Evaluation of effort tolerance in diabetic and non-diabetic patients undergoing cardiac rehabilitation after cardiac surgery

Aleksandra Szylińska, Alicja Mińko, Zuzanna Hilicka, Dominik Turzyński, Jakub Udzik, Piotr Sulikowski, Izabela Grabińska, Iwona Rotter

DOI: http://dx.doi.org/10.12775/JEHS.2020.10.08.046


Introduction: Complex cardiac rehabilitation is a basic procedure of therapeutic treatment for patients after cardiac surgeries. The course of operations depends on many factors. The aim of this article is to investigate connections between type 2 diabetes and results of 6-minute walk test among patients after cardiac surgery. 

Materials and methods: This research was conducted among 111 patients who had cardiac surgery. Those patients were qualified to stay at a stationary cardiac rehabilitation facility. They were divided into two groups: patients with and without diabetes. In the analysis, patients’ medical data and 6-minute walk test results before and after complex rehabilitation were taken into consideration. 

Results: On the basis of our analysis it was found that patients who have diabetes achieve worse results of 6-minute walk test before (OR=0.995; p=0.005) and after (OR=0.994, p=0.006) complex cardiac rehabilitation in comparison with patients without diabetes. 

Conclusions: Type 2 diabetes has impact on physical effort tolerance among patients after cardiac surgery. Despite improvement of 6-minute walk test results thanks to complex cardiac rehabilitation, patients with type 2 diabetes walked shorter distance than patients without diabetes.


cardiac rehabilitation; cardiology; 6-minute walk test; type 2 diabetes

Full Text:



Zielińska D., Bellwon J., Biernat A., Toruński A., Mierzejewski L., Bakuła S.: Bezpieczeństwo i skuteczność rehabilitacji kardiologicznej u chorych na cukrzycę po leczeniu operacyjnym choroby wieńcowej. Kardiol Pol 2009; 67: 941-945.

Laddu D.R., Ozemek C., Hauer T.L., Rouleau C.R., Campbell T.S., Wilton S.B. i wsp.: Cardiometabolic responses to cardiac rehabilitation in people with and without diabetes. Int J Cardiol 2020 Feb 15;301:156-162.

Kachur S., Chongthammakun V., Lavie C. J., De Schutter A., Arena R., Milani R. V. i wsp.: Impact of cardiac rehabilitation and exercise training programs in coronary heart disease. Progress in Cardiovascular Diseases 2017; 60(1); 103-114.

Górska-Ciebiada M., Ciebiada M., Barylski M., Loba J.: Cukrzyca u osób w wieku podeszłym w świetle nowych wytycznych Polskiego Towarzystwa Diabetologicznego. Geriatria 2009; 3: 228-233.

Ścibisz A., Wilczyńska J., Michalak M., Pietrasik A.: Chory z cukrzycą i chorobą wieńcową – dyskusyjny pacjent w pracowni kardiologii inwazyjnej. Kardiol Dypl 2010; 9 (7): 77-83.

Głowacka P., Mizia-Stec K., Gąsior Z.: Cukrzyca typu 2 a rehabilitacja pacjentów po zawale mięśnia sercowego. Fizjoter Pol 2010; 4(4); Vol. 10, 289-297.

Rejestr głównych typów operacji kardiochirurgicznych w 2015 r. w poszczególnych ośrodkach w Polsce (wg Krajowego Rejestru Operacji Kardiochirurgicznych KROK):

Kardiochir Torakochirurgia Pol. 2016; 13(2): 185–188.

Pres D., Gąsior M., Poloński L.: Leczenie pacjentów z chorobą wieńcową i cukrzycą. Choroby Serca i Naczyń 2010; 7 (3); 112–117.

Dourado VZ.: Reference Equations for the 6-Minute Walk Test in Healthy Individuals. Arq Bras Cardiol Feb. 2011.

Eser P., Marcin T., Prescott E., Prins L.F., Kolkman E., Bruins W. i wsp.: Clinical outcomes after cardiac rehabilitation in elderly patients with and without diabetes mellitus: The EU-CaRE multicenter cohort study. Cardiovasc Diabetol 2020; 19;19(1):37.

Völler, H., Reibis, R., Pittrow, D., Jannowitz, C., Wegscheider, K., Karmann, B. i wsp.: Secondary prevention of diabetic patients with coronary artery disease in cardiac rehabilitation: risk factors, treatment and target level attainment. Current Medical Research and Opinion 2009; 25(4): 879–890.

Seguro C., Viana R., Lima G., Galvão L., Silva L., Jardim T. i wsp.: Improvements in health parameters of a diabetic and hypertensive patient with only 40 minutes of exercise per week: a case study. Disabil Rehabil. 2019; 23:1-7.

Denegri A., Rossi V.A., Vaghi F., Di Muro P., Regazzi M., Moccetti T., i wsp.: A patient-centered multidisciplinary cardiac rehabilitation program improves glycemic control and functional outcome in coronary artery disease after percutaneous and surgical revascularization. Cardiol J. 2020; 10.

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014


POL-index 2011 - 2014


BASE 2011 - 2014




Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska, EuroPub database, NLM Catalog Result - NCBI, BASE, Russian Sciences Index, Arianta.



US NLM = 101679844

101679844 - NLM Catalog Result - NCBI


Find a library that holds this journal: http://worldcat.org/issn/23918306


PBN Poland






Redaction, Publisher and Editorial Office

Publisher and Editorial Office
Department of Physical Culture,
Faculty of Earth Sciences and Spatial Management,
Nicolaus Copernicus University in Toruń, Poland
Address: Str. Lwowska 1, 87-100 Toruń, Poland

  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

Indexed in Index Copernicus Journals Master List.


ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

RG Journal Impact: 0.18 *

*This value is calculated using ResearchGate data and is based on average citation counts from work published in this journal. The data used in the calculation may not be exhaustive.

RG Journal impact history

2020Available summer 2021
2018 / 20190.18

RG Journal impact over time

RG Journal impact

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski


Partnerzy platformy czasopism