Exercise-based cardiac rehabilitation increases daily physical activity of patients following myocardial infarction: subanalysis of two randomised controlled trials

Ribeiro, Fernando; Oliveira, Nórton Luís; Silva, Gustavo; Campos, Luísa; Miranda, F Moran; Teixeira, Madalena; Alves, Alberto Jorge; Oliveira, José

doi:10.1016/j.physio.2015.12.002

Cited by 27 publications

(40 citation statements)

References 21 publications

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“…The one study reporting changes in steps using a pedometer reported an increase of 1,973.9 steps per day as compared to the RCTs reporting PA using accelerometers where steps per day increased from 497 40 to 1,586 37 in the IGs. Two studies 36,39 reported PA as energy expended at different intensity levels and again significant differences between IG and CG were reported.…”

Section: Results Of Individual Studiesmentioning

confidence: 96%

“…Where devices were worn/carried by both IG and CG and PA data were collected objectively, IG participants showed a greater adherence in four of the studies. 33,37,39,42 Varnfield and colleagues 33 found a significant difference in adherence rates between IG and CG (p<0.05) concluding that the use of a smartphone as part of their care assessment platform (IG) was more effective in keeping participants in rehabilitation (80% compared to 47% in the CG), and as effective in improving health outcomes. 33 Table 4 shows the studies that addressed our secondary outcomes; objective measurement of PA, and user acceptability to the device.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

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Examining adherence to activity monitoring devices to improve physical activity in adults with cardiovascular disease: A systematic review

Marin

Kourbelis

Foote

et al. 2018

Eur J Prev Cardiolog

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Background Activity monitoring devices are currently being tested to facilitate and monitor physical activity. No prior reviews have examined adherence to the use of activity monitoring devices amongst adults with cardiovascular disease. Methods Literature from June 2012 to October 2017 was evaluated to examine the extent of adherence to any activity monitoring device used to collect objective physical activity data. RCTs comparing usual care against an activity monitoring device in a community intervention for adults from any cardiovascular diagnostic group were included. A systematic search of databases and clinical trials registers was conducted using Joanna Briggs Institute methodology. Results Of the ten eligible studies, two studies reported on pedometer use, and eight on accelerometers. Six studies addressed our primary outcome with a mean adherence of 59.1% at last follow up; range 39.6% to 85.7% at six months. Studies lacked equal representation by gender (28.6% female) and age (range 42 to 82 years). Conclusion The results of this review have demonstrated we may be over stating results from current research due to adherence issues. Results showed physical activity tracking in women and young adults have been understudied.

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Section: Results Of Individual Studiesmentioning

confidence: 96%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Examining adherence to activity monitoring devices to improve physical activity in adults with cardiovascular disease: A systematic review

Marin

Kourbelis

Foote

et al. 2018

Eur J Prev Cardiolog

View full text Add to dashboard Cite

show abstract

“…Nonetheless, it is difficult to ascertain the role of leisure time physical activity alone in secondary prevention, as most studies have not discerned the effects of structured exercise training alone or incorporated in comprehensive cardiac rehabilitation programs from those induced by leisure time physical activity alone. In patients following myocardial infarction, participation in an 8-wk exercise-based cardiac rehabilitation programme was found to improve leisure-time physical activity levels consistent with health-related benefits[50]. Interestingly, at baseline, only half of the subjects were compliant with physical activity recommendations (52%), but at the end of the intervention, 76% of the exercise group and 44% of controls complied with physical activity recommendations[50].…”

Section: Physical Activity In Secondary Prevention Of Cardiovascular mentioning

confidence: 99%

“…In patients following myocardial infarction, participation in an 8-wk exercise-based cardiac rehabilitation programme was found to improve leisure-time physical activity levels consistent with health-related benefits[50]. Interestingly, at baseline, only half of the subjects were compliant with physical activity recommendations (52%), but at the end of the intervention, 76% of the exercise group and 44% of controls complied with physical activity recommendations[50]. Likewise, a home-based cardiac rehabilitation program, composed by education and counselling intervention for 12 wk, regarding physical activity and cardiovascular risk factor management, showed an increase in physical activity index and time spent in moderate to vigorous physical activity during the intervention period with no changes in the control group[51].…”

