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Research Article
 
DOI:10.11909/j.issn.1671-5411.2020.09.003
Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs. older patients
Marta Fontes-Oliveira,Maria Trepa1,Patrícia Rodrigues,Preza Fernandes,Sandra Magalhaes,Sofia Cabral,Mario Santos,Severo Torres.Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs older patientsJ Geriatr Cardiol 2020,17(9):544~553
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Authors:Marta Fontes-Oliveira1;Maria Trepa11;Patrícia Rodrigues1;Preza Fernandes2;Sandra Magalhaes3;Sofia Cabral4;Mario Santos5;Severo Torres6

Author Affiliation:1.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;2.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;Cardiac Rehabilitation Unit, Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;3.Cardiac Rehabilitation Unit, Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;4.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;5.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal;Pulmonary Vascular Disease Unit, University Hospital Centre of Porto, Porto, Portugal;6.Cardiology Department, University Hospital Centre of Porto, Porto, Portugal

Foundation:

Abstract: Background The benefits of exercise-based cardiac rehabilitation (EBCR) programs in post-acute myocardial infarction (AMI) patients have been demonstrated. Our aim was to assess the impact of EBCR in 70-years-old vs. younger post-AMI patients. Methods We retrospectively evaluated patients who underwent a supervised EBCR protocol, twice a week during 6-12 weeks. We evaluated changes in several outcomes based on pre- and post-CRP assessments. Results Of a total of 1607 patients, 333 (21%) were 70-years-old. After the EBCR, an overall improvement on functional capacity, daily physical activity, lipid profile, body mass index, glycated hemoglobin (HbA1c), N-terminal pro-brain natriuretic peptide (NT-pro-BNP) and C-reactive protein was observed in both younger and older patients (P < 0.05). Older patients showed a smaller benefit on the increment of daily physical activity and lipid profile improvement, but a larger reduction in NT-pro-BNP. In the multivariate analysis, only improvements on daily physical activity and HbA1c were dependent on age. Conclusion As their younger counterparts, older patients, significantly improved functional capacity, metabolic parameters and level of daily physical activity after EBCR.

Keywords:

Aging; Cardiovascular prevention; Exercise-based cardiac rehabilitation
Received:June 15, 2020        Accepted:September 25, 2020   Published Online:September 28, 2020
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