Effect of cardiac rehabilitation on inflammation: A systematic review and meta-analysis of controlled clinical trials

  • سال انتشار: 1397
  • محل انتشار: مجله آریا آترواسکلروز، دوره: 14، شماره: 2
  • کد COI اختصاصی: JR_RYA-14-2_006
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 290
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نویسندگان

Masoumeh Sadeghi

Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Hossein Khosravi-Broujeni

School of Medicine AND Menzies Health Institute, Griffith University, Southport, Queensland, Australia

Amin Salehi-Abarghouei

Assistant Professor, Nutrition and Food Security Research Center AND Department of Nutrition, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Ramin Heidari

Assistant Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Gholamreza Masoumi

Associate Professor, Cardiac Anesthesiology Research Center, Chamran Heart Center Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

Hamidreza Roohafza

Assistant Professor, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده

BACKGROUND: This systematic review and meta-analysis aimed to assess the effect of cardiac rehabilitation (CR) on serum C-reactive protein (CRP) as an indicator of the inflammatory state and predictor of recurrent cardiovascular events.METHODS: PubMed, SCOPUS, Cochrane library, and Google Scholar databases were searched up to January ۲۰۱۴ for original articles which investigated the effect of CR on CRP among adult patients with previous cardiovascular events. The random effects model was used to assess the overall effect of CR on the variation in serum CRP levels.RESULTS: In the present systematic review and meta-analysis, ۱۵ studies were included. The analysis showed that CR might significantly reduce high-sensitivity CRP (hs-CRP) levels [Difference in means (DM) = -۱.۸۱ mg/l, ۹۵% confidence interval (CI): -۲.۶۵, -۰.۹۸; P = ۰.۰۰۴). However, the heterogeneity between studies was significant (Cochran's Q test, P < ۰.۰۰۱, I-squared = ۸۴.۹%). To find the source of variation, the studies were categorized based on study design (quality) and duration. The negative effect was higher among studies which followed their participants for ۳ weeks or less (DM = -۲.۷۵ mg/l, ۹۵% CI: -۳.۸۶, -۱.۶۴; P < ۰.۰۰۱) compared to studies which investigated the effect of CR for ۳-۸ weeks (DM = -۰.۸۹ mg/l, ۹۵% CI: -۱.۳۵, -۰.۴۴; P < ۰.۰۰۱) and those which lasted more than ۸ weeks (DM = -۱.۷۱ mg/l, ۹۵% CI: -۲.۵۳, -۰.۸۹; P < ۰.۰۰۱). There was no evidence of heterogeneity when the categorization was based on the follow-up period.CONCLUSION: Both short- and long-term CR have resulted in improvement in serum hs-CRP levels. CR can be perceived as a beneficial tool to reduce inflammatory markers among patients with previous cardiac events.

کلیدواژه ها

Cardiac Rehabilitation, Inflammation, C-Reactive Protein

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