{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T04:16:56Z","timestamp":1775794616918,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T00:00:00Z","timestamp":1471392000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,8]]},"abstract":"\n Objectives<\/jats:title>\n \n To assess the effect of cardiac rehabilitation (\n CR<\/jats:styled-content>\n ) and identify predictors of changes in functional capacity with\n CR<\/jats:styled-content>\n in a consecutive series of older adults with a recent cardiac event.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Observational.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n In\u2010hospital\n CR<\/jats:styled-content>\n unit.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Individuals aged 75 and older referred to an outpatient\n CR<\/jats:styled-content>\n Unit after an acute coronary event (unstable angina pectoris, acute myocardial infarction) or cardiac surgery (coronary artery bypass grafting, heart valve replacement or repair) (N\u00a0=\u00a0160, mean age 80\u00a0\u00b1\u00a04).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Peak oxygen consumption (\n VO<\/jats:styled-content>\n 2<\/jats:sub>\n peak, power) during a symptom\u2010limited cardiopulmonary stress test, distance walked in a 6\u2010minute walk test (6\n MWT<\/jats:styled-content>\n , resistance), and peak torque (strength) using an isokinetic dynamometer, were assessed at baseline and at discharge from a 4\u2010week supervised training program.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Indexes of physical performance improved from baseline to discharge (\n VO<\/jats:styled-content>\n 2<\/jats:sub>\n peak, 10.9%; 6\n MWT<\/jats:styled-content>\n , 11.0%; peak torque, 11.5%). Baseline performance was independently associated with changes in all three indexes, with higher baseline values predicting less improvement (\n VO<\/jats:styled-content>\n 2<\/jats:sub>\n peak:\n OR<\/jats:styled-content>\n =0.86, 95% confidence interval (\n CI<\/jats:styled-content>\n )=0.77\u20130.97; 6\n MWT<\/jats:styled-content>\n :\n OR<\/jats:styled-content>\n = 0.99, 95%\n CI<\/jats:styled-content>\n =0.99\u20131.00; peak torque:\n OR<\/jats:styled-content>\n =0.96, 95%\n CI<\/jats:styled-content>\n =0.94\u20130.98).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n An exercise\u2010based\n CR<\/jats:styled-content>\n program was associated with improvement in all domains of physical performance even in older adults after an acute coronary event or cardiac surgical intervention, particularly in those with poorer baseline performance.\n <\/jats:p>\n 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