S46

EuroPRevent Congress Abstracts May 2015

Poster Session II Thursday, 14 May 2015, 14:00–18:00 P225 Pre-diabetes and diabetes mellitus: challenges for cardiac rehabilitation programs 1

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I Ines Cunha , S Viamonte , C Matos , C Moreira , A Barreira , P Fernandes , S Torres1 Centro Hospitalar do Porto, Porto, Portugal

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Topic: Cardiac rehabilitation Purpose: Meta-analysis have shown the benefit of Cardiac Rehabilitation Programs (CRP) in the overall population; however there are limited data that specifically address CRP in diabetic and pre-diabetic patients, although such programs may be especially important in this group of patients. The aim of this study was to compare the benefit of a CRP between subjects with normal glucose regulation (NGR), abnormal glucose regulation (AGR) and diabetes mellitus (DM) in relation to the cardiovascular risk factors and functional capacity. Methods: Observational prospective study, including patients with cardiac ischemic disease oriented to a multidisciplinary CRP between January 2012 and June 2014. Patients were divided into 3 groups: NGR, ARG and DM group. They all underwent a supervised aerobic moderate exercise training protocol, 2 times/week during 3 months. Several clinical, laboratory and treadmill stress test parameters were collected at the first visit of Phase II of the CRP and 3 months later, namely blood pressure, lipid profile (LDLcolesterol, HDL-colesterol, Triglycerides), blood glucose and glycated hemoglobin (HbA1c), body mass index (BMI) and waist circumference (WC), smoking habits, daily physical activity (International Physical Activity Questionnaires), functional capacity (maximal exercise capacity on treadmill stress test and Metabolic Equivalents (MET) achieved). Results: 540 patients were enrolled, 232 with NGR, 173 with ARG and 135 with DM. Patients with ARG and DM were significantly older (61.479.81 and 62.579.88 respectively vs 58.3911.1 in NGR), but had comparable cardiovascular risk profile and functional capacity. Regarding cardiovascular risk factors, statistically significant differences were found between the three groups for BMI (p

Poster Session 2 - Afternoon.

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