İlknur AYKURT KARLIBEL, Hasan ARI, Lale ALTAN

Pages : 85-91

Doi:10.18621/eurj.332008

View : 21 | Download : 11

Publication Date : 2018-04-04

Article Type : Research Paper

Abstract :Objective. The aim of our study was to investigate the effect of cardiac rehabilitation insert ignore into journalissuearticles values(CR); program on obese and non-obese patients with coronary artery disease. Methods. The records of 60 coronary artery disease patients aged between 18-75 years, who were included in CR were evaluated. Of the study subjects, 20 had undergone coronary artery bypass grafting insert ignore into journalissuearticles values(CABG); and 40 had undergone percutaneous coronary intervention insert ignore into journalissuearticles values(PCI);. The patients were divided into two groups by body mass index insert ignore into journalissuearticles values(BMI);, with Group I being non-obese insert ignore into journalissuearticles values(BMI < 30 kg/m 2 ); and Group 2 being obese insert ignore into journalissuearticles values(BMI ≥ 30 kg/m 2 );. The effect of 30 session CR on the two groups were evaluated with 6-min walk test insert ignore into journalissuearticles values(6MWT);, Short Form-36 insert ignore into journalissuearticles values(SF-36); and Beck Anxiety Inventory insert ignore into journalissuearticles values(BAI);. Results. Baseline characteristics of the group 1 insert ignore into journalissuearticles values(39 patients); and group 2 insert ignore into journalissuearticles values(21 patients); were similar. Statistically significant improvement was detected in group 1 and group 2 patients by CR program in 6MWT, BAI and SF-36 parameters insert ignore into journalissuearticles values( p < 0.05);. 6MWT, BAI and SF-36 parameters changes by cardiac rehabilitation were compared between the two groups. According to the comparison 6MWT insert ignore into journalissuearticles values(group 1; 60 insert ignore into journalissuearticles values(20-183); vs group 2; 34 insert ignore into journalissuearticles values(15-180);, p = 0.012); and MET insert ignore into journalissuearticles values(group 1; 1.44 ± 0.56 vs group 2; 1.09 ± 0.41, p = 0.015 changes were significantly higher in group 1 than in group 2. However, the changes of BAI and SF-36 parameters were similar in two groups insert ignore into journalissuearticles values( p > 0.05);. Conclusion. CR was found to be effective and safe in terms of functional capacity, daily life activities and anxiety in both obese and non-obese patients. Functional capacity gain in the obese group was less than non-obese patients. 
Keywords : cardiac rehabilitation, obesity, quality of life, functional capacity, anxiety