Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effects of Bicycle Versus Arm Ergometer Exercise Training on Physical Functions and Lipid Profile in Patients Who Underwent Coronary Artery Bypass Surgery: A Randomized Trial
Koroner Arter Baypas Cerrahisi Geçirmiş Hastalarda Bisiklet ve Kol Ergometresi Egzersiz Eğitiminin Fiziksel Fonksiyonlar ve Lipid Profili Üzerine Etkisi: Randomize Bir Çalışma
Elif Dilara DURMAZa, Betül TAŞPINARb, Orçin TELLİ ATALAYc, Yasemin OZKANd, Gül KULAN SOYKANd, Taner ŞENe, Ferruh TAŞPINARb
aHealth Sciences University Gazi Yaşargil Training and Research Hospital, Diyarbakır, TURKEY
bDepartment of Physiotherapy and Rehabilitation, Dumlupınar University Faculy of Health Sciences, Kütahya, TURKEY
cPamukkale University Faculty of Physiotherapy and Rehabilitation, Denizli, TURKEY
dDepartment of Physiotherapy and Rehabilitation, Dumlupınar University Kütahya Evliya Çelebi Training and Research Hospital,Kütahya, TURKEY
eDepartment of Cardiology, Dumlupınar University Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, TURKEY
Turkiye Klinikleri J Health Sci. 2020;5(3):487-94
doi: 10.5336/healthsci.2019-71698
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to compare the effects on physical functions (PF) and lipid profile (LP) of bicycle and arm ergometer exercises among the patients, who underwent coronary artery bypass graft (CABG) surgery. Material and Methods: The study involved 50 patients, who underwent CABG surgery. The patients were randomly divided into 2 groups. After the exclusion of 11 cases, evaluation was performed of 23 patients in the bicycle ergometer group (BEG) and 16 patients in the arm ergometer group (AEG). All the subjects participated in a cardiac rehabilitation program consisting of exercise training with bicycle or arm ergometer exercise for a total of 30 sessions as 5 sessions per week during 6 weeks. Before and after the exercise training, the 6-minute walking test distance (6MWTD), body composition evaluation, and blood lipid levels were recorded. Results: Before and after the exercise training, statistically significant positive changes were observed in the BEG including increased 6MWD, and LP parameters containing decreased percentage of body fat, LDL, trigliserid level, and total cholesterol. Statistically significant changes were found in the AEG including increased 6MWTD and LP parameters containing HDL, decreased body fat percentage, BMI, LDL, triglycerides, and total cholesterol. Comparing the values between the groups, it was found that there was a statistically significant increase in the 6MWD in the BEG when compared to the AEG. Conclusions: In conclusion, bicycle and arm ergometer exercises had a positive effect on PF and LP after CABG surgery. For improving the functional capacity, the bicycle ergometer training was seen to be more advantageous.

Keywords: Coronary artery bypass; cardiac rehabilitation; ergometry; exercise
ÖZET
 Amaç: Bu çalışmanın amacı koroner arter baypas cerrahisi geçiren hastalarda bisiklet ve kol ergometresi egzersizlerinin fiziksel fonksiyonlar ve lipid profiline etkisi açısından karşılaştırılmasıdır. Gereç ve Yöntemler: Çalışmaya 52-65 yaş aralığında bisiklet ergometresi (BEG) (n=23) ve kol ergometresi grubu (KEG) (n=16) olmak üzere iki gruptan oluşan, toplam 39 olgu (35 erkek, 4 kadın) dahil edildi. Demografik veriler kaydedildikten sonra çalışmaya dahil edilen tüm bireylerin eğitim öncesinde ve sonrasında HDL, LDL, Trigliserid ve Total kolesterol seviyeleri kaydedildi ve 6 dakika yürüme testi mesafesi (6DYTM) ile vücut kompozisyonu analizleri yapıldı. Tüm katılımcılar 6 hafta, haftada 5 seans olmak üzere toplam 30 seans boyunca bisiklet veya kol ergometre egzersiz eğitimi programına katıldı. Bulgular: Egzersiz eğitiminin öncesi ve sonrasında BEG'nda 6DYTM'nde artma, vücut yağ yüzdesi, LDL, trigliserid seviyesi ve total kolesterolde azalma gibi lipid profilini içeren parametrelerde istatistiksel olarak anlamlı değişiklikler gözlendi. KEG'da 6DYTM ve HDL'de artış, vücut yağ yüzdesi, VKİ, LDL, trigliseridler ve total kolesterolde azalma gibi lipid profilini içeren parametrelerde istatistiksel olarak önemli değişiklikler bulundu. Gruplar arasındaki değerler karşılaştırıldığında BEG'da 6DYTM'nin KEG'na göre istatistiksel olarak anlamlı şekilde daha yüksek olduğu belirlendi. Sonuç: Bu çalışmanın sonuçları bisiklet ve kol ergometre egzersizlerinin koroner arter baypas cerrahisi geçiren hastaların fiziksel fonksiyonlarını ve lipid profilini benzer şekilde iyileştirdiğini gösterdi. Fonksiyonel kapasitenin geliştirilmesinde bisiklet ergometre eğitimi egzersizlerinin daha avantajlı olduğu görüldü.

Anahtar Kelimeler: Koroner arter baypas, kardiyak rehabilitasyon; ergometri; egzersiz
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