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Application of rehabilitation programs to patients with chronic heart failure and sarcopenic obesity

https://doi.org/10.37489/2588-0519-2024-4-113-119

EDN: MFMNGJ

Abstract

Changes in body composition: sarcopenia and obesity are common in patients with chronic heart failure, complicating the disease course and worsening the prognosis.

Objective. To investigate the effectiveness of the proposed rehabilitation method, which consisted of a combination of a hypocaloric but high-protein diet, individualized physical activity, and breathing exercises.

Materials and methods. Patients (n = 80) were divided into 2 groups depending on the presence of sarcopenic obesity. In each group, the main and control subgroups were distinguished depending on the inclusion of the rehabilitation program in the management tactics. Changes in the muscle component of body composition and quality of life were assessed using the Minnesota questionnaire.

Results. Both groups exhibited significant improvements in body composition parameters and quality of life.

Conclusion. The rehabilitation program was effective in patients with and without sarcopenic obesity in terms of improving the muscle component of body composition and quality of life.

About the Authors

V. I. Shevcova
N. N. Burdenko Voronezh State Medical University MoH Russia
Russian Federation

Veronica I. Shevcova —  PhD, Cand. Sci. (Med.), Associate Professor of the Department of Infectious Diseases and Clinical Immunology

Voronezh



A. A. Pashkova
N. N. Burdenko Voronezh State Medical University MoH Russia
Russian Federation

Anna A. Pashkova — Dr. Sci (Med.), Professor, Vice-Rector for Academic Affairs, Head of the Department of Outpatient Therapy

Voronezh



O. N. Krasnorutckaуa
N. N. Burdenko Voronezh State Medical University MoH Russia
Russian Federation

Olga N. Krasnorutckaуa — Dr. Sci (Med.), Associate Professor, Head of the Department of Infectious Diseases and Clinical Immunology

Voronezh



P. B. Zarechny
N. N. Burdenko Voronezh State Medical University MoH Russia
Russian Federation

Pavel B. Zarechny — 6th year student of the Faculty of Medicine

Voronezh



A. R. Terskaya
N. N. Burdenko Voronezh State Medical University MoH Russia
Russian Federation

Anna R. Terskaya — 6th year student of the Faculty of Medicine

Voronezh



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For citations:


Shevcova V.I., Pashkova A.A., Krasnorutckaуa O.N., Zarechny P.B., Terskaya A.R. Application of rehabilitation programs to patients with chronic heart failure and sarcopenic obesity. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2024;(4):113-119. (In Russ.) https://doi.org/10.37489/2588-0519-2024-4-113-119. EDN: MFMNGJ

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ISSN 2588-0519 (Print)
ISSN 2618-8473 (Online)