Does the Effect of Supervised Cardiac Rehabilitation Programs onBody Fat Distribution Remained Long Time?

[...]waist circumference (WC) and Waist-to-Hip Ratio (WHR) which have been shown to correlate strongly with abdominal obesity provide simple and sensitive measures to evaluate cardiovascular risks associated with body fat distribution and therefore are recommended as part of the contemporary guideli...

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Bibliographic Details
Published in:Journal of cardiovascular and thoracic research 2013-10, Vol.5 (4), p.133
Main Authors: Nalini, Mehdi, Moradi, Bahieh, Esmaeilzadeh, Maryam, Maleki, Majid
Format: Article
Language:English
Subjects:
Cardiovascular disease
Exercise
Obesity
Physical fitness
Weight control
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Summary:[...]waist circumference (WC) and Waist-to-Hip Ratio (WHR) which have been shown to correlate strongly with abdominal obesity provide simple and sensitive measures to evaluate cardiovascular risks associated with body fat distribution and therefore are recommended as part of the contemporary guidelines on obesity.2,5,6 General overweight and general and abdominal obesity are independently associated with an increased risk of death, recurrent events and HF.7-9 It can interact with or amplify the effects of other cardiovascular risk factors such as hypertension, dyslipidemia, insulin resistance, and hyperinsulinemia.1,2,5,10,11 Low fitness and central obesity are independently and cumulatively associated with increased mortality and morbidity in CHD patients. The association of BMI with mortality is complex and altered by fitness levels.9-13 Nowadays, cardiac rehabilitation (CR) is defined as an effective non-pharmacological modality to reduce coronary risk profiles including total cholesterol, body fat, systolic blood pressure, metabolic syndrome and can improve peak aerobic capacity.5,6,14-21 Peak aerobic capacity, measured as peak oxygen consumption, is corrected for total body weight and is reported in milliliter per kilogram of body weight per each minute.22,23 Weight loss in CR has been linked to diminished cardiovascular events.19 Unfortunately, the current CR protocols not only result in little weight loss3 during the program but also overweightness remains a prevalent and persistent risk factor after CR.24 Failure to weight reduction may be due to low energy expenditure in rehabilitation or the relatively short duration of the program.25 Monitoring weight loss after program completion is important to observe the effect of CR on long-term outcomes.
ISSN:2008-5117
2008-6830