PMID- 23964295 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130821 LR - 20211021 IS - 1738-5520 (Print) IS - 1738-5555 (Electronic) IS - 1738-5520 (Linking) VI - 43 IP - 7 DP - 2013 Jul TI - Cardiac rehabilitation increases exercise capacity with a reduction of oxidative stress. PG - 481-7 LID - 10.4070/kcj.2013.43.7.481 [doi] AB - BACKGROUND AND OBJECTIVES: Reactive oxygen species (ROS) mediate various signaling pathways that underlie vascular inflammation in atherogenesis and cardiovascular diseases. Cardiac rehabilitation (CR) has a variety of multiple beneficial effects, including anti-inflammatory effects. The purpose of the present study was to investigate the effects of CR on ROS in patients with cardiovascular diseases. SUBJECTS AND METHODS: The serum level of derivatives of reactive oxidative metabolites, an index of oxidative stress, was measured in 100 patients with cardiovascular diseases before, and, subsequently, 3 and 6 months after, CR. A biological antioxidant potential (BAP) test was applied to assess the antioxidant power of the serum. RESULTS: The resting reactive oxidative metabolite levels decreased 3-6 months after CR pre: 351+/-97 Carratelli unit (CARR U), 3 months: 329+/-77 CARR U, 6 months: 325+/-63 CARR U, all p<0.01 with the increase of the percentage of the predicted values of V̇O2 peak and the percentage of the predicted values of V̇O2 at the anaerobic threshold (V̇O2 AT) and the decrease of the B-type natriuretic peptide (BNP). The BAP test and antioxidative/oxidative stress ratio increased 6 months after CR. The % changes of the antioxidative/oxidative stress ratio was positively correlated with the % changes of V̇O2 AT, and negatively correlated with the % changes of the BNP. CONCLUSION: These results suggest that intensive supervised CR significantly improved exercise capacity, which may be attributable to an adaptive response involving more efficient oxidative metabolites or the increased capacity of endogenous anti-oxidative systems in patients with cardiovascular diseases. FAU - Fukuda, Taira AU - Fukuda T AD - Health Center, Hitotsubashi University, Tokyo, Japan. ; Department of Ischemic Circulatory Physiology, University of Tokyo, Tokyo, Japan. FAU - Kurano, Miwa AU - Kurano M FAU - Fukumura, Kazuya AU - Fukumura K FAU - Yasuda, Tomohiro AU - Yasuda T FAU - Iida, Haruko AU - Iida H FAU - Morita, Toshihiro AU - Morita T FAU - Yamamoto, Yumiko AU - Yamamoto Y FAU - Takano, Nami AU - Takano N FAU - Komuro, Issei AU - Komuro I FAU - Nakajima, Toshiaki AU - Nakajima T LA - eng PT - Journal Article DEP - 20130731 PL - Korea (South) TA - Korean Circ J JT - Korean circulation journal JID - 101247141 PMC - PMC3744736 OTO - NOTNLM OT - Antioxidants OT - Cardiovascular diseases OT - Exercise therapy OT - Oxygen consumption OT - Reactive oxygen species COIS- The authors have no financial conflicts of interest. EDAT- 2013/08/22 06:00 MHDA- 2013/08/22 06:01 PMCR- 2013/07/01 CRDT- 2013/08/22 06:00 PHST- 2013/04/26 00:00 [received] PHST- 2013/06/14 00:00 [revised] PHST- 2013/06/28 00:00 [accepted] PHST- 2013/08/22 06:00 [entrez] PHST- 2013/08/22 06:00 [pubmed] PHST- 2013/08/22 06:01 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - 10.4070/kcj.2013.43.7.481 [doi] PST - ppublish SO - Korean Circ J. 2013 Jul;43(7):481-7. doi: 10.4070/kcj.2013.43.7.481. Epub 2013 Jul 31.