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...

Full description

Bibliographic Details
Main Authors: Stojanović Milovan, Vuković Aleksa, Stanković Marija, Igrutinović-Novković Jelena, Igić Igor, Deljanin-Ilić Marina, Ilić Stevan
Format: Article
Language:English
Published: Serbian Medical Society 2023-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300037S.pdf
_version_ 1797748919066689536
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.
first_indexed 2024-03-12T16:12:50Z
format Article
id doaj.art-c3ea31c270884801b5b113999e3e4251
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
record_format Article
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
work_keys_str_mv AT stojanovicmilovan effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally
AT vukovicaleksa effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally
AT stankovicmarija effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally
AT igrutinovicnovkovicjelena effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally
AT igicigor effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally
AT deljaninilicmarina effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally
AT ilicstevan effectsofcardiacrehabilitationonqualityoflifeandexercisecapacityinpatientswithcoronaryarterydiseasedowomenbenefitequally