آیا برنامه‌های بازتوانی در زنان چاق مبتلا به بیماری قلبی مؤثرتر از گروه غیر چاق می‌باشد؟

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، مرکز تحقیقات بازتوانی قلبی، پژوهشکده‌ی قلب و عروق اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشجوی دکترای تخصصی پژوهش، مرکز تحقیقات قلب و عروق اصفهان، پژوهشکده‌ی قلب و عروق اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استادیار، مرکز تحقیقات قلب و عروق اصفهان، پژوهشکده‌ی قلب و عروق اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 دانشیار، مرکز تحقیقات نارسایی قلب، پژوهشکده‌ی قلب و عروق اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: چاقی و سبک زندگی بدون فعالیت، عوامل خطر مهم بیماری قلبی- عروقی می‌باشند. شیوع چاقی در زنان و مردان در جهان افزایش یافته است. در این مطالعه، اثربخشی برنامه‌ی بازتوانی قلبی در ظرفیت عملکردی و شاخص توده‌ی بدنی (BMI یا Body mass index) زنان چاق و غیر چاق با بیماری عروق قلبی بررسی شد.روش‌ها: این مطالعه‌ی مشاهده‌ای طی سال‌های 92-1386، بر روی 205 زن مبتلا به بیماری قلبی- عروقی که به مرکز بازتوانی قلبی پژوهشکده‌ی قلب وعروق اصفهان مراجعه کرده بودند، انجام شد. برای هر نفر، شاخص توده‌ی بدنی و ظرفیت عملکردی قبل و بعد از مطالعه بررسی شد. بیماران بر اساس شاخص توده‌ی بدنی به دو دسته‌ی چاق و غیر چاق تقسیم شدند. داده‌ها در نرم‌افزار SPSS با آزمون‌های t مستقل و t زوجی واکاوی شدند.یافته‌ها: مطالعات نشان داد که برنامه‌ی بازتوانی قلبی در هر دو گروه چاق و غیر چاق، تأثیر واضحی بر روی ظرفیت عملکردی داشت (010/0 > P) و همچنین بهبودی BMI نیز در هر دو گروه مشاهده شد (010/0 > P). تغییر ظرفیت عملکردی در دو گروه تفاوت واضحی نداشت؛ اما تغییر BMI در دو گروه، تفاوت معنی‌داری داشت.نتیجه‌گیری: بازتوانی قلبی روشی مهم و مؤثر در وضعیت ظرفیت عملکردی و بهبودی شاخص توده‌ی بدنی در زنان چاق با بیماری عروق قلبی می‌باشد. 

کلیدواژه‌ها

عنوان مقاله [English]

Is Rehabilitation Program More Effective in Obese Women with Coronary Artery Disease?

نویسندگان [English]

  • Jafar Golshahi 1
  • Masoumeh Sadeghi 1
  • Fatemeh Esteki Ghashghaei 2
  • Hamidreza Roohafza 3
  • Ali Pourmoghaddas 4
1 Associate Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2 PhD Candidate, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Prof, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of medical Sciences, Isfahan, Iran
4 Associate Professor, Heart Failure Research Center, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Obesity and sedentary lifestyle are known as important risk factors of coronary artery disease. The prevalence of obesity has increased among both men and women in the world. Therefore, the present study tried to evaluate the effectiveness of a cardiac rehabilitation program on functional capacity and body mass index (BMI) in obese and non-obese women with coronary artery disease.Methods: In an observational study during 2007-13, we evaluated a total of 205 women with coronary artery disease who referred to the cardiac rehabilitation unit of Isfahan Cardiovascular Research Institute, Isfahan, Iran. BMI and functional capacity of each patient were assessed before and after the program. The patients were categorized as obese or non-obese based on their BMI. All participants completed the full course of the program. Data were analyzed using independent t and paired-t tests.Findings: An 8-week cardiac rehabilitation program had significant effects on functional capacity in obese and non-obese female patients (P < 0.01 for both). The program also resulted in BMI improvements in both groups (P < 0.01 for both). Comparing the changes in the two groups did not reveal any significant differences in functional capacity. However, the two groups were significantly different in terms of BMI changes.Conclusion: Cardiac rehabilitation programs are a major step in restoration of functional capacity and improvement of BMI in obese and non-obese women with coronary artery disease.

کلیدواژه‌ها [English]

  • Cardiac rehabilitation program
  • Coronary Artery Disease
  • Obesity
  • Functional capacity
  • Body Mass Index

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مجله دانشکده پزشکی اصفهان
دوره 32، شماره 294 - شماره پیاپی 294
مرداد و شهریور 1393
صفحه 1142-1148

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  • تاریخ دریافت: 08 خرداد 1393
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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