Reduced executive functioning is associated with poorer outcome in cardiac rehabilitation

Preventive Cardiology
Lynn S KakosJim Rosneck

Abstract

Patients with cardiovascular disease and cognitive impairment show reduced adherence to treatment. No study has examined whether cognitive impairment may also predict reduced benefit from cardiac rehabilitation (CR). It appears that cognitively impaired patients may exhibit poorer adherence to CR and limited gains in cardiovascular fitness and/or quality of life (QOL). Forty-four older adults who enrolled in a CR program and completed measures at enrollment and discharge were included. Cognitive functioning was assessed using the Trail Making Test B. Estimated metabolic equivalents (METs) were derived from a treadmill stress test to provide a measure of cardiovascular fitness. QOL was measured with the Short Form-36 (SF-36) physical and mental component scales (PCS and MCS, respectively). Repeated measures analysis of variance showed improvements in METs [METs; F(1,36)=77.6, P<.001] and physical [SF-36 PCS; F(1,36)=14.14, P=.001)] and mental QOL [SF-36 MCS; F(1,36)=11.55, P=.002)]. Partial correlations indicated that poorer Trail Making Test B performance was associated with lower METs at discharge (r=-0.30, P<.05), but not PCS or MCS. Mini-Mental State Examination scores were not related to outcome variables. Current findings ...Continue Reading

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Citations

Aug 13, 2013·Obesity Surgery·Rachel GaliotoMary Beth Spitznagel
Jan 18, 2013·Rehabilitation Research and Practice·Giuseppe CaminitiMaurizio Volterrani
Jun 21, 2012·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Therese Anne KearyRonald A Cohen
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