1. Marsh, Lisa A. MS, ATC
  2. Frame, Rachel A. BA
  3. Marley, William P. PhD

Article Content


Identifying individuals with the metabolic syndrome provides opportunities to intervene in the management of shared disease pathways predisposing individuals to both cardiovascular disease [CVD] and diabetes.



To determine the effect of multifactorial CR on the metabolic syndrome and related clinical variables in cardiac patients with comorbid type 2 diabetes mellitus.



Twenty-eight [28] patients [22 men, 6 women) with a mean age of 66.2 +/- 8.5 years served as the basis for this study. They were enrolled in the Diabetes Exercise Center and participated in the multifactorial Cardiac Rehabilitation Program [CRP] of the Marshall University Medical Center. Interventions included exercise, smoke cessation, nutritional counseling, and weekly educational sessions with a variety of topics related to diabetes management and care. Guest speakers were physicians, nurses, exercise physiologists, podiatrists, registered dietitians, pharmacists, physical therapists, and other health professionals. Social events [e.g., picnics, holiday luncheons] as well as fun competition events [e.g., Wellness Challenge], were also scheduled to enhance group camaraderie. Patients were screened and risk stratified prior to program entry with a medical profile that included a history, physical, multi-stage exercise test, pulmonary function test, lipid profile, CBC, HbA1c, anthropometric measures, and risk factor analysis. Selected measures were repeated at 12 weeks and on a pattern of care basis.



Significant (P <.05) changes in the metabolic syndrome were observed for systolic blood pressure, serum triglyceride, and fasting blood glucose. Other variables exhibiting significant improvement were: HbA1c, total serum cholesterol [TSC], LDL-C, VLDL-C, TSC/HDL, LDL/HDL, NONHDL, exercise compliance, dietary compliance, and Beck Depression Inventory score.



Participation in a multifactorial CRP improved outcomes for the metabolic syndrome profile and related clinical variables in cardiac patients with comorbid type 2 diabetes mellitus.