Meta-analysis of interventions to increase physical activity among cardiac subjects

Conn, Vicki S.; Hafdahl, Adam R.; Moore, Shirley; Nielsen, Paul J.; Brown, Lori M.

doi:10.1016/j.ijcard.2008.03.052

Cited by 66 publications

(47 citation statements)

References 119 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…30,31 Instead, their focus was on behavioural counselling involving multiple sessions (i.e. [6][7][8]. One intervention focused on motivational interviewing and also used time management techniques, barrier identification, practice and instruction about behaviour change strategies, 31 and the other was aimed at improving self-efficacy by using these BCTs: general intention/goal formation, follow-up, feedback on performance, encouragement, practice, self-monitoring of PA, planning social support and opportunities for social comparison.…”

Section: Non-cr Interventionsmentioning

confidence: 99%

“…1,2 However, recent evidence suggests that increased physical activity (PA) and cardio-respiratory fitness can significantly reduce morbidity and mortality in CHD patients. [3][4][5][6][7] Despite this, the majority of CHD patients are not engaging in enough PA or reaching the fitness levels needed to reap these benefits, 8 even when they are enrolled in or have completed a structured PA program such as cardiac rehabilitation (CR). 9,10 Given the low PA adherence rates, it is evident that structured PA programs are not sufficient on their own; interventions must also include behaviour change techniques (BCTs) to increase and maintain PA over time.…”

Section: Introductionmentioning

confidence: 99%

“…diet, smoking, PA). 8 Although important, the results did not focus specifically on the BCTs used in the PA only interventions making it difficult to delineate the 'key' ones for such interventions.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Behavioural interventions to increase the physical activity of cardiac patients: a review

Ferrier

Blanchard

Vallis

et al. 2010

European Journal of Cardiovascular Prevention & Rehabilitat

View full text Add to dashboard Cite

To examine the behaviour change techniques that have been used in physical activity (PA) interventions to increase PA during and after completing cardiac rehabilitation (CR) and for patients who do not attend CR (non-CR). PubMed, PsychINFO, SPORTdiscus, Web of Science, Prowler and Cochrane databases were searched to identify studies that described an intervention delivered to adults in the CR and non-CR contexts that focused solely on promoting PA. Twenty-three studies (14 post-CR and nine non-CR) were included in this review. Findings showed that interventions can increase PA; however, there were notable differences across CR contexts in their purpose, the participant demographics, and some of the behaviour change techniques used. Techniques shown to be most effective in the post-CR context were self-monitoring, setting specific goals, identifying barriers and developing plans for relapse prevention. In the non-CR context, unsupervised home-based interventions were shown to be effective at increasing PA, particularly when accompanied by follow-up prompts, general encouragement, specific goals set by the researcher and self-monitoring. Post-CR and non-CR interventions can result in improved PA outcomes; however, the research in this area is limited. More interventions are needed that target PA-only, particularly in the non-CR context.

show abstract

Section: Non-cr Interventionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Behavioural interventions to increase the physical activity of cardiac patients: a review

Ferrier

Blanchard

Vallis

et al. 2010

European Journal of Cardiovascular Prevention & Rehabilitat

View full text Add to dashboard Cite

show abstract

“…Interpretation A considerable number of systematic reviews and metaanalysis of randomized controlled trials in a variety of populations has shown that a variety of interventions aiming at promoting physical activity and/or a healthy diet are effective on the level of behavior (e.g., [53][54][55]), quality of life (e.g., [56]) surrogate outcomes (e.g., [57,58]), and "hard" clinical endpoints such as diabetes incidence, coronary events, or mortality (e.g., [4][5][6][7]59]). Findings of landmark studies such as the Lifestyle Heart Trial [30] have shown that, in principle, comprehensive lifestyle interventions can have marked and sustained beneficial effects in motivated individuals.…”

Section: Meanmentioning

confidence: 99%

Multifactorial Lifestyle Interventions in the Primary and Secondary Prevention of Cardiovascular Disease and Type 2 Diabetes Mellitus—A Systematic Review of Randomized Controlled Trials

2010

View full text Add to dashboard Cite

This systematic review aims to summarize the available randomized trials of multifactorial lifestyle interventions in the primary and secondary prevention of coronary heart disease and type 2 diabetes mellitus. Randomized trials investigating the effects of lifestyle interventions including the elements of diet, physical activity, and stress management in people at increased risk for or with manifest coronary heart disease or type 2 diabetes mellitus were searched for in five electronic database and by citation tracking. Quality was assessed using the Cochrane Collaboration's risk of bias tool. Exploratory effect size calculations were performed for a variety of laboratory and clinical outcome measures. Twenty-five trials including a total of 7,703 participants met the inclusion criteria. Fifteen trials were in patients with coronary heart disease, seven in patients with type 2 diabetes mellitus, and three on primary prevention. The interventions varied greatly regarding concept, intensity, and providers. Compared to participants in "usual care" control groups, there were no consistent effects on lipid levels and blood pressure and small effects on body mass index and glycated hemoglobin (HbA1c). Composite cardiac event rates were significantly less in the intervention groups of the few trials reporting these outcomes. Mortality was also lower in the intervention groups, but the difference was not statistically significant, and confidence intervals were wide. The evidence base for multifactorial lifestyle interventions is weak. Effects on surrogate measures seem minor, but there may be clinically relevant effects on major clinical endpoints.

show abstract

“…49) reported in another systematic review and meta-analysis [34] which included a much wider range of interventions aimed predominantly at increasing physical activity in patients with CVD. The present mean estimate is, however, less than half that (ES=0.97) reported in a systematic review of international studies of exercise-based CR.…”

Section: Comparisons With International Datamentioning

confidence: 99%

Effects of exercise-based cardiac rehabilitation on cardiorespiratory fitness: A meta-analysis of UK studies

Almodhy

Ingle

Sandercock

2016

International Journal of Cardiology

View full text Add to dashboard Cite

Meta-analysis of interventions to increase physical activity among cardiac subjects

Abstract: These findings document that interventions can be effective in increasing PA among patients with cardiovascular diseases. Primary research should compare interventions in randomized trials to confirm causal relationships.

Cited by 66 publications

References 119 publications

Behavioural interventions to increase the physical activity of cardiac patients: a review

Behavioural interventions to increase the physical activity of cardiac patients: a review

Multifactorial Lifestyle Interventions in the Primary and Secondary Prevention of Cardiovascular Disease and Type 2 Diabetes Mellitus—A Systematic Review of Randomized Controlled Trials

Effects of exercise-based cardiac rehabilitation on cardiorespiratory fitness: A meta-analysis of UK studies

Contact Info

Product

Resources

About