Long term effects of exercise training on physical activity level and quality of life in elderly coronary patients — A three‐ to six‐year follow‐up

Hage, Camilla; Mattsson, Eva; Ståhle, Agneta

doi:10.1002/pri.268

Cited by 30 publications

(20 citation statements)

References 37 publications

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“…One further methodologically less rigorous meta-analysis confirmed these findings [43]. In contrast, the only two primary studies reporting cardiac events [28,29] observed increased event rates associated with exercise training, which resulted in a similar finding in our meta-analysis (Figs 2 and 3 and Table 3). The studies were of lower methodological quality, however.…”

Section: Exercise-based Interventionssupporting

confidence: 82%

Effectiveness of nonpharmacological secondary prevention of coronary heart disease

Müller‐Riemenschneider

Meinhard

Damm

et al. 2010

European Journal of Cardiovascular Prevention & Rehabilitat

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Nonpharmacological secondary prevention is safe and effective, with exercise and multimodal interventions reducing mortality most substantially. There is a lack of studies concerning dietary and smoking cessation interventions. In addition, intervention effectiveness in patient subgroups and of intervention components could not be evaluated conclusively. Future research should investigate these issues in rigorous studies with appropriate follow-up duration to improve the current poor risk factor control of CHD patients.

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Section: Exercise-based Interventionssupporting

confidence: 82%

Effectiveness of nonpharmacological secondary prevention of coronary heart disease

Müller‐Riemenschneider

Meinhard

Damm

et al. 2010

European Journal of Cardiovascular Prevention & Rehabilitat

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“…The easy application of EQ-5D is its main advantage. This perception is confirmed by many authors studied (Hage et al, 2003;Austin et al, 2005;Grace et al, 2007;Austin et al, 2009). The EQ-5D applicability to specific diseases is controversy.…”

Section: Discussionmentioning

confidence: 77%

“…The EQ-5D applicability to specific diseases is controversy. The reasons for the debate are based on the fact that some researchers consider that generic instruments are less sensible to changes over time (Hage et al, 2003;Vuorialho et al, 2006;Datta et al, 2008) and to recommend the use of specific tools to evaluate certain diseases (Hage et al, 2003). Another authors have confirmed the reliability of this instrument to evaluate specific health conditions (Jakola et al, 2010;Davis et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life in elderly: a review of the EQ-5D use

Veras¹,

Magliano²,

Santos³

et al. 2016

JBES

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Objective: To systematically identify and review studies that used EQ-5D to assess health-related quality of life (QoL) in elderly. Methods: Relevant literature was searched in MEDLINE and Lilacs databases and the EuroQol Plenary Meetings Proceedings (June/2003 to June/2013). The inclusion criteria were subjects aged 60 years or more and the use of the EQ-5D questionnaire. Two independent reviewers screened title, abstract, full text and performed data extraction. The country where the study had been conducted, demographic characteristics of the population, objectives, common criteria used by the studies to the exclusion of patients/participants and presentation of the data were the variables analyzed. Results: A total of 90 studies were included with 34,449 subjects, the mean age was 75.6 ± 4.3 years. The majority of the studies were from Europe (66.7%). Studies in Africa and South America were not identified. The main diseases investigated were orthopedic (20.0%) and cardiovascular diseases (15.5%). The study's results were most frequently based on personal interviews (41.1%) involving directly the elderly (92.2%). The most common exclusion criteria were health conditions that could result in bias or confounding on the study protocol (61.1%) and low cognitive level (50.0%). The EQ-5D results were presented in different ways: means (82.2%) or medians (5.6%) associated with measures of dispersion as standard deviation (61.1%) and confidence interval (22.2%), or according to the answers in the descriptive system (22.2%). Conclusions: The lack of standardization in the exhibition of the results limits a direct comparison among different interventions. RESUMO Objetivo:Identificar sistematicamente e revisar os estudos que utilizaram o EQ-5D para avaliar a qualidade de vida relacionada à saúde em idosos. Métodos: Foram realizadas buscas nas bases MEDLINE e Lilacs e nos arquivos do encontro anual do grupo EuroQol (Junho/2003 a Junho/2013). Os critérios de inclusão dos estudos foram: população com idade ≥ 60 anos e uso do questionário EQ-5D. Dois revisores independentes avaliaram os títulos, depois os resumos e o texto completo e extraíram os dados. As variáveis estudadas foram: país de origem do estudo, características demográficas da amostra, objetivos do estudo, critérios para a exclusão dos pacientes e forma de apresentação dos resultados. Resultados: Foram incluídos 90 estudos, totalizando 34.449 indivíduos, cuja média de idade foi de 75,6 ± 4,3 anos. A maioria dos estudos foi conduzida na Europa (66,7%). Não foram identificados estudos na África ou na América do Sul. As principais doenças investigadas

