A High-PRotein Mediterranean Diet and Resistance Exercise for Cardiac Rehabilitation

Cardiovascular disease is responsible for a quarter of all deaths in the UK and risk seems to be higher in cardiac rehabilitation (CR) with lower body weight which may be due to sarcopenci obesity (SO) or low muscle mass with high fat mass. The investigators aim to investigate the effect of a high protein Mediterranean diet and resistance exercise on improving lean mass and reducing risk markers of cardiovascular disease

Inclusion Criteria: * Informed consent given * Ability to attend screening at Liverpool John Moores University * Cardiac function deemed stable after phase 3 cardiac rehabilitation Exclusion Criteria: * Inability to perform resistance exercise (determined by primary care team) * Renal dysfunction * Inability/unwillingness to digest/consume dairy products * Admission to CR due to congenital or drug/alcohol-abuse induced cardiac events * Pregnancy