ABSTRACT
It is unclear whether standard cardiac rehabilitation programs (i.e. moderate changes
in diet and exercise) are of benefit to coronary heart disease (CHD) patients with
diabetes. These patients not only tend to have more comorbidities, but are also less
likely to be referred to such programs than CHD patients without diabetes. This report
reviews the role and practicalities of lifestyle interventions in the secondary prevention
of CHD in patients with diabetes, with a special focus on results from our 2 multisite
comprehensive lifestyle change interventions.These interventions emphasize a very-low-fat,
high-complex-carbohydrate diet, moderate exercise, stress management and group support.
We conclude that participation in a multicomponent secondary prevention program employing
the above interventions may be of benefit not only to CHD patients in general, but
in particular to those with CHD and diabetes.
RÉSUMÉ
On ne sait pas très bien si les programmes de réadaptation cardiologique standard
(c.-à-d. modifications modérées de l'alimentation et exercice) profitent aux patients
atteints de maladie coronarienne et de diabète. Non seulement ces patients ont-ils
tendance à avoir plus de maladies concomitantes, mais ils sont moins susceptibles
d'être adressés à de tels programmes que ceux qui sont atteints de maladie coronarienne
mais pas de diabète. Ce compte rendu passe en revue le rôle et la valeur concrète
des interventions touchant le mode de vie pour la prévention secondaire de la maladie
coronarienne chez les patients atteints de diabète et met l'accent sur les résultats
de nos deux interventions multicentriques et exhaustives sur le mode de vie. Ces interventions
comportaient une alimentation très faible en gras et riche en glucides complexes,
de l'exercice d'intensité modérée, la gestion du stress et un groupe de soutien. Nous
avons conclu que la participation à un programme de prévention secondaire comportant
les diverses interventions ci-dessus pourrait profiter non seulement aux patients
atteints de maladie coronarienne en général, mais en particulier à ceux atteints de
maladie coronarienne et de diabète.
Keywords
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Article info
Footnotes
☆This paper is based on a presentation given at the Canadian Diabetes Association/Canadian Society of Endocrinology and Metabolism Professional Conference and Annual Meetings, Quebec City, Quebec, Canada, October 27—30, 2004
Identification
Copyright
© 2006 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.