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“…However, our choice (3 years gains) is conservative and the threshold, to be considered as a 3 years life expectancy gain in cardiovascular patients, is high [19, 23]. Moreover, Hage et al [33] studied physical activity level and health related quality of life three to 6 years after a myocardial infarction in elderly Sweden patients. They concluded that after a coronary event, a supervised physical activity program has the potential to positively influence activity and quality of life for as long as three to 6 years.…”

Section: Discussionmentioning

confidence: 99%

“As du Coeur” study: a randomized controlled trial on quality of life impact and cost effectiveness of a physical activity program in patients with cardiovascular disease

Bailly

Mossé

Diagana³

et al. 2018

BMC Cardiovasc Disord

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BackgroundPhysical activity programs (PAP) in patients with cardiovascular disease require evidence of cost-utility. To assess improvement in health-related quality of life (QoL) and reduction of health care consumption of patients following PAP, a randomized trial was used.MethodsPatients from a health insurance company who had experienced coronary artery disease or moderate heart failure were invited to participate (N = 1891). Positive responders (N = 50) were randomly assigned to a progressively autonomous physical activity (PAPA) program or to a standard supervised physical activity (SPA) program. The SPA group had two supervised sessions per week over 5 months. PAPA group had one session per week and support to aid habit formation (written tips, exercise program, phone call). To measure health-related quality of life EQ-5D utility score were used, before intervention, 6 months (T6) and 1 year later. Health care costs were provided from reimbursement databases.ResultsMobility, usual activities and discomfort improved significantly in both group (T6). One year later, EQ-5D utility score was improved in the PAPA group only. Total health care consumption in the intervention group decreased, from a mean of 4097 euros per year before intervention to 2877 euros per year after (p = 0.05), compared to a health care consumption of 4087 euros and 4180 euros per year, in the total population of patients (N = 1891) from the health insurance company. The incremental cost effectiveness ratio was 10,928 euros per QALYs.ConclusionA physical activity program is cost-effective in providing a better quality of life and reducing health care consumption in cardiovascular patients.Trial registrationISRCTN77313697, retrospectively registered on 20 November 2015.Electronic supplementary materialThe online version of this article (10.1186/s12872-018-0973-3) contains supplementary material, which is available to authorized users.

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Long term effects of exercise training on physical activity level and quality of life in elderly coronary patients — A three‐ to six‐year follow‐up

Abstract: It is important to include elderly patients in cardiac rehabilitation programmes after an acute coronary event, since even a short period of supervised exercise training has the potential to positively influence physical activity level for as long as three to six years.

Cited by 30 publications

References 37 publications

Effectiveness of nonpharmacological secondary prevention of coronary heart disease

Effectiveness of nonpharmacological secondary prevention of coronary heart disease

Health-related quality of life in elderly: a review of the EQ-5D use

“As du Coeur” study: a randomized controlled trial on quality of life impact and cost effectiveness of a physical activity program in patients with cardiovascular disease

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