metricas
covid
Buscar en
Hipertensión y Riesgo Vascular
Toda la web
Inicio Hipertensión y Riesgo Vascular Effects of cardiac rehabilitation on obese hypertensive patients: A controlled t...
Journal Information
Vol. 40. Issue 4.
Pages 197-204 (October - December 2023)
Share
Share
Download PDF
More article options
Visits
14
Vol. 40. Issue 4.
Pages 197-204 (October - December 2023)
Original article
Effects of cardiac rehabilitation on obese hypertensive patients: A controlled trial
Efectos de la rehabilitación cardíaca en pacientes hipertensos obesos: un ensayo controlado
Visits
14
H. Baykal Sahina,
Corresponding author
baykalhanife@gmail.com

Corresponding author.
, M. Sahinb
a Karadeniz Technical University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Trabzon, Turkey
b Karadeniz Technical University, Faculty of Medicine, Department of Cardiology, Trabzon, Turkey
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (3)
Table 1. Baseline demographic and clinic characteristics of the patients.
Table 2. Changes after cardiac rehabilitation in obese and non-obese hypertensive patients.
Table 3. Comparison of changes after cardiac rehabilitation in obese and non-obese hypertensive patients.
Show moreShow less
Abstract
Introduction

The relationship between obesity and hypertension is clearly known and cardiac rehabilitation (CR) is shown as an effective treatment method in both obese and hypertensive patients. The aim of this study is to reveal the effect of CR on obese hypertensive patients by comparing them with non-obese hypertensive patients.

Methods

Eighty eligible, volunteer participants with hypertension (SBP ≥140mmHg and/or DBP ≥90mmHg) were enrolled in this study. The patients were divided into 2 groups according to their BMI values: obese (BMI ≥30kg/m2) hypertensive patients and non-obese (BMI <30kg/m2) hypertensive patients. The CR program, in which aerobic exercise training was the main part, was performed on the patients. At the end of the 10-week CR program, the resting SBP and DBP values were measured.

Results

A total of 74 patients (37 obese and 37 non-obese) completed the study. After CR significant improvements were achieved in all evaluated parameters compared to pre-CR values. When the amounts of changes before and after CR were compared, the decrease in SBP was found to be significantly higher in obese patients compared to non-obese patients (p=.003). Higher BMI was associated with more reduction in SBP (r=0.287, p=0.013).

Conclusions

Exercise-based CR effectively reduced SBP in obese and non-obese hypertensive patients. However, it was more effective in obese patients compared to non-obese patients.

Keywords:
Cardiac rehabilitation
Hypertension
Obesity
Resumen
Introducción

La relación entre obesidad e hipertensión es claramente conocida y la rehabilitación cardiaca (RC) se muestra como un método de tratamiento eficaz tanto en pacientes obesos como hipertensos. El objetivo de este estudio es revelar el efecto de la RC en pacientes hipertensos obesos comparándolos con pacientes hipertensos no obesos.

Métodos

Ochenta participantes voluntarios elegibles con hipertensión (PAS140mmHg y/o PAD90mmHg) se inscribieron en este estudio. Los pacientes se dividieron en 2 grupos según sus valores de IMC: pacientes hipertensos obesos (IMC30kg/m2) y pacientes hipertensos no obesos (IMC<30kg/m2). A los pacientes se les realizó el programa RC, en el que el entrenamiento con ejercicios aeróbicos fue la parte principal. Al final del programa RC de 10 semanas, se midieron los valores de PAS y PAD en reposo.

Resultados

Un total de 74 pacientes (37 obesos y 37 no obesos) completaron el estudio. Después de RC, se lograron mejoras significativas en todos los parámetros evaluados en comparación con los valores previos a RC. Cuando se comparó la cantidad de cambios antes y después de la RC, se encontró que la disminución de la PAS fue significativamente mayor en pacientes obesos en comparación con pacientes no obesos (p=0,003). Un IMC más alto se asoció con una mayor reducción de la PAS (r=0,287; p=0,013).

Conclusiones

La RC redujo efectivamente la PAS en pacientes hipertensos obesos y no obesos. Sin embargo, fue más efectivo en pacientes obesos en comparación con pacientes no obesos.

Palabras clave:
Rehabilitación cardiaca
Hipertensión
Obesidad

Article

These are the options to access the full texts of the publication Hipertensión y Riesgo Vascular
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Hipertensión y Riesgo Vascular

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos