Indian Journal of Public Health Research & Development

Sridevi ¹, Kalyana Chakravarthy Bairapareddy ², Bhamini Krishna Rao ³, Arun G. Maiya ⁴, Gopala Krishna Alaparthi ⁵, Krishnananda Nayak ⁶

Affiliations
1 Department of Physiotherapy, Manipal Academy of Higher Education, Manipal, IN
2 Assistant Professor, Department of Physiotherapy,, College of Health Sciences, University of Sharjah, AE
3 Professor, Department of Physiotherapy, Manipal Academy of Higher Education, Manipal, IN
4 Professor and Dean, Department of Physiotherapy, Manipal Academy of Higher Education, Manipal, IN
5 Assistant Professor, Department of Physiotherapy, College of Health Sciences, University of Sharjah, AE
6 Associate Professor, Department of Cardiovascular Technology, Manipal Academy of Higher Education, Manipal, IN

Abstract

Background: Epicardial adipose tissue is known to have adverse effect on local coronary health, cardiac structure and function. Echocardiography has shown to be a reliable method to measure the adipose thickness.

Aim: To study the association between epicardial adipose tissue thickness with resting and post-exercise test cardiac output.

Method: A cross-sectional study of 26 overweight and obese subjects in the age group of 20 to 50 was included. Epicardial adipose tissue thickness was measured using M-mode echocardiogram. Resting and post exercise cardiac output, ejection fraction and heart rate recovery were measured during sub-maximal exercise on treadmill.

Results: There was no significant correlation of epicardial adipose tissue thickness with resting and post-exercise cardiac output, ejection fraction and heart rate recovery.

Conclusion: Cardiac output, Ejection fractionat rest and post-exercise, also Heart rate recovery were not affected by epicardial adipose tissue thickness of less than 4 mm.

Keywords

Epicardial Adipose Tissue, Cardiac Output, Sub-Maximal Exercise Test, Body Mass Index, Overweight and Obesity, Echocardiography.

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Shilpa Gupta ¹, Arun G. Maiya ², Kalyana Chakravarthy ³, Stephen Rajan Samuel ⁴

Affiliations
1 Assistant Professor, Dept. of Physiotherapy, Institute of Health and Allied Sciences, Muradnagar, Ghaziabad, IN
2 Professor and Dean, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, IN
3 Assisant Professor, Dept. of Physiotherapy, University of Sharjah, AE
4 Assistant Professor, Dept. of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, IN

Abstract

Background: Cardiovascular disease (CVD) is the leading cause of death and disability worldwide. Cardiac rehabilitation (CR) is important in improving cardiovascular fitness. Estimating physical activity (PA) levels and Energy Expenditure(EE) in Phase-I CR using Accelerometer can help in understanding cardiovascular fitness better.

Method and Materials: PA of 16 participants post Coronary Artery Bypass Graft (CABG) and Percutaneous Transluminal Coronary Angioplasty (PTCA) in Phase-I CR was measured using Actigraph accelerometer. Metabolic Equivalents (METs) and average of daily EE(in Kcals) and steps taken were calculated. Correlation of the Six minute walk distance (6MWD) on the day of discharge and PA levels measured by Actigraphaccelerometer was done.

Results: PA energy expenditure averaged 283.71 Kcals/3days, step counts/day 4861.50, METs 5.79 and the EE in light and moderate intensity activities were 1.01 Kcals and 5.72 Kcals respectively. The time spent in these activities were 62.25 minutes in light intensity and 2 minutes in moderate intensity activities.

Conclusion: PA measured by Actigraph accelerometer was of low to moderate levels in Phase-I CR. There was a weak correlation between PA levels measured by Actigraph accelerometer and 6MWD achieved at the time of discharge.

Keywords

Cardiovascular Disease, Phase I Cardiac Rehabilitation, Physical Activity, Accelerometer.

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Sridevi ¹, Kalyana Chakravarthy Bairapareddy ², Bhamini Krishna Rao ³, Arun G. Maiya ⁴, Gopala Krishna Alaparthi ⁵

Affiliations
1 Department of Physiotherapy, Manipal Academy of Higher Education, Manipal, IN
2 Assistant Professor, Department of Physiotherapy, College of Health Sciences, University of Sharjah, AE
3 Professor, Department of Physiotherapy, Manipal Academy of Higher Education, Manipal, IN
4 Professor and Dean Department of Physiotherapy, Manipal Academy of Higher Education, Manipal, IN
5 Associate Professor, Department of Cardiovascular Technology, Manipal Academy of Higher Education ,anipal, IN

Abstract

Background: Epicardial adipose tissue is known to have adverse effect on local coronary health, cardiac structure and function. Echocardiography has shown to be a reliable method to measure the adipose thickness. Aim: To study the association between epicardial adipose tissue thickness with resting and post-exercise test cardiac output. Method: A cross-sectional study of 26 overweight and obese subjects in the age group of 20 to 50 was included. Epicardial adipose tissue thickness was measured using M-mode echocardiogram. Resting and post exercise cardiac output, ejection fraction and heart rate recovery were measured during sub-maximal exercise on treadmill. Results: There was no significant correlation of epicardial adipose tissue thickness with resting and postexercise cardiac output, ejection fraction and heart rate recovery. Conclusion: Cardiac output, Ejection fractionat rest and post - exercise, also Heart rate recovery were not affected by epicardial adipose tissue thickness of less than 4mm.

Keywords

Epicardial Adipose Tissue, Cardiac Output, Sub-Maximal Exercise Test, Body Mass Index, Overweight And Obesity, Echocardiography

Full Text