Evaluation of effort tolerance in diabetic and non-diabetic patients undergoing cardiac rehabilitation after cardiac surgery

Szylińska Aleksandra, Mińko Alicja, Hilicka Zuzanna, Turzyński Dominik, Udzik Jakub, Sulikowski Piotr, Grabińska Izabela, Rotter Iwona. Evaluation of effort tolerance in diabetic and non-diabetic patients undergoing cardiac rehabilitation after cardiac surgery. Journal of Education, Health and Sport. 2020;10(8):383‑392. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.08.046

https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.08.046

https://zenodo.org/record/4006033

 

 

 

 

 

 

 

 

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

© The Authors 2020;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

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The authors declare that there is no conflict of interests regarding the publication of this paper.

 

Received: 01.08.2020. Revised: 05.08.2020. Accepted: 28.08.2020.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Evaluation of effort tolerance in diabetic and non-diabetic patients undergoing cardiac rehabilitation after cardiac surgery

 

Aleksandra Szylińska¹, Alicja Mińko², Zuzanna Hilicka², Dominik Turzyński², Jakub Udzik³, Piotr Sulikowski⁴, Izabela Grabińska⁵, Iwona Rotter¹

 

1. Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University in Szczecin, ul. Żołnierska 54, 70-204 Szczecin, Poland

2. Students’ Science Club of Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University in Szczecin, ul. Żołnierska 54, 70-204 Szczecin, Poland

3. Students’ Science Club of The Department of Cardiac Surgery, Pomeranian Medical University in Szczecin, al. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland

4. Faculty of Computer Science and Information Technology, West Pomeranian University of Technology, ul. Żołnierska 49, 71-210 Szczecin, Poland

5. Cardiac Rehabilitation Department, University Hospital of the Pomeranian Medical University in Szczecin (SPSK 2 PUM), al. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland

 

Corresponding author: Dominik Turzyński², e-mail: turzynski.d@edu.pum.edu.pl

 

 

 

 

 

 

 

Abstract

Introduction: Complex cardiac rehabilitation is a basic procedure of therapeutic treatment for patients after cardiac surgeries. The course of operations depends on many factors. The aim of this article is to investigate connections between type 2 diabetes and results of 6-minute walk test among patients after cardiac surgery.

Materials and methods: This research was conducted among 111 patients who had cardiac surgery. Those patients were qualified to stay at a stationary cardiac rehabilitation facility. They were divided into two groups: patients with and without diabetes. In the analysis, patients’ medical data and 6-minute walk test results before and after complex rehabilitation were taken into consideration.

Results: On the basis of our analysis it was found that patients who have diabetes achieve worse results of 6-minute walk test before (OR=0.995; p=0.005) and after (OR=0.994, p=0.006) complex cardiac rehabilitation in comparison with patients without diabetes.

Conclusions: Type 2 diabetes has impact on physical effort tolerance among patients after cardiac surgery. Despite improvement of 6-minute walk test results thanks to complex cardiac rehabilitation, patients with type 2 diabetes walked shorter distance than patients without diabetes.

 

Keywords: cardiac rehabilitation, cardiology, 6-minute walk test, type 2 diabetes