Association between VO2 peak estimated by a 1-km treadmill walk and mortality. A 10-year follow-up study in patients with cardiovascular disease

Grazzi, Giovanni; Myers, Jonathan; Bernardi, Eva; Terranova, Francesco; Grossi, G; Codecá, Luciano; Volpato, Stefano; Conconi, F; Mazzoni, Gianni; Chiaranda, Giorgio

doi:10.1016/j.ijcard.2014.02.039

Cited by 35 publications

(27 citation statements)

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“…The clinical meaning of the VO 2 peak value improvement could be assumed. The VO 2 peak value improvement obtained in the 24-week program may be relevant, not only because it is consistent with the results of a prior study but also because a similar improvement predicted the long-term prognosis of patients with CAD [ 24 , 25 ]. Our study might emphasize the potential clinical meaning of the AW program in CR programs.…”

Section: Discussionsupporting

confidence: 83%

Aqua walking as an alternative exercise modality during cardiac rehabilitation for coronary artery disease in older patients with lower extremity osteoarthritis

Lee

Joo

Brubaker

2017

BMC Cardiovasc Disord

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BackgroundThe purpose of this study was to examine the effects of aqua walking (AW) on coronary artery disease (CAD) and cardiorespiratory fitness in older adults with osteoarthritis in the lower extremity and compare it with that of traditional over-ground walking.MethodsSixty consecutive eligible patients who had undergone percutaneous coronary intervention for CAD with limited ambulation due to lower extremity osteoarthritis were recruited. They were randomly assigned to the AW program group, treadmill/track walking (TW) program group, or non-exercise control group (CON). Assessments were performed before and after 24 weeks of medically supervised exercise training.ResultsSignificant differences were observed in the change in %body fat (TW: −2.7%, AW: −2.8%, CON: −0.4%), total cholesterol level (TW: −23.6 mg/dL, AW: −27.2 mg/dL, CON: 15.8 mg/dL), resting heart rate (TW: −6.3 bpm, AW: −6.9 bpm, CON: 1.3 bpm), and cardiorespiratory fitness expressed as VO2 peak (TW: 2.3 mL/kg·min−1, AW: 2.0 mL/kg·min−1, CON: −2.5 mL/kg·min−1) over 24 weeks among the groups. However, no significant differences in the change in these measures were found between the TW and AW groups.ConclusionAW appears to be a feasible alternative exercise modality to over-ground walking for cardiac rehabilitation and can be recommended for older adults with CAD and osteoarthritis.

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Section: Discussionsupporting

confidence: 83%

Aqua walking as an alternative exercise modality during cardiac rehabilitation for coronary artery disease in older patients with lower extremity osteoarthritis

Lee

Joo

Brubaker

2017

BMC Cardiovasc Disord

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“…These data are not surprising and previous experiences showed the benefit of cardiac rehabilitation and exercise intervention in patients with HF 18 20. Exercise intervention improves functional capacity and cardiorespiratory fitness represented by VO 2 peak 9. These parameters demonstrated to be related to a better prognosis, first in terms of HF hospitalisation 21…”

Section: Discussionmentioning

confidence: 64%

“…Patients randomised to exercise intervention showed a significant and progressive increase in the time engaged in physical activity, as assessed by 7-day physical activity recall questionnaire and accelerometery 6. This was associated with an improvement of SPPB values in the experimental group (baseline 76–8 vs 6 month 98–11 vs 1 year 9,8–11 p for trend <0.001). On the contrary, SPPB values did not change in the control group (baseline 76–9 vs 6 month 75–8 vs 1 year 7,6–8 p for trend 0.7) 6.…”

Section: Resultsmentioning

confidence: 93%

“…Centre-based sessions were supervised by a sports physician and a nurse, and took approximately 30–40 min, including a moderate standardised treadmill-walk, and strength and balance exercises (detailed description is available in the online supplementary file). 5 The programme has been previously shown to be useful in the estimation of cardiorespiratory fitness and the prediction of survival and hospitalisation 9. Based on the practice sessions, patients received a walking programme to perform at home, unsupervised.…”

Section: Methodsmentioning

confidence: 99%

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Exercise intervention improves quality of life in older adults after myocardial infarction: randomised clinical trial