Section: Physical Activity In Secondary Prevention Of Cardiovascular mentioning

confidence: 99%

Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated

Alves¹,

Viana²,

Cavalcante³

et al. 2016

WJC

154

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Although the observed progress in the cardiovascular disease treatment, the incidence of new and recurrent coronary artery disease remains elevated and constitutes the leading cause of death in the developed countries. Three-quarters of deaths due to cardiovascular diseases could be prevented with adequate changes in lifestyle, including increased daily physical activity. New evidence confirms that there is an inverse dose-response relationship between physical activity and cardiovascular disease and mortality risk. However, participation in moderate to vigorous physical activity may not fully attenuate the independent effect of sedentary activities on increased risk for cardiovascular diseases. Physical activity also plays an important role in secondary prevention of cardiovascular diseases by reducing the impact of the disease, slowing its progress and preventing recurrence. Nonetheless, most of eligible cardiovascular patients still do not benefit from secondary prevention/cardiac rehabilitation programs. The present review draws attention to the importance of physical activity in the primary and secondary prevention of cardiovascular diseases. It also addresses the mechanisms by which physical activity and regular exercise can improve cardiovascular health and reduce the burden of the disease.

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“…As such, the long-term effects of CR should be evaluated. In previous studies, the effect of CR on patients with AMI was analyzed at 3 months, 6 months, and 12 months [14,15], and also focused on physical improvements [16,17].…”

Section: Introductionmentioning

confidence: 99%

Effect of Hospital-based Cardiac Rehabilitation on Quality of Life and Physical Capacity in Acute Myocardial Infarction Patients: 2 Years Follow Up

Kim¹,

Nam²,

Oh³

et al. 2018

J Clin Exp Cardiolog

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Objective: The aim of this study was to investigate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical functions in patients with acute myocardial infarction (AMI) during 2 years of followup.Methods: All AMI patients referred to the Cardiac Health and Rehabilitation Center (CHRC) were informed about CR and followed for 2 years on an outpatient basis from July 2010 to December 2015. Patients who were divided into a CR group and non-CR group. All patients took home-based self-exercise as CR programs of CHRC and in addition, the CR group received hospital-based supervised exercise training three times a week for 2 months. Both groups were evaluated for physical capacity and QOL at baseline, after 2 months of exercise training, and at 6 months, 1 year, and 2 years of follow-up. Results:The CR group showed significant improvements in physical functioning (PF), physical role functioning, bodily pain, vitality (VT), social role functioning, emotional role functioning, mental health, physical component summary (PCS), and mental component summary at all-time points compared to baseline. At 1 year of follow-up, the CR group displayed significantly greater PF, general health perceptions, VT, and PCS values than the non-CR group. Regarding physical capacity, the CR group exhibited significantly lower resting heart rate and significantly greater maximal oxygen consumption and metabolic equivalents than the non-CR group at 6 months of follow-up. Conclusion:Hospital-based CR was effective in promoting QOL and early improvement in exercise capacity in patients with AMI. Further, the improvement in QOL was maintained for up to 2 years.

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Exercise-based cardiac rehabilitation increases daily physical activity of patients following myocardial infarction: subanalysis of two randomised controlled trials

Cited by 27 publications

References 21 publications

Examining adherence to activity monitoring devices to improve physical activity in adults with cardiovascular disease: A systematic review

Examining adherence to activity monitoring devices to improve physical activity in adults with cardiovascular disease: A systematic review

Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated

Effect of Hospital-based Cardiac Rehabilitation on Quality of Life and Physical Capacity in Acute Myocardial Infarction Patients: 2 Years Follow Up

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