Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial

Sibilitz, Kirstine Lærum; Berg, Selina Kikkenborg; Rasmussen, Trine Bernholdt; Risom, Signe Stelling; Thygesen, Lau Caspar; Tang, Lars Hermann; Hansen, Tina Birgitte; Johansen, Pernille Palm; Gluud, Christian; Lindschou, Jane; Schmid, Jean Paul; Hassager, Christian; Køber, Lars; Taylor, Rod S; Zwisler, Ann Dorthe Olsen

doi:10.1136/heartjnl-2016-309414

Cited by 45 publications

(91 citation statements)

References 25 publications

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“…Only two randomized controlled trials (RCT) were performed with patients aged 60 years or older [ 91 , 92 ]. Low sample size pilot study on exercise training after TAVI, with combined endurance and resistance training, showed significant improvements in exercise capacity, muscular strength in different muscles groups, and quality of life compared with usual care [ 91 ].…”

Section: Resultsmentioning

confidence: 99%

Frailty and Exercise Training: How to Provide Best Care after Cardiac Surgery or Intervention for Elder Patients with Valvular Heart Disease

Tamulevičiūtė-Prascienė

Drulyte

Jurenaite

et al. 2018

BioMed Research International

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The aim of this literature review was to evaluate existing evidence on exercise-based cardiac rehabilitation (CR) as a treatment option for elderly frail patients with valvular heart disease (VHD). Pubmed database was searched for articles between 1980 and January 2018. From 2623 articles screened, 61 on frailty and VHD and 12 on exercise-based training for patients with VHD were included in the analysis. We studied and described frailty assessment in this patient population. Studies reporting results of exercise training in patients after surgical/interventional VHD treatment were analyzed regarding contents and outcomes. The tools for frailty assessment included fried phenotype frailty index and its modifications, multidimensional geriatric assessment, clinical frailty scale, 5-meter walking test, serum albumin levels, and Katz index of activities of daily living. Frailty assessment in CR settings should be based on functional, objective tests and should have similar components as tools for risk assessment (mobility, muscle mass and strength, independence in daily living, cognitive functions, nutrition, and anxiety and depression evaluation). Participating in comprehensive exercise-based CR could improve short- and long-term outcomes (better quality of life, physical and functional capacity) in frail VHD patients. Such CR program should be led by cardiologist, and its content should include (1) exercise training (endurance and strength training to improve muscle mass, strength, balance, and coordination), (2) nutrition counseling, (3) occupational therapy (to improve independency and cognitive function), (4) psychological counseling to ensure psychosocial health, and (5) social worker counseling (to improve independency). Comprehensive CR could help to prevent, restore, and reduce the severity of frailty as well as to improve outcomes for frail VHD patients after surgery or intervention.

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Section: Resultsmentioning

confidence: 99%

Frailty and Exercise Training: How to Provide Best Care after Cardiac Surgery or Intervention for Elder Patients with Valvular Heart Disease

Tamulevičiūtė-Prascienė

Drulyte

Jurenaite

et al. 2018

BioMed Research International

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“…There is still controversy of whether CR improved mental health status. Sibilitz et al (2016) showed that CR after heart valve surgery had no effect on mental health and other measures of self-reported outcomes at 4 months. Nevertheless, the intervention consisted of monthly psycho-educational consultations.…”

Section: Discussionmentioning

confidence: 95%

Cardiac rehabilitation improved oxygen uptake measured by cardiopulmonary exercise test in patients after aortic valve surgery

Song

Zhan

Liang

et al. 2019

Reviews in Cardiovascular Medicine

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Evidence for cardiac rehabilitation after valve surgery remains scarce. We retrospectively enrolled consecutive patients undergoing aortic valve surgery. The intervention group consisted of physical exercise for 3 months after surgery, while the control group underwent usual care without physical exercise. It was observed that cardiac rehabilitation has a beneficial effect on the peak oxygen uptake compared to the control group (24.2 ml/kg/ min vs. 20.6 ml/kg/min) as measured by cardiopulmonary exercise testing 3 months after surgery. There was no significant difference observed in New York Heart Association class I or II between groups. Conversely, the intervention group underperformed the SF-36 Mental Component Scale at 3 months (50.3 vs. 53.8 points).

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“…The full week schedule is provided in appendix (Figure A1 in Appendix ). At REHPA, participants were introduced to an exercise diary shown to be effective in other patient groups independent of exercise setting (Risom et al., ; Sibilitz et al., ; Tang et al., ). Participants were encouraged to exercise three times a week during the 3 months up until follow‐up accordingly to the dairy.…”

Section: Methodsmentioning

confidence: 99%

The effectiveness of exercise-based rehabilitation to patients with myeloproliferative neoplasms-An explorative study

et al. 2018

Self Cite

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The aim of the study was to determine the impact of an interdisciplinary exercise-based rehabilitation intervention on fatigue and quality of life (QOL) in patients with Philadelphia-negative myeloproliferative neoplasms (MPNs). At the Danish Knowledge Centre for Rehabilitation and Palliative Care, a 5-day interdisciplinary exercise-based rehabilitation intervention was carried out on 48 patients with MPN. It was followed by 12 weeks of self-exercising prior to follow-up. Initially and at follow-up, participants filled out validated questionnaires; Brief Fatigue Inventory, Multidimensional Fatigue Inventory, European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire, Myeloproliferative Neoplasm Symptom Assessment Form and Hospital Anxiety and Depression Scale. Maximal oxygen uptake and muscular strength were tested as well. Paired t test was used to compare scores between baseline and follow-up. In total, 45 participants (94%) completed the follow-up. No significant differences were observed on fatigue or QOL when comparing baseline and follow-up. Mean maximal oxygen uptake increased from 27.2 to 33.6 ml O · kg ·min (p < 0.001). Handgrip strength (p = 0.01) and the 30-s chair-stand test (p < 0.001) improved as well. No changes were found regarding levels of fatigue and QOL. However, we observed a significant increase in the physical capacity. Our observations call for further studies investigating the effects of non-pharmacological approaches in patients with MPN.

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Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial

Abstract: NCT01558765, Results.

Cited by 45 publications

References 25 publications

Frailty and Exercise Training: How to Provide Best Care after Cardiac Surgery or Intervention for Elder Patients with Valvular Heart Disease

Frailty and Exercise Training: How to Provide Best Care after Cardiac Surgery or Intervention for Elder Patients with Valvular Heart Disease

Cardiac rehabilitation improved oxygen uptake measured by cardiopulmonary exercise test in patients after aortic valve surgery

The effectiveness of exercise-based rehabilitation to patients with myeloproliferative neoplasms-An explorative study

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