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Diabetics did worse than non-diabetic patients the improvement they reached was 19.4 ± 18.9% vs. 23.8 ± 23.9% (P = 0.005). The presence of heart failure was significantly related to both the baseline and final performance, but the attained improvement was significantly greater in heart failure patients 24.3 ± 23.8% vs. 16.3 ± 15.4% (P less then 0.001). No patient had adverse events related to the program. Conclusion This study documents a significant improvement in exercise capacity in elderly obese patients affected with heart disease