The Impact of High-Calorie-Expenditure Exercise on Quality of Life in Older Adults With Coronary Heart Disease
The Impact of High-Calorie-Expenditure Exercise on Quality of Life in Older Adults With Coronary Heart Disease
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DOI：
10.1123/japa.19.2.99
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发表时间：
2011-04-01
影响因子：
1.5
通讯作者：
Ades, Phil
中科院分区：
文献类型：
--
作者：
Pope, Lizzy;Harvey-Berino, Jean;Ades, Phil
评估了参与行为体重控制计划的老年冠心病患者对高热量消耗（HCE）运动计划的可接受性。74名超重患者（中位年龄63岁）被随机分配到HCE运动（每天步行3，000 - 3，500千卡/周）或标准心脏康复（CR）运动（700-800千卡/周）的5个月干预组。两组都接受了咨询，以达到3,500千卡/周的饮食热量不足。基线和5个月时的评估包括自我报告的生活质量和心理社会变量的测量。HCE组的体重减轻显著更大（8.2 +/- 4 vs. 3.7 +/- 5 kg，p < .001）。从基线到5个月，HCE组的身体、情感和社会功能评分的变化大于CR组（p <0.05）。HCE运动也导致运动享受的更大积极变化（p = 0.05），这是由体重变化介导的。即使是高风险的老年人也可以在HCE锻炼计划中取得成功，并且不会经历任何不利的身体或情绪变化。
The acceptability of a high-calorie-expenditure (HCE) exercise program in older coronary heart disease patients participating in a behavioral weight-control program was evaluated. Seventy-four overweight patients (median age 63 yr) were randomly assigned to a 5-mo intervention of HCE exercise (3,000-3,500 kcal/wk daily walking) or standard cardiac-rehabilitation (CR) exercise (700-800 kcal/wk). Both groups received counseling to achieve a dietary caloric deficit of 3,500 kcal/wk. Assessments at baseline and 5 mo included self-reported measures of quality of life and psychosocial variables. The HCE group experienced significantly greater weight loss (8.2 +/- 4 vs. 3.7 +/- 5 kg, p < .001). Changes from baseline to 5 mo on scores of physical, emotional, and social functioning were greater for the HCE than CR group (p < .05). HCE exercise also resulted in greater positive change in exercise enjoyment (p = .05), which was mediated by weight change. Even high-risk older adults can be successful in an HCE exercise program and experience no adverse physical or emotional changes.