Cardiovascular rehabilitation in patients with diabetes

Laurent Mourot, Alain Boussuges, S. Maunier, S. Chopra, F. Rivière, X. Debussche, P. Blanc

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: The cardiovascular disease risk profile and exercise capacity of coronary heart disease patients with type 2 diabetes mellitus (DM) were measured and compared with those of nondiabetic (NDM) patients before and after a 6-week multidisciplinary cardiac rehabilitation program. Methods: Subjects included 413 patients with DM (56.9 ± 7.9 years) and 614 patients with NDM (56.8 ± 10.3 years). Results: At program entry, DM patients had a higher prevalence of risk factors (hypertension, hypercholesterolemia, hypertriglyceridemia, obesity, excess abdominal fat, and depression), had a lower peak oxygen uptake (14.3 ± 4.4 vs 16.6 ± 5.4 mL • kg-1 • min-1; P < .001), and covered a shorter distance in the 6-minute walk test (404 ± 117 m vs 445 ± 116 m; P < .001) than NDM patients. At the end of the exercise program, all patients achieved significant improvements in physical capacity, which were similar in DM and NDM patients (+27.6 ± 28.2% vs +30.5 ± 27.7% for peak oxygen uptake and +21.0 ± 31.5% vs +21.3 ± 53.2% for the 6-minute distance test). CONCLUSION: DM patients with coronary heart disease had a higher prevalence of cardiovascular disease risk factors as well as lower physical capacity than NDM patients at the beginning of rehabilitation. All patients demonstrated improvement in exercise capacity after rehabilitation. More importantly, the extent of the improvement was similar in DM and NDM patients. This study, which involved a large population, emphasizes the capacity of DM patients to fully benefit from a multidisciplinary risk factor management program, including exercise training and educational programs.

Original languageEnglish
Pages (from-to)157-164
Number of pages8
JournalJournal of Cardiopulmonary Rehabilitation and Prevention
Volume30
Issue number3
DOIs
Publication statusPublished - 1 May 2010
Externally publishedYes

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Diabetes Mellitus
Exercise
Cardiac Rehabilitation
Coronary Disease
Cardiovascular Diseases
Rehabilitation
Oxygen
Abdominal Fat
Hypertriglyceridemia
Risk Management
Hypercholesterolemia
Type 2 Diabetes Mellitus
Obesity
Hypertension
Education
Population

Keywords

  • Cardiovascular disease risk factor
  • Cardiovascular rehabilitation
  • Diabetes
  • Exercise capacity

ASJC Scopus subject areas

  • Rehabilitation
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Mourot, L., Boussuges, A., Maunier, S., Chopra, S., Rivière, F., Debussche, X., & Blanc, P. (2010). Cardiovascular rehabilitation in patients with diabetes. Journal of Cardiopulmonary Rehabilitation and Prevention, 30(3), 157-164. https://doi.org/10.1097/HCR.0b013e3181c565fe

Cardiovascular rehabilitation in patients with diabetes. / Mourot, Laurent; Boussuges, Alain; Maunier, S.; Chopra, S.; Rivière, F.; Debussche, X.; Blanc, P.

In: Journal of Cardiopulmonary Rehabilitation and Prevention, Vol. 30, No. 3, 01.05.2010, p. 157-164.

Research output: Contribution to journalArticle

Mourot, L, Boussuges, A, Maunier, S, Chopra, S, Rivière, F, Debussche, X & Blanc, P 2010, 'Cardiovascular rehabilitation in patients with diabetes', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 30, no. 3, pp. 157-164. https://doi.org/10.1097/HCR.0b013e3181c565fe
Mourot, Laurent ; Boussuges, Alain ; Maunier, S. ; Chopra, S. ; Rivière, F. ; Debussche, X. ; Blanc, P. / Cardiovascular rehabilitation in patients with diabetes. In: Journal of Cardiopulmonary Rehabilitation and Prevention. 2010 ; Vol. 30, No. 3. pp. 157-164.
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