To examine the difference in cardiac rehabilitation (CR) outcomes based on various BMI categories, as the first systematic review and meta-analysis on this topic.
Key Findings:
No significant difference in change in METs between obese and non-obese participants.
Change in BMI was not significantly different between groups.
Total cholesterol levels improved more in non-obese individuals, but no significant differences for HDL, triglycerides, heart rate, or blood pressure.
No significant differences in METs or BMI between overweight and normal BMI groups; greater triglyceride reduction in normal BMI patients.
High heterogeneity noted in most analyses.
Interpretation:
Limitations:
High inter-study heterogeneity.
Variations in CR protocols.
Lack of standardization in BMI definitions.
Conclusion:
Pre-rehabilitation BMI does not significantly impact CR outcomes.
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