Changes in Physical Activity and Sedentary Behavior During Cardiac Rehabilitation

Hoeve, Nienke ter; Sunamura, Madoka; Geffen, Myrna E. van; Fanchamps, Malou H. J.; Horemans, Herwin; Bussmann, J.B.J.; Stam, Henk J.; Domburg, Ron T. van; Berg-Emons, Rita J G van den

doi:10.1016/j.apmr.2017.05.008

Cited by 34 publications

(60 citation statements)

References 34 publications

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“…In the present study, the significant increase in MVPA time with CR is consistent with findings from previous studies. 4,6,25 However, in contrast with the study by ter Hoeve et al, 4 our participants did not retain the increase in MVPA time at the 6 month follow-up. This observation may be attributed to the fact that »70% of our participants met the recommended level of MVPA (i.e., 30 min/day) 26 at all 3 assessment points (baseline: 75.9%, 12 weeks: 75.9%, 6 months: 67.2%).…”

Section: Discussioncontrasting

confidence: 98%

“…1,6,27À29 Previous studies reported strong correlation between changes in sedentary behavior and changes in light PA; and suggested that replacing sedentary behavior with light PA, being easy to implement, can be a feasible strategy to decrease ongoing sedentary behavior. 1,27,29À31 In the present study, we did not find any significant change in time spent in light PA over the course of the study; whereas ter Hoeve et al 4 demonstrated significant increase in light PA that was maintained at follow-up. Those authors also examined the distribution of the sedentary behavior and reported more fragmented sedentary time with increased number of breaks.…”

Section: Discussioncontrasting

confidence: 62%

“…12,32,33 Findings from the study by ter Hoeve et al, 4 reaffirms this by demonstrating increase in light PA and number of breaks in sedentary time, and decrease in sedentary behavior that was maintained at 1 year follow-up. 4 A recent study on CR programs reported that both CR participants and staff tend to focus more on increasing exercise time (i.e., regimented MVPA) compared to reducing sedentary behavior. 5 Therefore, habitual PA has often been overlooked in CR participants.…”

Section: Discussionmentioning

confidence: 77%

“…3 With current cardiac rehabilitation (CR) programs being focused mainly on MVPA, sedentary behavior has often been overlooked in CR participants. 4 By increasing exercise (i.e., regimented MVPA) during CR, these programs successfully improve exercise capacity in CR participants. However, they might not be as successful in reducing overall sedentary behavior.…”

Section: Introductionmentioning

confidence: 99%

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Sedentary behavior and physical activity in cardiac rehabilitation participants

Ramadi

Haennel

2019

Heart & Lung

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Section: Discussioncontrasting

confidence: 98%

Section: Discussioncontrasting

confidence: 62%

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

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Sedentary behavior and physical activity in cardiac rehabilitation participants

Ramadi

Haennel

2019

Heart & Lung

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“…In the included studies, the SMDs were calculated using diverse PA outcome measures and generated by different methods of data-processing using various devices. These methodological differences between studies in accelerometer data-processing limit comparability (36). Using a standardized version of the effect size, such as the SMD, only partly resolves the problem of comparing different PA outcomes measured using different devices.…”

Section: Study Limitationsmentioning

confidence: 99%

Effectiveness of healthcare interventions using objective feedback on physical activity: A systematic review and meta-analysis

Braakhuis¹,

Berger²,

Bussmann³

2019

J Rehabil Med

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Wearable technology is progressively applied in health care and rehabilitation to provide objective insight into physical activity levels. In addition, feedback on physical activity levels delivered by wearable monitors might be beneficial for optimizing their physical activity. A systematic review and meta-analysis was conducted to evaluate the effectiveness of interventions using feedback on objectively measured physical activity in patient populations. Fourteen studies including 1902 patients were analyzed. Overall, the physical activity levels of the intervention groups receiving objective feedback on physical activity improved, compared to the control groups receiving no objective feedback. Mostly, a variety of other strategies were applied in the interventions next to wearable technology. Together with wearable technology, behavioral change strategies, such as goalsetting and action planning seem to be an important ingredient to promote physical activity in health care and rehabilitation. Objective: To determine the effectiveness of health care interventions promoting physical activity, which use objective feedback on physical activity delivered using wearable activity monitors as part of the in tervention. Intervention groups are compared with control groups receiving usual care or interventions without objective feedback. Data sources: PubMed, EMBASE, MEDLINE and Co chrane Library were searched to identify randomized controlled trials. Study selection: Randomized controlled trials pu blished after 2007 with (former) healthcare patients ≥ 21 years of age were included if physical activity was measured objectively using a wearable moni tor for both feedback and outcome assessment. The main goal of included studies was promoting phy sical activity. Any concurrent strategies were related only to promoting physical activity. Data extraction: Effect sizes were calculated using a fixed-effects model with standardized mean dif ference. Information on study characteristics and interventions strategies were extracted from study descriptions. Data synthesis: Fourteen studies met the inclusion criteria (total n = 1,902), and 2 studies were exclu ded from metaanalysis. The overall effect size was in favour of the intervention groups (0.34, 95% CI 0.23-0.44, p < 0.01). Study characteristics and inter vention strategies varied widely. Conclusion: Healthcare interventions using feedback on objectively monitored physical activity have a moderately positive effect on levels of physical acti vity. Further research is needed to determine which strategies are most effective to promote physical ac tivity in healthcare programmes.

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The scientific basis for secondary prevention of coronary artery disease: recent contributions from the Netherlands

et al. 2020

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While the beneficial effects of secondary prevention of cardiovascular disease are undisputed, implementation remains challenging. A gap between guideline-mandated risk factor targets and clinical reality was documented as early as the 1990s. To address this issue, research groups in the Netherlands have performed several major projects. These projects address innovative, multidisciplinary strategies to improve medication adherence and to stimulate healthy lifestyles, both in the setting of cardiac rehabilitation and at dedicated outpatient clinics. The findings of these projects have led to changes in prevention and rehabilitation guidelines.

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Changes in Physical Activity and Sedentary Behavior During Cardiac Rehabilitation

Cited by 34 publications

References 34 publications

Sedentary behavior and physical activity in cardiac rehabilitation participants

Sedentary behavior and physical activity in cardiac rehabilitation participants

Effectiveness of healthcare interventions using objective feedback on physical activity: A systematic review and meta-analysis

The scientific basis for secondary prevention of coronary artery disease: recent contributions from the Netherlands

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