Cor Vasa 2025, 67(3):336-343 | DOI: 10.33678/cor.2025.026

(Changes in Body Composition During Outpatient and Hybrid Cardiovascular Rehabilitation in Patients with Coronary Artery Disease)

Marko Zváč^a, Ladislav Baťalík^{a, b, c, d}

^a Katedra fyzioterapie a rehabilitace, Lékařská fakulta Masarykovy univerzity, Brno, Česká republika

^b Rehabilitační klinika, Fakultní nemocnice Brno, Brno, Česká republika

^c Rehabilitační klinika, Lékařská fakulta Masarykovy univerzity, Brno, Česká republika

^d Ústav veřejného zdraví, Lékařská fakulta Masarykovy univerzity, Brno, Česká republika

Objective: To evaluate the effectiveness of traditional outpatient and hybrid cardiac rehabilitation (CR) programs in improving body composition and cardiovascular risk factors in patients with coronary artery disease (CAD).

Methods: A total of 136 out of 169 CAD patients completed a 12-week CR program (outpatient: n = 91, hybrid: n = 45). Body composition was assessed using bioelectrical impedance analysis, while cardiovascular parameters were measured before and after the program.

Results: Both groups showed significant improvements in body composition, cardiovascular parameters, and aerobic capacity (+18 W vs +19 W; p <0.05). The outpatient group exhibited a higher increase in muscle mass (+0.65%, p <0.05) and visceral fat reduction, while the hybrid group showed a greater decrease in systolic blood pressure. No serious adverse events were reported.

Conclusion: Both CR models are effective in improving body composition and cardiovascular risk factors. The hybrid model offers comparable safety and flexibility, making it an attractive alternative for a broader patient population.

Keywords: Body composition, Cardiac rehabilitation, Cardiovascular risk factors, Coronary artery disease, Hybrid rehabilitation

Received: January 2, 2025; Revised: February 10, 2025; Accepted: February 10, 2025; Prepublished online: June 2, 2012; Published: June 20, 2025  Show citation