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低频和高频心脏康复对中年冠心病女性危险因素、体能及生活质量的影响

Effects of Low- and High-Frequency Cardiac Rehabilitation on Risk Factors, Physical Fitness and Quality of Life in Middle-Aged Women with Coronary Heart Disease.

作者信息

Zhou Peng, Zhang Wangyang, Kim Yonghwan, Meng Huan

机构信息

Department of Physical Education, General Graduate School, Yongin University, Yongin 17092, Republic of Korea.

School of Physical Education, Main Campus, Zhengzhou University, Zhengzhou 450001, China.

出版信息

Metabolites. 2023 Apr 12;13(4):550. doi: 10.3390/metabo13040550.

DOI:10.3390/metabo13040550
PMID:37110208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10143020/
Abstract

Cardiac rehabilitation (CR) is a system that comprehensively manages risk factors to reduce the recurrence rate after cardiovascular disease treatment. This study compared the effects of home-based low-frequency CR (1-2 times/week) and center-based high-frequency CR (3-5 times/week) for 12 weeks. This study was conducted as an observational case-control study. Ninety women, ages 45 to 60, who underwent coronary artery stenting were enrolled. Measurement variables were waist circumference, body mass index (BMI), blood pressure (BP), total cholesterol (TC), low-density lipoprotein cholesterol (LDLC), high-density lipoprotein cholesterol (HDLC), triglycerides (TG), glucose, VO peak, body composition, and quality of life. Significant changes were observed in systolic BP, TC, LDLC, TG, VO peak, exercise duration, and quality of life in both groups. However, BMI, waist circumference, body fat percentage, HDLC, and blood glucose only exhibited significant changes with HFT. The interaction effects according to time and group were as follows: systolic BP, waist circumference, body fat, BMI, HDLC, and glucose ( < 0.05). Therefore, in CR participants, HFT improved more than LFT on obesity factors, HDLC, and glucose change. As well as center-based HFT, home-based LFT also improved risk factors for cardiovascular disease, fitness, and quality of life. For female patients who have difficulty visiting the CR center frequently, home-based LFT may be a CR program that can be presented as an alternative.

摘要

心脏康复(CR)是一个全面管理风险因素以降低心血管疾病治疗后复发率的系统。本研究比较了为期12周的居家低频心脏康复(每周1 - 2次)和中心高频心脏康复(每周3 - 5次)的效果。本研究作为一项观察性病例对照研究进行。招募了90名年龄在45至60岁之间接受冠状动脉支架置入术的女性。测量变量包括腰围、体重指数(BMI)、血压(BP)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDLC)、高密度脂蛋白胆固醇(HDLC)、甘油三酯(TG)、血糖、峰值摄氧量(VO₂peak)、身体成分和生活质量。两组在收缩压、TC、LDLC、TG、VO₂peak、运动时长和生活质量方面均观察到显著变化。然而,BMI、腰围、体脂百分比、HDLC和血糖仅在高频治疗时出现显著变化。根据时间和组别的交互作用如下:收缩压、腰围、体脂、BMI、HDLC和血糖(P < 0.05)。因此,在心脏康复参与者中,高频治疗在肥胖因素、HDLC和血糖变化方面比低频治疗改善得更多。与中心高频治疗一样,居家低频治疗也改善了心血管疾病风险因素、体能和生活质量。对于难以频繁前往心脏康复中心的女性患者,居家低频治疗可能是一种可供选择的心脏康复方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/8afc1d8da149/metabolites-13-00550-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/3274bae98868/metabolites-13-00550-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/5d95a5ac1567/metabolites-13-00550-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/c974dadb34ea/metabolites-13-00550-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/8afc1d8da149/metabolites-13-00550-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/3274bae98868/metabolites-13-00550-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/5d95a5ac1567/metabolites-13-00550-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/c974dadb34ea/metabolites-13-00550-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65eb/10143020/8afc1d8da149/metabolites-13-00550-g004.jpg

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