Objective
To compare a center-based cardiac rehabilitation (CR) program with a home-based CR program in terms of improving obesity related index and cardiopulmonary exercise capacity after the completing a phase II CR program.
Methods
In this study, there were seventy-four patients with acute myocardial infarction after percutaneous coronary intervention who were analyzed. Patients with mild to moderate risk (ejection fraction >40%) were included in the group. The patients underwent an exercise tolerance test by measurement of the modified Bruce protocol at three assessment points. Those in the center-based CR group participated in a 4-week training program with electrocardiography monitoring of the patient’s progress and results, while those patients who were in the home-based CR group underwent self-exercise training. We measured the obesity related indices such as body mass index, fat free mass index (FFMI), and cardiopulmonary exercise capacity including peak oxygen consumption (VO2max), metabolic equivalents (METs), heart rate, resting systolic blood pressure and the diastolic blood pressure of the participants and noted the results.
Results
Of the 74 patients, 25 and 49 participated in the center-based and home-based CR programs, respectively. Both groups showed significant improvement in VO2max and METs at 1-month and 6-month follow-up. However, FFMI was significantly improved only in the center-based CR group after 1 month of the phase II CR.
Conclusion
Both groups identified in the study showed significant improvement of VO2max and METs at 1-month and 6-month follow-up. However, there was no significant difference in the intergroup analysis. A significant improvement of FFMI was seen only in the center-based CR group after phase II CR.

Citations

• A scale for measuring home-based cardiac rehabilitation exercise adherence: a development and validation study
  Zhen Yang, Yuanhui Sun, Huan Wang, Chunqi Zhang, Aiping Wang
  BMC Nursing.2023;[Epub]     CrossRef
• Center-Based vs Home-Based Geriatric Rehabilitation on Sarcopenia Components: A Systematic Review and Meta-analysis
  Qiaowei Li, Fang Wang, Xiaoqun Liu, Huijuan Zhong, Feng Huang, Pengli Zhu
  Archives of Physical Medicine and Rehabilitation.2022; 103(8): 1663.     CrossRef
• Do Patients Maintain Proper Long-Term Cardiopulmonary Fitness Levels After Cardiac Rehabilitation? A Retrospective Study Using Medical Records
  Chul Kim, Hee Eun Choi, Jin Hyuk Jang, Jun Hyeong Song, Byung-Ok Kim
  Annals of Rehabilitation Medicine.2021; 45(2): 150.     CrossRef
• An observational study substantiating the statistical significance of cardiopulmonary exercise with laboratory tests during the acute and subacute phases of center and home-based cardiac rehabilitation
  Jeong Jae Lee, Jun Young Ko, Seungbok Lee
  Medicine.2021; 100(31): e26861.     CrossRef
• Rehabilitación cardíaca fase 2 post infarto agudo al miocardio.
  Kirby Gutiérrez Arce, Jessy Estefanía Funez Estrada, Cristian Yovany Rojas Aboyte, Perla Lizeth Hernández Cortés Hernández Cortés, María Cristina Enríquez Reyna
  Revista de Ciencias del Ejercicio FOD.2021;[Epub]     CrossRef