The effect of an expanded long-term periodization exercise training on physical fitness in patients with coronary artery disease: study protocol for a randomized controlled trial

Pinto, Rita; Angarten, Vitor; Santos, Vanessa; Melo, Xavier; Santa-Clara, Helena

doi:10.1186/s13063-019-3292-9

Cited by 9 publications

(4 citation statements)

References 33 publications

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“…Therefore, it is urgent to implement programs in this clinical area due to their effectiveness in the physical, social and mental components of the patients who participate in them (Griffo et al, 2013; Pinto et al, 2019). Nurses, because of their proximity, have a strategic position to guide and regularly verify the motivation and the operationalization of the plans delineated with the user, and that in most cases, promote changes in lifestyles providing a higher quality of life (Mares et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme

Moreira

Grilo

2019

J Exerc Rehabil

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Accountability, involvement, empowerment of the patients and families/ caregiver, as well as the incentive for health behaviors based on physical exercise and healthy living habits with the support of health professionals, are fundamental in meeting the demands of the current society. The main objective of this report is to describe the process of developing skills in rehabilitation nursing that was possible in the context of the final stage in which an intervention program in the area of cardiac rehabilitation was designed, implemented and evaluated. In this quantitative study with exploratory characteristics, it was used the collection of observable and quantifiable data, from patients submitted to coronary artery bypass grafting. During the study, the Kolmogorov-Smirnov test was applied-being verified the normal distribution-and Student t-test, which aimed at comparing outcomes at the beginning and end of the program. When 6-min walk test was applied, there was an optimization of functional capacity (P= 0.05), can be proved by the fact that all the patients had statistically significant improvements in the time-walk relationship. Furthermore, the quality of life in those who participated in the program was moderate in the preoperative period with 53.09%, and at the end a significant improvement was observed with 75.02%. Cardiac rehabilitation is fundamental in the patient submitted to coronary artery bypass grafting, taking into account the educational, physical exercise, and quality of life dimensions. Given the prevalence of risk factors associated with cardiovascular disease, differentiated intervention in rehabilitation nursing becomes essential in the training of patients for self-care.

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Section: Introductionmentioning

confidence: 99%

Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme

Moreira

Grilo

2019

J Exerc Rehabil

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“…Однако, несмотря на имеющийся разброс в данных, результаты оценки приверженности пациентов к программам реабилитации неутешительны. Так, по данным ряда авторов, менее 50 % пациентов продолжают ФТ через 6 мес после программы госпитальной кардиореабилитации, не придерживаются рекомендаций врача по медикаментозной и немедикаментозной терапии [1,[18][19][20]. По результатам исследования A. L. Beatty и соавт.…”

Section: Discussionunclassified

Factors affecting adherence to physical training in the outpatient phase of rehabilitation, in patients after coronary artery bypass grafting

et al. 2022

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Aim To evaluate the outpatient physical exercise (PE) compliance and the affecting factors in patients after coronary bypass (CB).Material and methods The study included 67 men with ischemic heart disease younger than 75 years who had had CB. All patients were randomized to 2 groups: group 1 exercised on a bicycle ergometer at the rehabilitation center, under the monitoring of medical staff; patients of group 2 performed home-based exercise (HBE) by dosed walking. In the preoperative period, at one month after CB, and after 3 months of exercise, the following was evaluated: clinical condition of patients in different groups, plasma concentrations of lipids, body weight index, waist circumference, echocardiography and bicycle ergometry data, and questionnaire data (SF-36, Bek’s Depression Inventory). At 3 months of follow-up, the outpatient exercise compliance and the affecting factors were also evaluated.Results The study demonstrated the effectiveness of the proposed alternative 3-month program of home-based PE. Both the patients exercising on a bicycle and those performing HBE had increased exercise tolerance (ET) and improved blood lipid concentrations. The number of obese patients decreased. Also, depression severity decreased, quality of life (physical and psychological components) improved, and compliance with drug therapy increased in both groups. Analysis of the training attendance in the recommended period showed that patients who had undergone CB were insufficiently adherent to physical rehabilitation programs, regardless of the program type (home-based or monitored). The highest PE adherence was observed in men with the following characteristics: married, working urban residents, with a previous history of cardiovascular diseases, who had regularly taken medications in the preoperative period, and who also had higher quality of life.Conclusion The proposed outpatient 3-month physical rehabilitation programs increase the effectiveness of CB, which is evident as improved adherence to modifying cardiovascular risk factors, increased ET, optimization of the psychological status and quality of life, and improved compliance with drug therapy. However, despite the proposed alternative, home-based 3-month physical rehabilitation programs aimed at increasing the treatment compliance, the level of ET remained low. This requires further improvement of methods for monitoring and motivation of patients to physical rehabilitation and psychological support that would start already at the preoperative stage.

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“…Based on previous studies [41,42], a training attendance ≥75% will be set as the minimum attendance rate to achieve the results expected. We will divide the participants between those who adhere and do not adhere to ≥75% of training sessions.…”

Section: Study Interventionmentioning

confidence: 99%

Intellectual disability, exercise and aging: the IDEA study: study protocol for a randomized controlled trial

et al. 2020

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Background: People with intellectual disabilities (ID) have low levels of physical activity (PA) together with accelerated aging profiles. Adherence to PA interventions for persons with ID is low based on barriers such as motivation. The IDEA study aims to determine the effect of two types of exercise programs, continuous aerobic (CAEP) vs sprint interval training (SIT), designed for seniors with ID on health-related physical fitness, cardiovascular parameters, quality of life (QoL), and emotional and cognitive function. Methods: In this trial, ninety seniors with ID between the ages of 40 and 75 yrs. from occupational health centers from the Autonomous Region of Catalonia (Spain) will be recruited. Participants will be randomly allocated to the CAEP, SIT, and control group. Both intervention groups will train 3 days/week, 1.5 h/day over 6 months. Outcome variables will be assessed at baseline, 6 months and 12 months. The outcome variables include weight, height, body composition, cardiorespiratory fitness, muscle strength, balance, flexibility, cardiovascular parameters (blood pressure, pulse-wave velocity, pulse-wave analysis), QoL and cognitive function. The intervention effect will be determined with mixed models with repeated measures to assess changes in the outcome variables over time (baseline to month 12) and between study arms. Relationship between variables will be analyzed with appropriate regression analyses. Discussion: Various studies reported on CAEP and SIT as exercise interventions for persons with ID with beneficial outcomes on body composition, fitness and blood pressure. To our knowledge, this is the first trial designed to analyse the positive changes on fitness, PA levels, cardiovascular, QoL and cognitive function promoted by CAEP training and SIT in seniors with ID. The findings of this study will assist in the development of more effective exercise interventions to ensure better compliance and adherence to exercise in seniors with ID. Trial registration: The trial is registered at the ISRCTN registry. Registration number: ISRCTN43594228. Registered 11 February 2019-Retrospectively registered.

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The effect of an expanded long-term periodization exercise training on physical fitness in patients with coronary artery disease: study protocol for a randomized controlled trial

Cited by 9 publications

References 33 publications

Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme

Quality of life after coronary artery bypass graft surgery - results of cardiac rehabilitation programme

Factors affecting adherence to physical training in the outpatient phase of rehabilitation, in patients after coronary artery bypass grafting

Intellectual disability, exercise and aging: the IDEA study: study protocol for a randomized controlled trial

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