COMPARISON OF THE CLINICAL PROFILE AND OUTCOME OF WOMEN AND MEN IN CARDIAC REHABILITATION
COMPARISON OF THE CLINICAL PROFILE AND OUTCOME OF WOMEN AND MEN IN CARDIAC REHABILITATION
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DOI：
10.1016/0002-9149(92)91220-x
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发表时间：
1992-05-15
影响因子：
2.8
通讯作者：
RYAN, TJ
中科院分区：
文献类型：
--
作者：
CANNISTRA, LB;BALADY, GJ;RYAN, TJ
很少有关于妇女心脏康复结果的数据。为了确定女性在临床特征和结果上是否与男性不同，225名连续患者在一个城市、多学科、以运动为基础的心脏康复项目中进行前瞻性评估。在51名女性（56 +/- 10岁）和174名男性（54 +/- 10岁）中，大多数是：白人（84%），已婚（64%），有工作（63%），有心肌梗死或血运重建术，或两者兼而有之（66%），前往项目的旅行< 10英里（92%）。风险概况显示肥胖占48%（平均都市相对体重= 124 +/- 22%），高血压占47%，吸烟占23%，糖尿病占16%，平均胆固醇为236 +/- 45 mg/dl。与男性相比，更多的女性是非白人、失业、未婚、高血压或糖尿病（p < 0.0001），胆固醇较高（p < 0.01）。女性（51%）和男性（63%）的依从率相似（p =无统计学意义）。单变量预测方案不依从性在女性和男性之间存在差异。女性的初始运动能力低于男性，但两组都获得了相似的训练效果。女性的运动时间增加了31%，代谢峰值增加了30%，而男性的运动时间增加了21%，代谢峰值增加了16% （p < 0.001）。因此，在这个心脏康复项目中，女性的风险因素不太有利，并且在基线人口统计学和项目完成的预测因素方面与男性不同。然而，妇女的依从率相似，并通过训练在功能能力方面取得同样的改善。
Few data are available regarding the outcome of women in cardiac rehabilitation. To determine whether women differ from men in clinical profile and outcome, 225 consecutive patients were prospectively evaluated in an urban, multidisciplinary, exercise-based cardiac rehabilitation program. Among the 51 women (age 56 +/- 10) and 174 men (age 54 +/- 10), most were: white (84%), married (64%), employed (63%), had had myocardial infarction or revascularization, or both (66%), and traveled < 10 miles to the program (92%). Risk profiles revealed obesity in 48% (mean Metropolitan Relative Weight = 124 +/- 22%), hypertension in 47%, smoking in 23%, diabetes in 16%, and mean cholesterol of 236 +/- 45 mg/dl. Compared with men, more women were nonwhite, unemployed, unmarried, hypertensive or diabetic (p < 0.0001) and had higher cholesterol (p < 0.01). Compliance rates were similar for women (51%) and men (63%) (p = not significant). Univariate predictors of program noncompliance differed between women and men. Initial exercise capacity was less for women than for men, but both groups achieved a similar training effect. Women increased their exercise time by 31% and peak METs by 30%, whereas men showed a 21% increase in exercise time and 16% increase in peak METs achieved (p < 0.001). Thus, in this cardiac rehabilitation program, women have a less favorable risk factor profile and differ from men with regard to baseline demographics and predictors of program completion. Women, however, have similar rates of compliance and achieve the same improvement in functional capacity with training.