{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:03:09Z","timestamp":1769126589647,"version":"3.49.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>To evaluate the response of patients with obesity to a cardiac rehabilitation program (CRP), compared with patients without obesity.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We performed a retrospective analysis of 731 patients who completed phase II of a CRP after an acute coronary syndrome. The response to the CRP was assessed using the relative changes in exercise capacity (EC), resting heart rate (HR), and chronotropic index (CI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Only 23% of patients had obesity. Patients with obesity showed lower EC and CI at baseline and at the end of phase II of the CRP. Despite that, we reported a higher relative improvement for EC in patients with obesity (median [interquartile range], 23.9% [5.2, 40.8] vs 17.6% [8.1, 35.9], <jats:italic toggle=\"yes\">P<\/jats:italic> = .043) and similar improvements in CI (10.9% [\u22121.4 to 34.2] vs 7.1% [\u22127.1 to 28.2], <jats:italic toggle=\"yes\">P<\/jats:italic> = .100), compared with patients without obesity. There were no significant changes in resting HR.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Regardless of their lower exercise performance at baseline, patients with obesity had a remarkably positive response to the CRP compared with patients without obesity.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/hcr.0000000000000442","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T20:35:28Z","timestamp":1572899728000},"page":"386-390","source":"Crossref","is-referenced-by-count":5,"title":["Benefits of Cardiac Rehabilitation in Coronary Artery Disease"],"prefix":"10.1097","volume":"39","author":[{"given":"Marta","family":"Braga","sequence":"first","affiliation":[]},{"given":"Helena","family":"Nascimento","sequence":"additional","affiliation":[]},{"given":"Roberto","family":"Pinto","sequence":"additional","affiliation":[]},{"given":"Paulo","family":"Ara\u00fajo","sequence":"additional","affiliation":[]},{"given":"Alzira","family":"Nunes","sequence":"additional","affiliation":[]},{"given":"Joana","family":"Rodrigues","sequence":"additional","affiliation":[]},{"given":"V\u00edtor","family":"Ara\u00fajo","sequence":"additional","affiliation":[]},{"given":"Fernando","family":"Parada-Pereira","sequence":"additional","affiliation":[]},{"given":"Maria J\u00falia","family":"Maciel","sequence":"additional","affiliation":[]},{"given":"Afonso","family":"Rocha","sequence":"additional","affiliation":[]}],"member":"276","reference":[{"key":"R1-20230911","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/S0140-6736(16)30054-X","article-title":"Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants","volume":"387","year":"2016","journal-title":"Lancet"},{"key":"R2-20230911","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.annepidem.2004.05.012","article-title":"Diverse Populations Collaboration. Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies","volume":"15","author":"McGee","year":"2005","journal-title":"Ann Epidemiol"},{"key":"R3-20230911","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1093\/eurheartj\/ehx393","article-title":"2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the Management of Acute Myocardial Infarction in Patients Presenting with ST-Segment Elevation of the European Society of Cardiology (ESC)","volume":"39","author":"Ibanez","year":"2018","journal-title":"Eur Heart J"},{"key":"R4-20230911","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1161\/CIR.0b013e31829b5b44","article-title":"et al; on behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. Exercise standards for testing and training: a scientific statement from the American Heart Association","volume":"128","author":"Fletcher","year":"2013","journal-title":"Circulation"},{"key":"R5-20230911","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1177\/2047487315569401","article-title":"EUROASPIRE IV: a European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from twenty-four European countries","volume":"23","author":"Kotseva","year":"2016","journal-title":"Eur J Prev Cardiol"},{"key":"R6-20230911","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2014.10.003","article-title":"Recommendations for cardiac chamber quantification by echocardiography in adults: an update from American Society of Echocardiography and the European Association of Cardiovascular Imaging","volume":"28","author":"Lang","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"R8-20230911","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/HJR.0b013e3283313592","article-title":"Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation","volume":"17","author":"Piepoli","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"R9-20230911","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","article-title":"2016 European guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR)","volume":"37","author":"Piepoli","year":"2016","journal-title":"Eur Heart J"},{"key":"R10-20230911","first-page":"507","article-title":"Functional limitation and occupational issues in obesity: a review","volume":"16","author":"Capodaglio","year":"2010","journal-title":"JOSE"},{"issue":"11 suppl","key":"R11-20230911","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1097\/00005768-199911001-00025","article-title":"Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues","volume":"31","author":"Blair","year":"1999","journal-title":"Med Sci Sports Exerc"},{"key":"R12-20230911","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1097\/00008483-200107000-00003","article-title":"Clinical profile and outcomes of obese patients in cardiac rehabilitation stratified according to national heart, lung, and blood institute criteria","volume":"21","author":"Bader","year":"2001","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"R13-20230911","doi-asserted-by":"crossref","first-page":"2377","DOI":"10.1038\/oby.2012.119","article-title":"APPROACH Investigators, Arena R. Obesity negatively impacts aerobic capacity improvements both acutely and 1-year following cardiac rehabilitation","volume":"20","author":"Martin","year":"2012","journal-title":"Obesity"},{"key":"R14-20230911","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1159\/000446915","article-title":"The association between central adiposity and autonomic dysfunction in obesity","volume":"25","author":"Fidan-Yaylali","year":"2016","journal-title":"Med Princ Pract"},{"key":"R15-20230911","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1016\/j.amjcard.2005.06.082","article-title":"Chronotropic incompetence as a predictor of death among patients with normal electrograms taking beta blockers (metoprolol or atenolol)","volume":"96","author":"Khan","year":"2005","journal-title":"Am J Cardiol"},{"key":"R16-20230911","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1097\/HCR.0000000000000337","article-title":"Progression of exercise training in early outpatient cardiac rehabilitation: an official statement from the American Association of Cardiovascular and Pulmonary Rehabilitation","volume":"38","author":"Squires","year":"2018","journal-title":"J Cardiopulm Rehab Prev"}],"container-title":["Journal of Cardiopulmonary Rehabilitation and Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/HCR.0000000000000442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T09:12:05Z","timestamp":1694423525000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/HCR.0000000000000442"}},"subtitle":["DOES WEIGHT MATTER?"],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/hcr.0000000000000442","relation":{},"ISSN":["1932-7501"],"issn-type":[{"value":"1932-7501","type":"print"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}