Comparison of Time-Related Changes between Body Weight and Subsequent Effects of Supervised Cardiac Rehabilitation in Patients with Acute Myocardial Infarction

急性心肌梗塞病人接受心臟復建運動療法後其療效的持續性與體重變化的比較

賴嘉珀(Cha-Po Lai) ； 李志偉(Chih-Wei Lee) ； 王志鴻(Ji-Hung Wang) ； 謝仁哲(Jen-Jer Hsieh) ； 林繼謨(Chi-Mo Lin)

《慈濟醫學雜誌》 13卷4期 (2001/12) Pp. 203-209

https://doi.org/10.6440/TZUCMJ.200112.0203

摘要

Objective: We studied what factors can be used to predict the subsequent effects on anaerobic threshold (AT) post supervised cardiac rehabilitation program in patients who had suffered an acute myocardial infarction (AMI). Materials and Methods: Nety-four patients were asked to continue home-based exercise training after eight weeks of supervised exercise training. Exercise tests were performed at three stages including pre-training, post-training and sixth month post training. Results: There were two different time-related AT changes. In the incremental group (n=39), the AT value increasesd lineally from 1.08±0.19 watt/kg at the post-training stage to 1.23±0.32 watts/kg at the post-training stage. Body mass index (BMI) for the incremental group decresed from 23.7±2.2 kg/m2 to 23.2±2.7 kg/m2 , while BMI increased from 23.6±2.7 kg/m2 to 23.8±2.7 kg/m2. the percentage of patient compliance with an ongoing continuous home-based exercise training was higher in the incremental group than in the decrescent group (85% Vs 65%, p＜0.05). Conclusion: Body weight alternations were converse to the subsequent AT value after supervised cardiac rehabilitation and were partially associated with continuous home-based exercise training.

關鍵字

身體質量指數 ； 有氧運動值 ； 急性心肌梗塞 ； 監視型心臟復健運動療法 ； 居家運動訓練

並列摘要

Objective: We studied what factors can be used to predict the subsequent effects on anaerobic threshold (AT) post supervised cardiac rehabilitation program in patients who had suffered an acute myocardial infarction (AMI). Materials and Methods: Nety-four patients were asked to continue home-based exercise training after eight weeks of supervised exercise training. Exercise tests were performed at three stages including pre-training, post-training and sixth month post training. Results: There were two different time-related AT changes. In the incremental group (n=39), the AT value increasesd lineally from 1.08±0.19 watt/kg at the post-training stage to 1.23±0.32 watts/kg at the post-training stage. Body mass index (BMI) for the incremental group decresed from 23.7±2.2 kg/m2 to 23.2±2.7 kg/m2 , while BMI increased from 23.6±2.7 kg/m2 to 23.8±2.7 kg/m2. the percentage of patient compliance with an ongoing continuous home-based exercise training was higher in the incremental group than in the decrescent group (85% Vs 65%, p＜0.05). Conclusion: Body weight alternations were converse to the subsequent AT value after supervised cardiac rehabilitation and were partially associated with continuous home-based exercise training.

並列關鍵字

body mass index ； anaerobic threshold ； acute myocardial ifarction ； supervised cardiac rehabilitation ； home-based exercise training