Cardiac rehabilitation

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The combination of both sedentary lifestyle and unrestricted food availability increases the prevalence of obesity and type 2 diabetes and therefore the risk of cardiovascular morbidity and mortality due to coronary artery disease. A cardiomyopathy of obesity where the myocardial abnormalities cannot be ascribed to comorbidities is well recognized and its presence is supported both by experimental models and by epidemiological and clinical studies: left ventricular hypertrophy, reduced diastolic and systolic function, chronotropic incompetence are the typical features of the obesity cardiomyopathy. Moreover obese subjects have a high prevalence of diabetes, hypertension, atrial fibrillation, and sleep apnea. Cardiac rehabilitation programs include diet, physical exercise, and behavioral counseling as a strategy to fight obesity and its consequences and can possibly reverse the anomalies in cardiovascular function. The results are encouraging and obesity cardiomyopathy can partially be reversed by means of rehabilitation programs. Unfortunately, the obese often regain weight even after an early success. The adoption of an active lifestyle can have a favorable impact on prognosis in obese patients independently of weight loss. In this chapter, the modifications that occur in cardiac structure and function of obese subjects, the approach to cardiac rehabilitation, and the main results of weight loss and exercise are reviewed.

Original languageEnglish
Title of host publicationDisabling Obesity: From Determinants to Health Care Models
PublisherSpringer-Verlag Berlin Heidelberg
Pages125-142
Number of pages18
Volume9783642359729
ISBN (Print)9783642359729, 364235971X, 9783642359712
DOIs
Publication statusPublished - Nov 1 2013

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Obesity
Cardiomyopathies
Weight Loss
Exercise
Sedentary Lifestyle
Sleep Apnea Syndromes
Left Ventricular Hypertrophy
Atrial Fibrillation
Type 2 Diabetes Mellitus
Life Style
Comorbidity
Counseling
Epidemiologic Studies
Coronary Artery Disease
Theoretical Models
Rehabilitation
Cardiac Rehabilitation
Diet
Hypertension
Morbidity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gondoni, L. A. (2013). Cardiac rehabilitation. In Disabling Obesity: From Determinants to Health Care Models (Vol. 9783642359729, pp. 125-142). Springer-Verlag Berlin Heidelberg. https://doi.org/10.1007/978-3-642-35972-9_7

Cardiac rehabilitation. / Gondoni, Luca A.

Disabling Obesity: From Determinants to Health Care Models. Vol. 9783642359729 Springer-Verlag Berlin Heidelberg, 2013. p. 125-142.

Research output: Chapter in Book/Report/Conference proceedingChapter

Gondoni, LA 2013, Cardiac rehabilitation. in Disabling Obesity: From Determinants to Health Care Models. vol. 9783642359729, Springer-Verlag Berlin Heidelberg, pp. 125-142. https://doi.org/10.1007/978-3-642-35972-9_7
Gondoni LA. Cardiac rehabilitation. In Disabling Obesity: From Determinants to Health Care Models. Vol. 9783642359729. Springer-Verlag Berlin Heidelberg. 2013. p. 125-142 https://doi.org/10.1007/978-3-642-35972-9_7
Gondoni, Luca A. / Cardiac rehabilitation. Disabling Obesity: From Determinants to Health Care Models. Vol. 9783642359729 Springer-Verlag Berlin Heidelberg, 2013. pp. 125-142
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