6533b82afe1ef96bd128c45a

RESEARCH PRODUCT

Efectos de un programa de rehabilitación cardíaca fase III sobre los factores de riesgo hipertensión arterial y obesidad en personas mayores de 60 a¿nos con enfermedad cardiovascular

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[EN] Aim To quantify time of evolution of arterial hypertension (AHT) and obesity during Phase III of the Cardiac Rehabilitation Program (CRhbP) and to assess the possible influence of the patient's characteristics on the effectiveness of the program. Study design An observational retrospective study. Patients and methods A Phase III CRhbP was applied for one year on 18 patients over 60 years of age with cardiovascular disease (CVD). Both systolic (SBP) as well as diastolic (DBP) blood pressure (BP) and abdominal circumference (AC) were measured at the start of the program, at 6 months and at 12 months. Results The decrease in BP was significant for both SBP (p-value = 0.00) and DBP (p-value = 0.02). Improvement in AC was not significant (p-value = 0.14). Considering the time course for the improvement of SBP and DBP, the quadratic component (p-values = 0.28 and 0.27, respectively) was not significant. None of the patient's characteristics had a significant influence on SBP, DBP and AC changes, with p-values of 0.23, 0.82 and 0.34 for age; 0.81, 0.79 and 0.37 for the time delay in initiating the program; and 0.56, 0.57 and 0.98 for functional capacity. Conclusions The use of Phase III CRhbP can control AHT, with constant improvement during the program. This is more effective in controlling systolic BP than diastolic BP. However, it was not able to control obesity. The program's effectiveness regarding BP and obesity does not depend on age, or on time from the onset of the cardiovascular episode until the onset of the program or on functional capacity.