Comparison of coronary risk factors and quality of life in coronary artery disease patients with versus without diabetes mellitus

The American Journal of Cardiology
Claudia R PischkeDean Ornish

Abstract

It is unclear whether patients with coronary artery disease (CAD) and diabetes mellitus (DM) can make comprehensive lifestyle changes that produce similar changes in coronary risk factors and quality of life compared with patients with CAD and without DM. We examined medical characteristics, lifestyle, and quality of life by diabetic status and gender in the Multicenter Lifestyle Demonstration Project (MLDP), a study of 440 nonsmoking patients with CAD (347 men, 55 with DM; 15.9%; 93 women, 36 with DM; 38.7%). Patients met in groups to improve lifestyle (plant-based, low-fat diet; exercise; stress management) for 1 year. Follow-ups were conducted at 3 and 12 months. At baseline, body mass and systolic blood pressure were significantly higher among patients with DM. Men with DM had a worse medical history (e.g., hypertension, hyperlipidemia, and family history of CAD) than did those without DM. Patients with DM, especially women, reported poorer quality of life than did patients without DM. The 2 groups of patients were able to adhere to the recommended lifestyle, as demonstrated by significant improvements in weight (mean -5 kg), body fat, low-density lipoprotein cholesterol, exercise capacity, and quality of life. No significa...Continue Reading

References

Jul 1, 1993·Psychosomatic Medicine·R S Surwit, M S Schneider
Feb 1, 1994·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·C JenkinsonA Coulter
Nov 1, 1993·Circulation·D PerloffB Z Morgenstern
Sep 22, 2001·The New England Journal of Medicine·P A Ades
Jan 17, 2002·The American Journal of Cardiology·James A BlumenthalGeoffrey Reed
May 24, 2003·Psychosomatic Medicine·Ray E ClouseRobert M Carney
Dec 31, 2003·The American Journal of Cardiology·John A BanzerGary J Balady

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Citations

Dec 18, 2010·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Alex Z FuNan Luo
Apr 29, 2010·Current Diabetes Reports·Caroline B Trapp, Neal D Barnard
Nov 3, 2010·Journal of Cardiopulmonary Rehabilitation and Prevention·Theresa M Beckie, Jason W Beckstead
Aug 18, 2010·The Journal of Cardiovascular Nursing·Claudia R PischkeGerdi Weidner
Mar 18, 2010·American Journal of Health Promotion : AJHP·Anna SilbermanDean Ornish
Apr 24, 2009·Nutrition Reviews·Neal D BarnardGabrielle Turner-McGrievy
Oct 22, 2008·Current Atherosclerosis Reports·Alison M Hill, Penny M Kris-Etherton
Sep 8, 2009·Progress in Cardiovascular Diseases·Mark C HoustonDean A Bramlet
Feb 6, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·R van der Pols-VijlbriefM C Adriaanse
Jul 16, 2010·The Journal of Clinical Hypertension·Leonardo TamarizHermes Florez
Jan 28, 2010·The American Journal of Cardiology·Harvinder S DodAbnash C Jain
Jan 6, 2009·Journal of Korean Academy of Nursing·In Sook ParkKyung Ok Joo
Nov 17, 2017·Journal of Health, Population, and Nutrition·Abdel Hamid El BilbeisiKurosh Djafarian
Jul 31, 2009·Coronary Artery Disease·Johan HerlitzKristjan Karason
Apr 20, 2019·Diabetes Care·Alison B EvertWilliam S Yancy
Feb 3, 2016·The Journal of the American Osteopathic Association·Christopher LeiboldDavid Drozek

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