The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis

Background: Cardiac rehabilitation (CR) is a multidisciplinary medical program. Most studies have emphasized the effect of exercise-based CR in lowering lipid levels; however, the effect of CR as a comprehensive program on lipid levels remains unclear. Methods: Electronic database were searched up t...

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Main Authors: Gang Wu, Yemei Hu, Kun Ding, Xuedong Li, Jun Li, Zhuo Shang
Format: Article
Language:English
Published: Ubiquity Press 2022-11-01
Series:Global Heart
Subjects:
Online Access:https://globalheartjournal.com/articles/1170
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author Gang Wu
Yemei Hu
Kun Ding
Xuedong Li
Jun Li
Zhuo Shang
author_facet Gang Wu
Yemei Hu
Kun Ding
Xuedong Li
Jun Li
Zhuo Shang
author_sort Gang Wu
collection DOAJ
description Background: Cardiac rehabilitation (CR) is a multidisciplinary medical program. Most studies have emphasized the effect of exercise-based CR in lowering lipid levels; however, the effect of CR as a comprehensive program on lipid levels remains unclear. Methods: Electronic database were searched up to 2022. Randomized controlled trials with lipid profile indicators were included. Standardized mean differences (SMDs) and 95% CIs were used to evaluate the effect size. Begg’s funnel plot and Egger’s linear regression test were used to assess publication bias. Results: CR remarkably reduced low-density lipoprotein cholesterol (LDL-C) levels (SMD = –0.23; 95%CI: [–0.38, –0.08]; P < 0.001), triglyceride (TG) levels (SMD = –0.17; 95%CI: [–0.28, –0.06]; P < 0.001), and total cholesterol (TC) levels (SMD = –0.30; 95%CI: [–0.43, –0.16]; P < 0.001) and increased high-density lipoprotein cholesterol (HDL-C) levels (SMD = 0.19; 95%CI: [0.10, 0.29]; P < 0.001). Conclusions: CR reduce TC, TG, and LDL-C levels while improving HDL-C levels. CR should be promoted and more trials should be conducted for long-term CR.
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spelling doaj.art-f01976930ad3411da9547ab85f378e6d2022-12-22T04:41:06ZengUbiquity PressGlobal Heart2211-81792022-11-0117110.5334/gh.1170991The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-AnalysisGang Wu0Yemei Hu1Kun Ding2Xuedong Li3Jun Li4Zhuo Shang5Department of Cardiology, Bengbu second people’s hospital, Bengbu, Anhui province, 233000Department of Cardiology, Bengbu second people’s hospital, Bengbu, Anhui province, 233000Department of Cardiology, Bengbu second people’s hospital, Bengbu, Anhui province, 233000Department of Cardiology, Bengbu second people’s hospital, Bengbu, Anhui province, 233000Department of Cardiology, Bengbu second people’s hospital, Bengbu, Anhui province, 233000Bengbu second people’s hospital, No. 302 of Yan’ an Road, Bengbu, Anhui province, 233000Background: Cardiac rehabilitation (CR) is a multidisciplinary medical program. Most studies have emphasized the effect of exercise-based CR in lowering lipid levels; however, the effect of CR as a comprehensive program on lipid levels remains unclear. Methods: Electronic database were searched up to 2022. Randomized controlled trials with lipid profile indicators were included. Standardized mean differences (SMDs) and 95% CIs were used to evaluate the effect size. Begg’s funnel plot and Egger’s linear regression test were used to assess publication bias. Results: CR remarkably reduced low-density lipoprotein cholesterol (LDL-C) levels (SMD = –0.23; 95%CI: [–0.38, –0.08]; P < 0.001), triglyceride (TG) levels (SMD = –0.17; 95%CI: [–0.28, –0.06]; P < 0.001), and total cholesterol (TC) levels (SMD = –0.30; 95%CI: [–0.43, –0.16]; P < 0.001) and increased high-density lipoprotein cholesterol (HDL-C) levels (SMD = 0.19; 95%CI: [0.10, 0.29]; P < 0.001). Conclusions: CR reduce TC, TG, and LDL-C levels while improving HDL-C levels. CR should be promoted and more trials should be conducted for long-term CR.https://globalheartjournal.com/articles/1170coronary diseasecoronary disease rehabilitationlipid profilerandomized controlled trials
spellingShingle Gang Wu
Yemei Hu
Kun Ding
Xuedong Li
Jun Li
Zhuo Shang
The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis
Global Heart
coronary disease
coronary disease rehabilitation
lipid profile
randomized controlled trials
title The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis
title_full The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis
title_fullStr The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis
title_full_unstemmed The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis
title_short The Effect of Cardiac Rehabilitation on Lipid Levels in Patients with Coronary Heart Disease. A Systematic Review and Meta-Analysis
title_sort effect of cardiac rehabilitation on lipid levels in patients with coronary heart disease a systematic review and meta analysis
topic coronary disease
coronary disease rehabilitation
lipid profile
randomized controlled trials
url https://globalheartjournal.com/articles/1170
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