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标题：Gender and age-dependent differences in body composition changes in response to cardiac rehabilitation exercise training in patients after coronary artery bypass grafting
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作者：Małgorzata Socha ; Krzysztof Wronecki ; Krzysztof A. Sobiech 等
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2017
卷号：24
期号：3
页码：517-521
DOI：10.5604/12321966.1230731
出版社：Institute of Agricultural Medicine in Lublin
摘要：Cardiac rehabilitation (CR) is the standard procedure in persons after coronary artery bypass grafting (CABG). Its basic aim isto combat coronary heart disease (CHD) risk factors through physical activity and normalization of body mass. Many authorshighlight the differences in response to training in CR as dependent on gender, age and occurrence of accompanying disease.The aim of this study is to assess the effectiveness of a three-week early CR in reference to changing body compositionparameters in patients over 50 years of age. The study involved a random group of 65 patients (44 men and 21 women)between the ages of 50–76 (average: 62.6 ± 7.2) years with CHD following CABG. Anthropometric and body composition(bioelectrical impedance method) measurements were taken at the commencement of CR and after the training programme.After CR, body mass and body mass index were reduced in men < 65 and ≥ 65 years, and in women < 65 years. A reduction% body fat and increase % fat free mass and % total body water was observed only in patients < 65. years. Furthermore,in men < 65 years, an increase in % body cell mass was observed. In women ≥ 65 years, no statistically significant changeswere observed in body fat indices and body composition features between initial and final study. Patients ≥ 65 years of agefollowing surgery over a period of hospital cardiac rehabilitation do not experience the same significant improvement inbody composition parameters associated with risk of CHD as middle-aged adults. Older women post-cardiac surgery arecharacterized by a higher disability index in relation to tolerance to physical stress in comparison with men of the sameage and persons < 65 years of age.
关键词：coronary heart disease; cardiac rehabilitation; body composition; eldelry