Effect of Cardiac Exercise Rehabilitation on Epicardial Adipose Tissue Thickness in Patients with Coronary Heart Disease
Objective:To study the effect of cardiac exercise rehabilitation on epicardial adipose tissue (EAT) thickness in patients with coronary heart disease (CHD).Methods:A total of 66 patients with CHD were included and divided into exercise rehabilitation group (33 cases) and control group (33 cases) acc...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2020-10-01
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| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2020.05005 |
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| Summary: | Objective:To study the effect of cardiac exercise rehabilitation on epicardial adipose tissue (EAT) thickness in patients with coronary heart disease (CHD).Methods:A total of 66 patients with CHD were included and divided into exercise rehabilitation group (33 cases) and control group (33 cases) according to their willingness. The patients in the exercise rehabilitation group, on the basis of the conventional secondary preventive drug therapy for CHD, conducted cardiac exercise rehabilitation for 12 weeks. The exercise intensity was made according to the metabolic equivalent of anaerobic threshold measured by cardiopulmonary exercise trial in this group. Aerobic exercise (including flat-panel walking, treadmill) was the main exercise content, combined with impedance exercise and flexible balance training with three times a week, 30-90 minutes every time. Patients in the control group only took CHD secondary preventive drugs. EAT thickness, body fat parameters (waist circumference, body weight, BMI), blood lipids [triglycerides (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) ] were collected in the two groups before and after treatment. EAT thickness was measured by transthoracic echocardiography. In the long axis section of the left heart beside the sternum, the relative hypoechoic area between the free wall of right ventricle and the visceral pericardium was measured at the end of left ventricular diastole for 5 consecutive cardiac cycles, and the mean value was taken as the final EAT thickness.Results:(1) EAT thickness of the patients in the exercise rehabilitation group was significantly reduced after cardiac exercise rehabilitation (<italic>P</italic>=0.001); While EAT thickness of the control group did not change (<italic>P</italic>> 0.05); There was no difference in EAT thickness between the two groups before treatment (<italic>P</italic>> 0.05), but EAT thickness of the patients in the exercise rehabilitation group was lower than that in the control group after treatment (<italic>P</italic>=0.044).(2) There were no significant changes in waist circumference, body weight, BMI, TC and LDL-C in the exercise rehabilitation group before and after treatment (<italic>P</italic>> 0.05), while TG was lower than that before treatment (<italic>P</italic>< 0.01); There were no statistical differences in the above indicators before and after treatment in the control group (<italic>P</italic>> 0.05).(3) EAT thickness was positively correlated with waist circumference (<italic>r</italic>=0.411, <italic>P</italic>=0.001), body weight (<italic>r</italic>=0.324, <italic>P</italic>=0.008) and BMI(<italic>r</italic>=0.411, <italic>P</italic>=0.001), but it had no significant correlation with blood lipids of TG, TC and LDL-C(<italic>P</italic>> 0.05).Conclusion:Cardiac exercise rehabilitation can reduce EAT thickness in patients with CHD, and the change of EAT thickness is more sensitive than that of other body fat parameters, which can be used as an index to evaluate the effect of cardiac exercise rehabilitation. |
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| ISSN: | 2096-0328 |