ArticleJournal of cardiopulmonary rehabilitation and prevention
Insulin Resistance and Diabetes Mellitus in Contemporary Cardiac Rehabilitation.
Article in Journal of cardiopulmonary rehabilitation and prevention. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Clinical Outcomes Following Exercise Rehabilitation in People with Multimorbidity: A Systematic Review.Journal of rehabilitation medicine · 2023Pooled it
- Benefits of cardiac rehabilitation following acute coronary syndrome for patients with and without diabetes: a systematic review and meta-analysis.BMC cardiovascular disorders · 2022Pooled it
- Change in Cardiometabolic Health Following Participation in Cardiac Rehabilitation for Coronary Heart Disease: Effect Modification by Metabolic Syndrome Status.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- The Treatment of Obesity in Cardiac Rehabilitation: A REVIEW AND PRACTICAL RECOMMENDATIONS.Journal of cardiopulmonary rehabilitation and prevention · 2021Review
- Effects of Behavioral Weight Loss and Weight Loss Goal Setting in Cardiac Rehabilitation.Journal of cardiopulmonary rehabilitation and prevention · 2020Article
- Cardiometabolic responses to cardiac rehabilitation in people with and without diabetes.International journal of cardiology · 2020Article
- Resistance Training for Older Adults in Cardiac Rehabilitation.Clinics in geriatric medicine · 2019Review
- Obesity in coronary heart disease: An unaddressed behavioral risk factor.Preventive medicine · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe goal of this study was to determine the prevalence of insulin resistance (IR) and type 2 diabetes mellitus (T2DM) in contemporary cardiac rehabilitation (CR) and to compare clinical responses in CR between these subsets of patients with coronary heart disease (CHD).
methodsThe study cohort included 818 patients enrolled in CR and separated into 3 groups: (1) individuals with normal hemoglobin A1c (HbA1c) (NoIR: HbA1c < 5.7%); (2) individuals with IR (IR: HbA1c ≥ 5.7 to <6.5%); (3) and individuals with T2DM (HbA1c ≥ 6.5%).
resultsThe combined prevalence of IR (44%) and T2DM (23%) was 67%, which paralleled the prevalence of metabolic syndrome (MetSyn), present in 65% of patients. Women had a higher prevalence of IR and MetSyn than men (73% vs 64%, 72% vs. 63%, respectively) and a greater percentage with an elevated waist circumference (71% vs 60%) (all P < .05). All 3 groups experienced decreases in body weight (NoIR = -2.3 ± 4.0, IR = -1.7 ± 4.0, T2DM = -1.0 ± 4.2 kg) and increases in maximal metabolic equivalents (METs) at exercise testing (NoIR = +2.2 ± 2.5 vs IR = +2.1 ± 2.8 vs T2DM = +1.3 ± 2.3) (all P < .05). Individuals with NoIR achieved greater improvements in weight, body mass index, and METs than patients with T2DM (all P < .05). Selected individuals who participated in a 4-session behavioral weight-loss program lost more than twice the weight as nonparticipants.
conclusionsThe combined prevalence of IR and T2DM in patients with CHD enrolled in CR was remarkably high (67%). To reverse the deleterious consequences of IR and T2DM, targeted interventions involving exercise and weight loss need to be a central focus of CR programming.
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