2022, Number 1
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RIC 2022; 101 (1)
Gender approach in cardiac rehabilitation
Montero-Vega V, Carbonell-Riera R
Language: Spanish
References: 36
Page: 1-14
PDF size: 711.54 Kb.
ABSTRACT
Introduction:
Cardiovascular disease in women is undervalued as a health problem. Among the therapeutic options is cardiac rehabilitation, which contributes to the reduction of morbidity and mortality and hospitalization in both genders.
Objective:
To evaluate the initial behavior and the results of a cardiac rehabilitation program in patients attended in the Rehabilitación Cardiaca (Cardiac Rehabilitation) department of the Cardiology service of the Hospital General Docente “Dr. Agostinho Neto”, from Guantanamo, during the period 2015-2019.
Method:
A descriptive, prospective and longitudinal study was carried out. The population was made up of 667 patients enrolled in the Cardiac Rehabilitation Program (CRP). Risk factors, ergometric parameters given by exercise time, heart rate, blood pressure, and functional class were studied. A rehabilitation program was applied that included physical-aerobic and resistance exercises, evaluations were carried out through ergometric tests, and serum lipids at the beginning and at 6 months.
Results:
There is a different risk profile between both genders; obesity is the most prevalent risk factor in females (62.9%) and active smoking in males (78.0%). The improvement in physical capacity was greater in men than in women. The parameters used to improve the participation and adherence of women to the program are exposed.
Conclusions:
Women have great barriers to the incorporation into cardiac rehabilitation programs. It is necessary to offer them information about their benefits to improve access and permanence in the program.
REFERENCES
Townsend N, Wilson L, Bhatnagar P, Wickramasinghe K, Rayner M, Nichols M. Cardiovascular disease in Europe 2016: an epidemiological update. Eur Heart J 2016; 37(42):3232-45.
Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2018. La Habana: Ministerio de Salud Pública; 2019. [citado 05/01/2021]. Disponible en: https://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2018-ed-2019-compressed.pdf
Martínez CM. Diferencias entre hombres y mujeres en la incidencia de las enfermedades del corazón [Internet]. Madrid: 2017. Capítulo 73. Salud cardiovascular [citado 05/01/2021]. p: 637-642. Disponible en: https://www.fbbva.es/microsites/salud_cardio/mult/fbbva_libroCorazon_cap73.pdf
Fondo de las Naciones Unidas para la Infancia. Comunicación, infancia y adolescencia: Guías para periodistas. 1ed. CODAJIC; 2017 Mayo [citado 05/01/2021]. Disponible en: http://www.codajic.org/node/2612
Esquenazi Borrego A, Rosales Vázquez S, Velarde Hernández Y. Índice de Desigualdad de Género en Cuba: un enfoque territorial. Rev Est Desar Soc: Cuba y América Latina [Internet]. 2017 Mayo-Ago [citado 05/01/2021]; 5(2):108-129. Disponible en: http://scielo.sld.cu/pdf/reds/v5n2/reds11217.pdf
Perelman J, Fernandes A, Mateus C. Gender Disparities in Health and Healthcare: Results from the Portuguese National Health Interview Survey. Cuad Saúde Púb [Internet]. 2017 [citado 10/01/2021]; 28(12). Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2012001400012
Campos-Serna J, Ronda-Pérez E, Lucía Artazcoz L, Benavides FG. Desigualdades de género en salud laboral en España. Gac Sanit [Internet]. 2017 [citado 10/01/2021]; 26(4). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112012000400009&lang=pt
Maffei S, Guiducci L, Cugusi L, Cadeddu C, Deidda M, Gallina S, et al. Women-specific predictors of cardiovascular disease risk - new paradigms. Int J Cardiol. 2019; 286:190-7.
