Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally?
Introduction/Objective. This paper aimed to examine whether women and men benefit equally from comprehensive cardiac rehabilitation (CR) in terms of quality of life (QOL), and exercise tolerance in patients with coronary artery disease (CAD). Methods. The study involved 1603 CAD patients, 1231 (76.8...
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Serbian Medical Society
2023-01-01
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Series: | Srpski Arhiv za Celokupno Lekarstvo |
Subjects: | |
Online Access: | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300037S.pdf |
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author | Stojanović Milovan Vuković Aleksa Stanković Marija Igrutinović-Novković Jelena Igić Igor Deljanin-Ilić Marina Ilić Stevan |
author_facet | Stojanović Milovan Vuković Aleksa Stanković Marija Igrutinović-Novković Jelena Igić Igor Deljanin-Ilić Marina Ilić Stevan |
author_sort | Stojanović Milovan |
collection | DOAJ |
description | Introduction/Objective. This paper aimed to examine whether women and men benefit equally from comprehensive cardiac rehabilitation (CR) in terms of quality of life (QOL), and exercise tolerance in patients with coronary artery disease (CAD). Methods. The study involved 1603 CAD patients, 1231 (76.8%) men and 372 (23.2%) women, who were referred to a three-week CR program. All patients were tested for physical strain at the beginning and at the end of CR. The QOL was assessed at the beginning and at the end of CR by validated questionnaire Short-Form 36. Results. Improvements in physical strain tolerance were more pronounced in women compared to men (18.46% vs. 14.23% for level, and 19.1% vs. 16.34% for the duration of the test). Also, CR has led to the improvement of the QOL in both men and women. However, women had greater improvement than men in all parameters - physical functioning: 26.85% vs. 10.12%, limitations due to physical health: 76.39% vs. 28.11%, limitations due to+ emotional problems: 23.12% vs. 21.07%, energy/fatigue: 13.33% vs. 6.77%, emotional well-being: 11.19% vs. 6.77%, social functioning 14.48% vs. 4.96%, body pain 15.76% vs. 10.16%, general health 10.53% vs. 7.38%, and health change 24.06% vs. 12.69%. Conclusion. Women generally less participate in CR than men. Results indicated that CR improves exercise capacity and QOL in CAD patients, in both men and women. However, these positive changes were more pronounced in women. This is why CR needs improvement in the referral and participation of women. |
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institution | Directory Open Access Journal |
issn | 0370-8179 2406-0895 |
language | English |
last_indexed | 2024-03-12T16:12:50Z |
publishDate | 2023-01-01 |
publisher | Serbian Medical Society |
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series | Srpski Arhiv za Celokupno Lekarstvo |
spelling | doaj.art-c3ea31c270884801b5b113999e3e42512023-08-09T12:42:41ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952023-01-011515-632633210.2298/SARH220323037S0370-81792300037SEffects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally?Stojanović Milovan0Vuković Aleksa1Stanković Marija2Igrutinović-Novković Jelena3Igić Igor4Deljanin-Ilić Marina5https://orcid.org/0000-0003-0752-1354Ilić Stevan6Niška Banja Institute for Treatment and Rehabilitation, Niš, SerbiaNiška Banja Institute for Treatment and Rehabilitation, Niš, SerbiaNiška Banja Institute for Treatment and Rehabilitation, Niš, SerbiaAleksinac General Hospital, Aleksinac, SerbiaDoljevac Health Center, Doljevac, SerbiaNiška Banja Institute for Treatment and Rehabilitation, Niš, Serbia + University of Niš; Faculty of Medicine, Niš, SerbiaCardio Point, Clinic for Cardiovascular Diseases Niš, SerbiaIntroduction/Objective. This paper aimed to examine whether women and men benefit equally from comprehensive cardiac rehabilitation (CR) in terms of quality of life (QOL), and exercise tolerance in patients with coronary artery disease (CAD). Methods. The study involved 1603 CAD patients, 1231 (76.8%) men and 372 (23.2%) women, who were referred to a three-week CR program. All patients were tested for physical strain at the beginning and at the end of CR. The QOL was assessed at the beginning and at the end of CR by validated questionnaire Short-Form 36. Results. Improvements in physical strain tolerance were more pronounced in women compared to men (18.46% vs. 14.23% for level, and 19.1% vs. 16.34% for the duration of the test). Also, CR has led to the improvement of the QOL in both men and women. However, women had greater improvement than men in all parameters - physical functioning: 26.85% vs. 10.12%, limitations due to physical health: 76.39% vs. 28.11%, limitations due to+ emotional problems: 23.12% vs. 21.07%, energy/fatigue: 13.33% vs. 6.77%, emotional well-being: 11.19% vs. 6.77%, social functioning 14.48% vs. 4.96%, body pain 15.76% vs. 10.16%, general health 10.53% vs. 7.38%, and health change 24.06% vs. 12.69%. Conclusion. Women generally less participate in CR than men. Results indicated that CR improves exercise capacity and QOL in CAD patients, in both men and women. However, these positive changes were more pronounced in women. This is why CR needs improvement in the referral and participation of women.https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300037S.pdfcoronary artery diseasecardiac rehabilitationquality of lifephysical strain tolerancegender differences |
spellingShingle | Stojanović Milovan Vuković Aleksa Stanković Marija Igrutinović-Novković Jelena Igić Igor Deljanin-Ilić Marina Ilić Stevan Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally? Srpski Arhiv za Celokupno Lekarstvo coronary artery disease cardiac rehabilitation quality of life physical strain tolerance gender differences |
title | Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally? |
title_full | Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally? |
title_fullStr | Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally? |
title_full_unstemmed | Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally? |
title_short | Effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease - do women benefit equally? |
title_sort | effects of cardiac rehabilitation on quality of life and exercise capacity in patients with coronary artery disease do women benefit equally |
topic | coronary artery disease cardiac rehabilitation quality of life physical strain tolerance gender differences |
url | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300037S.pdf |
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