Comparing the effects of home-based exercise rehabilitation and center-based cardiac rehabilitation on lipid profiles of the patients with coronaryartery disease

ABSTRACT

Although participation in centre-based cardiac rehabilitation [CR] is known to reduce morbidity and mortality but the participation rates of coronary artery patients are low. Therefore, establishing alternative programs in this regard is important, and it seems that home-based exercise rehabilitation is one of the predominant alternatives. This study aimed to compare the effects of the home-based exercise rehabilitation and centre-based CR on lipid profiles of patients with coronary artery disease. This semi-experimental study was conducted on 40 patients [mean age, 59 +/- 6.28 years] in Isfahan cardiovascular research center in 2014. The participants were voluntarily divided into 3 groups home-based exercise rehabilitation, centre-based CR and control. Triglycerides, total cholesterol, high-density lipoprotein [HDL-C] and low-density lipoprotein [LDL-C] were measured at baseline and after 2 months of CR. After 2 months of CR, levels of total cholesterol, LDL-C, HDL-C and the ratio of LDL/HDL and cholesterol/HDL were significantly improved in both experimental groups. No significant difference was observed between the home-based exercise and centre-based CR programs in all indices. Both home-based exercise rehabilitation and centre-based CR can improve the lipid profiles in patients with coronary artery disease. Thus, it can be a modern approach to increase the participation of patients, reduce the costs and the current restrictions in our country to fulfill the patients' needs