Lee JJ, Cook-Wiens G, Johnson BD, Braunstein GD, Berga SL, Stanczyk FZ, et al. Age at menarche and risk of cardiovascular disease outcomes: findings from the National Heart Lung and Blood Institute-sponsored Women's Ischemia Syndrome Evaluation. J Am Heart Assoc [Internet]. 2019 [citado 10/01/2021]; 8(12):e012406. Disponible en: https://www.ahajournals.org/doi/10.1161/JAHA.119.012406
Aggarwal NR, Patel HN, Mehta LS, Sanghani RM, Lundberg GP, Lewis SP, et al. Sex differences in ischemic heart disease: Advances, obstacles, and next steps. Circ Cardiovasc [Internet]. 2018 [citado 10/01/2021]; 11(2):e004437. Disponible en: https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.117.004437
Supervía M, Medina-Inijosa JR, Yeung C, López Jimenez F, Squires RW, Pérez Terzic C, et al. Cardiac rehabilitation for women: A systematic review of barriers and solutions. Mayo Clin Proc [Internet]. 2017 Apr [citado 10/01/2021]; 92(4):565-577. DOI: https://doi.org/10.1016/j.mayocp.2017.01.002
Sociedad Argentina de Cardiología. Consenso Argentino de Rehabilitación Cardiovascular. Rev Arg Cardiol [Internet]. 2019 [citado 10/01/2021]; 87(3):58. Disponible en: https://www.sac.org.ar/wp-content/uploads/2019/08/consenso-87-3.pdf
Sabo D. Comprender la salud de los hombres. Un enfoque relacional y sensible al género. Harvard: OPS; 2000 [citado 19/01/2021]. Disponible en: https://iris.paho.org/handle/10665.2/804
Mehta LS, Beckie TM, DeVon HA, Grines CL, Krumholz HM, Johnson MN, et al. Acute Myocardial Infarction in Women: a scientific statement from the american heart association. Circulation [Internet]. 2016 [citado 19/01/2021]; 133(9):916-47. Disponible en: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000351
Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev [Internet]. 2016 Jan [citado 11/01/2022]; 2016(1):CD001800. DOI: https://doi.org/10.1002/14651858.CD001800.pub3
Garcia M, Mulvagh SL, Bairey Merz CN, Buring JE, Manson JE. Cardiovascular Disease in Women Clinical Perspectives. Review. Circ Res [Internet]. 2016 [citado 11/01/2022]; 118:1273-93. DOI: http://dx.doi.org/10.1161/CIRCRESAHA.116.307547
Yancy CW, Jessup M, Bozkurt B, Butler J, Donald E, et al. "2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines" Circulation [Internet]. 2013 Oct 15 [citado 11/01/2022]; 62(16):e147-239. DOI: https://doi.org/10.1016/j.jacc.2013.05.019
Molina DI, Chacón JA, Esparza AS, Botero SM. Depresión y riesgo cardiovascular en la mujer. Rev Colom Cardiol [Internet]. 2016 Mayo-Jun [citado 11/01/2022]; 23(3):159-252. DOI: http://dx.doi.org/10.1016/j.rccar.2015.11.004
Gaalema DE, Savage PD, Jason R, Cutler AY, Elliott RJ, Priest JS, et al. Patient Characteristics predictive of Cardiac Rehabilitation Adherence. J Cardiopulm Reh Prev [Internet]. 2017 Mar [citado 11/01/2022]; 37(2):103-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28033166/
Warburton DE, Bredin SS. Reflections on physical activity and health: what should we recommend? Can J Cardiol. 2016; 32:495-504.
Cuellar Gallardo A, Gómez García Y, Castro-Torres Y, Triana Díaz A, et al. Rehabilitación cardiovascular en pacientes con infarto agudo de miocardio con elevación del segmento ST e intervencionismo coronario percutáneo. CorSalud [Internet]. 2019 [citado 11/01/2022]; 11(4):278-286. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/387/1057
Rivas Pérez A, Vélez Salas A, Dalmau González-Gallarza R, Castro Conde A, López Sendón JL. La rehabilitación cardiaca en mujeres jóvenes: ¿Se adapta a sus necesidades? Rev Esp Cardiol. 2017; 70(Supl 1):271.
