By William Kraus, Steven Keteyian
This quantity serves as a handbook to companies in regards to the multidisciplinary nature of cardiac rehabilitation within the present period, the present kingdom of cardiac rehabilitation, and the problems featuring to present CR courses. It comprises theoretical, functional, and updated cardiac rehabilitation info, together with the recent middle for Medicare and Medicaid providers (CMS) instructions for compensation. The ebook bargains varied, complete chapters, from nutrients to programmatic concerns. It serves as an ideal source for workers and administrators which are new to cardiac rehabilitation or desire to commence a software.
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Extra info for Cardiac Rehabilitation (Contemporary Cardiology)
This method of controlling intake may be more effective in the weight loss process, but it is also more likely to lead to non-adherence in some individuals due to the complexity of determining serving sizes, reading food labels, etc. Very Low-Calorie Diet (complete meal replacement) Patients who are extremely obese (BMI ≥ 35 or 30 kg/m2 with comorbid conditions) and who seek a professional weight loss program may be appropriate for the implementation of a very low-calorie diet (VLCD). This diet limits daily calorie intake to 500–800 calories and uses nutritional supplements formulated to be high in protein and low in fat.
Typical duration of a VLCD is 12–24 weeks. However, longer durations are common in the morbidly obese as long as medical supervision is maintained. Although VLCDs were associated with a number of arrhythmic cardiac deaths in the late 1970s, increases in protein and micronutrients and careful medical monitoring have essentially eliminated such risk. The VLCD is easily implemented, effective for achieving significant short-term weight loss of up to 20% at 6 months, and very safe if implemented and followed by a trained dietitian and exercise physiologist, as commonly employed in a cardiac rehabilitation program.
The distinction to be made is in the type of starch that is recommended for inclusion in the diet. While refined grains are stripped of their nutrients and are often included in popular high-fat products, whole grains provide a bounty of nutrients, phytochemicals, and fiber. Inclusion of whole grains and cereal fiber in the diet also decreases risk of disease. In the Iowa Women’s Health study, Jacobs et al. (13) found a clear inverse relationship between intake of whole grains and risk of heart disease.