Campo¹,

Tonet

Chiaranda

et al. 2020

Heart

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ObjectiveTo establish the benefits of an early, tailored and low-cost exercise intervention in older patients hospitalised for acute coronary syndrome (ACS).MethodsThe study was a multicentre, randomised assessment of an exercise intervention in patients with ACS ≥70 years with reduced physical performance (as defined by the short physical performance battery (SPPB), value 4–9). The exercise intervention included four supervised sessions (1, 2, 3, 4 months after discharge) and home-based exercises. The control group attended a health education programme only. The outcomes were the 6-month and 1-year effects on physical performance, daily activities, anxiety/depression and quality of life. Finally, 1-year occurrence of adverse events was recorded.ResultsOverall, 235 patients with ACS (median age 76 (73–81) years) were randomised 1 month after ACS. Exercise and control groups were well balanced. Exercise intervention improved 6-month and 1-year grip strength and gait speed. Exercise intervention was associated with a better quality of life (as measured by EuroQol-visual analogue scale at 6 months 80 (70–90) vs 70 (50–80) points, p<0.001 and at 1 year 75 (70–87) vs 65 (50–80) points, p<0.001) and with a reduced perception of anxiety and/or depression (6 months: 21% vs 42%, p=0.001; 1 year 32% vs 47%, p=0.03). The occurrence of cardiac death and hospitalisation for cardiac cause was lower in the intervention group (7.5% vs 17%, p=0.04).ConclusionsThe proposed early, tailored, low-cost exercise intervention improves mobility, daily activities, quality of life and outcomes in older patients with ACS. Larger studies are needed to confirm the clinical benefit.Trial registration numberNCT03021044.

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“…Disability rates following a myocardial infarction, heart failure or cardiac surgery can be between 45% and 75% in older patients [ 10 , 11 ]. Regular attendance at CR by older patients has been proven to reduce all-cause and cardiovascular mortality [ 5 , 12 ] and cardiac risk factors [ 4 , 13 ]. CR promotes enhancing physical function and its components such as cardiorespiratory fitness, strength and balance [ 4 ].…”

Section: Introduction and Statement Of Purposementioning

confidence: 99%

A Review of Interventions to Improve Enrolment and Adherence to Cardiac Rehabilitation Among Patients Aged 65 Years or Above

Matata

Williamson

2017

CCR

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Purpose:This review provides an overview and quality assessment of existing interven-tions, assessing the intervention types that are most effective at increasing enrolment and adherence to cardiac rehabilitation in older patients aged ≥65 yearsMethods: The review of the literature was performed using electronic databases to search for ran-domised controlled trials that aimed to increase enrolment and/or adherence to cardiac rehabilitation in older patients aged ≥65 years. The main key words were cardiac rehabilitation, enrolment, adherence and older patients. Studies were included if; (1) the intervention targeted improving enrolment and/or adherence to at least one of the following components of the cardiac rehabilitation programme: exer-cise, education or maintaining lifestyle changes; (2) assess the effectiveness of an intervention on in-creasing enrolment and/or adherence to a cardiac rehabilitation programme or any of its components; (3) include measures for assessing enrolment and/or adherence to a cardiac rehabilitation programme or any of its components; (4) the study included patients with a mean age of ≥65 years who were deemed eligible to participate in a cardiac rehabilitation programme.Included studies could be published in any language and there were no date restrictions for included studies. Studies focusing on pharmaceutical adherence were not included for the purpose of this review.Results: Seven studies were included, with four investigating enrolment (1944 participants) and three assessing adherence to intervention programmes (410 participants). Three studies (1919 participants) reported higher enrolment to cardiac rehabilitation in the intervention group. Two studies that reported increases in enrolment to cardiac rehabilitation were deemed to have an unclear or high risk of bias. All three studies (410 participants) reported better adherence to cardiac rehabilitation in the interven-tion group when compared to the control group. Two studies that reported better completion of cardi-ac rehabilitation were deemed to have an unclear or high risk of bias. No formal meta-analysis was conducted due to the observed multiple heterogeneity among outcome measures, the low number of included studies and variability in study designs.Conclusion: This review found only weak evidence to suggest that interventions can increase enrol-ment or adherence to cardiac rehabilitation programmes for patients aged ≥65 years, therefore no practice recommendations could be made and further high-quality research is needed in this popula-tion group.

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Association between VO2 peak estimated by a 1-km treadmill walk and mortality. A 10-year follow-up study in patients with cardiovascular disease

Cited by 35 publications

References 19 publications

Aqua walking as an alternative exercise modality during cardiac rehabilitation for coronary artery disease in older patients with lower extremity osteoarthritis

Aqua walking as an alternative exercise modality during cardiac rehabilitation for coronary artery disease in older patients with lower extremity osteoarthritis

Exercise intervention improves quality of life in older adults after myocardial infarction: randomised clinical trial

A Review of Interventions to Improve Enrolment and Adherence to Cardiac Rehabilitation Among Patients Aged 65 Years or Above

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