Prado Díaz S del, Montoro López M, Dalmau González-Gallarza R, Castro Conde A, et al. Beneficios de rehabilitación cardiaca en mujeres después de un síndrome coronario agudo. Rev Esp Cardiol [Internet]. 2015 [citado 11/01/2022]; 68(Supl 1):1119. Disponible en: https://www.revespcardiol.org/es-congresos-sec-2015-el-congreso-19-sesion-rehabilitacion-1652-beneficios-rehabilitacion-cardiaca-mujeres-despues-18935-pdf
Piché ME, Poirier P, Lemieux I, Deprés JP. Overview of epidemiology and contribution of obesity and body fat distribution to cardiovascular disease: an update. Prog Cardiovasc Dis. 2017; 61:103-113.
Lee JJ, Pedley A, Hoffman U, Massaro JM, Levy D, Long MT. Visceral and intrahepatic fat are associated with cardiometabolic risk factors above other ectopic fat depots: the Framingham Heart Study. Am J Med [Internet]. 2018 [citado 11/01/2022]; 131:684-692.e12. DOI: https://doi.org/10.1016/j.amjmed.2018.02.002
Quiros Fallas R. Actualización de los factores de riesgo cardiovascular. Rev Méd Sinergia [Internet]. 2017 Ene [citado 11/01/2022]; 2(1):3-7. Disponible en: https://revistamedicasinergia.com/index.php/rms/article/view/57
Puentes Valle D, Rodríguez Pérez LA, Pupo Ávila NL, Sit Pacheco R. El tratamiento grupal munticomponente: un método efectivo contra el tabaquismo. Rev Cubana Salud Púb [Internet]. 2019 [citado 11/01/2022]; 42(2):e1288. Disponible en: http://scielo.sld.cu/pdf/rcsp/v45n2/1561-3127-rcsp-45-02-e1288.pdf
Smith PH, Kasza KA, Hyland A, et al. Gender differences in medication use and cigarrete smoking cessation: results from the international Tobacco control four country. Nicotine ton res Off. J Soc Res Nicotine Tob. 2015; 17(4):463-472.
Moreno Hernández M, Gonzalvo Ortega M, Olague Baño C, Cierva Delicado A de la, López Cubero T, et al. Efecto de la rehabilitación cardiaca en la mejora de la capacidad de ejercicio. Rev Clin Esp. 2018; 218: 905.
Santiago de Araújo Pio C, Marzolini S, Pakosh M, Grace SL. Effect of Cardiac Rehabilitation Dose on Mortality and Morbidity: A Systematic Review and Meta-regression Analysis. Mayo Clin Proc. 2017; 92(11):1644-1659.
Asbury EA, Slattery C, Grant A, Evans L, Barbir M, Collins P. Cardiac rehabilitation for the treatment of women with chest pain and normal coronaries arteries. Menopause. 2008; 15(3):454-460.
Darren ER, Warburton DE, Bredin SS. Reflections on physical activity and health: what should we recommend? Can J Cardiol [Internet]. 2016 [citado 11/01/2022]; 32(4):495-504. DOI: https://doi.org/10.1016/j.cjca.2016.01.024
Sanchez-Delgado JC, Betty LM, Angarita Fonseca A, et al. Reliability of the barriers scale for cardiac rehabilitation. Rev Colom Cardiol. 2018;25(1):84-91.
Ros Sanchez T, Lindon Cerezuela B. La experiencia del empoderamiento en mujeres mayores de 65 años. Estudio cualitativo. Gerokomos. 2018; 29(1):3-8.
Ministerio de Salud de la Nación. Manual para el cuidado de personas con enfermedades crónicas no transmisibles: manejo integral en el primer nivel de atención. Ginebra: OMS; 2017.
Anchique CV, Fernández RO, Zeballos C. Rehabilitación cardiovascular en la mujer. Rev Colom Cardiol. 2018; 25(S1):99-105.