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Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity

We hypothesize that a novel tailor-made cardiac rehabilitation (CR) program for obesity patients (OPTICARE XL) has better outcomes as compared to usual CR regarding parameters of cardiac function as measured by conventional and advanced transthoracic echocardiography. This is an open-label, randomiz...

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Autores principales: Snelder, Sanne M., den Uijl, Iris, Sunamura, Madoka, Zijlstra, Felix, ter Hoeve, Nienke, van Dalen, Bas M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160212/
https://www.ncbi.nlm.nih.gov/pubmed/36928518
http://dx.doi.org/10.1007/s10554-023-02805-1
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author Snelder, Sanne M.
den Uijl, Iris
Sunamura, Madoka
Zijlstra, Felix
ter Hoeve, Nienke
van Dalen, Bas M.
author_facet Snelder, Sanne M.
den Uijl, Iris
Sunamura, Madoka
Zijlstra, Felix
ter Hoeve, Nienke
van Dalen, Bas M.
author_sort Snelder, Sanne M.
collection PubMed
description We hypothesize that a novel tailor-made cardiac rehabilitation (CR) program for obesity patients (OPTICARE XL) has better outcomes as compared to usual CR regarding parameters of cardiac function as measured by conventional and advanced transthoracic echocardiography. This is an open-label, randomized controlled trial. Inclusion criteria were: patients referred to CR with a body mass index (BMI) ≥30 kg/m2, and age ≥18 years with either coronary artery disease or nonvalvular atrial fibrillation. The experimental group participated in OPTICARE XL and the controls received the usual CR. Subjects randomized to OPTICARE XL received on top of usual CR behavioural therapy for a healthy diet and an active lifestyle for the first 12 weeks. Also, the exercise program was more tailored. Furthermore, a behavioural after-care program was organized with 6 meetings between weeks 13-52. Transthoracic (speckle tracking) echocardiography was performed at baseline and one-year follow-up. A total of 42 patients completed the follow-up, 21 in both groups. There was a mild but statistically significant reduction in weight over time, however, this was comparable between groups. There was no improvement observed in any of the echocardiographic parameters. In conclusion, cardiac function in obesity patients was not improved one-year after a novel tailor-made CR program (OPTICARE XL) as compared to usual CR.
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spelling pubmed-101602122023-05-06 Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity Snelder, Sanne M. den Uijl, Iris Sunamura, Madoka Zijlstra, Felix ter Hoeve, Nienke van Dalen, Bas M. Int J Cardiovasc Imaging Original Paper We hypothesize that a novel tailor-made cardiac rehabilitation (CR) program for obesity patients (OPTICARE XL) has better outcomes as compared to usual CR regarding parameters of cardiac function as measured by conventional and advanced transthoracic echocardiography. This is an open-label, randomized controlled trial. Inclusion criteria were: patients referred to CR with a body mass index (BMI) ≥30 kg/m2, and age ≥18 years with either coronary artery disease or nonvalvular atrial fibrillation. The experimental group participated in OPTICARE XL and the controls received the usual CR. Subjects randomized to OPTICARE XL received on top of usual CR behavioural therapy for a healthy diet and an active lifestyle for the first 12 weeks. Also, the exercise program was more tailored. Furthermore, a behavioural after-care program was organized with 6 meetings between weeks 13-52. Transthoracic (speckle tracking) echocardiography was performed at baseline and one-year follow-up. A total of 42 patients completed the follow-up, 21 in both groups. There was a mild but statistically significant reduction in weight over time, however, this was comparable between groups. There was no improvement observed in any of the echocardiographic parameters. In conclusion, cardiac function in obesity patients was not improved one-year after a novel tailor-made CR program (OPTICARE XL) as compared to usual CR. Springer Netherlands 2023-03-16 2023 /pmc/articles/PMC10160212/ /pubmed/36928518 http://dx.doi.org/10.1007/s10554-023-02805-1 Text en © The Author(s) 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Snelder, Sanne M.
den Uijl, Iris
Sunamura, Madoka
Zijlstra, Felix
ter Hoeve, Nienke
van Dalen, Bas M.
Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
title Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
title_full Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
title_fullStr Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
title_full_unstemmed Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
title_short Echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
title_sort echocardiographic follow-up after cardiac rehabilitation designed for patients with obesity
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160212/
https://www.ncbi.nlm.nih.gov/pubmed/36928518
http://dx.doi.org/10.1007/s10554-023-02805-1
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