Effectiveness of alternative versus traditional exercises on cardiac rehabilitation program utilization in women with or at high risk of cardiovascular disease: a systematic review protocol

Abstract

Objective: This review will evaluate the effectiveness of alternative versus traditional forms of exercise on cardiac rehabilitation program utilization and other outcomes in women with or at high risk of cardiovascular disease. Introduction: Exercise-based cardiac rehabilitation programs improve health outcomes in women with or at high risk of cardiovascular disease. However, such programs are underutilized worldwide, particularly among women. Some women perceive traditional gym-based exercise in cardiac rehabilitation programs (eg, typically treadmills or cycle ergometers, or traditional resistance training) to be excessively rigorous and unpleasant, resulting in diminished participation and completion. Alternative forms of exercise such as yoga, tai chi, qi gong, or Pilates may be more enjoyable and motivating exercise options for women, enhancing engagement in rehabilitation programs. However, the effectiveness of these alternative exercises in improving program utilization is still inconsistent and needs to be systematically evaluated and synthesized. Inclusion criteria: This review will focus on randomized controlled trials. The review will include studies measuring the effectiveness of alternative versus traditional forms of exercise on cardiac rehabilitation program utilization as well as clinical, physiological, or patient-reported outcomes in women with or at high risk of cardiovascular disease. Methods: The review will follow the JBI methodology for systematic reviews of effectiveness. Databases including MEDLINE (Ovid), CINAHL (EBSCOhost), Cochrane CENTRAL, Embase (Ovid), Emcare (Ovid), Scopus, Web of Science, LILACS, and PsycINFO (Ovid) will be searched. Two independent reviewers will screen articles and then extract and synthesize data. Methodological quality will be assessed using JBI’s standardized instruments. GRADE will be used to determine the certainty of evidence. Systematic review registration number: PROSPERO CRD42022354996

Clinical Effectiveness of cardiac rehabilitation utilisation and the barriers to its completion among patients of low socioeconomic status living in rural areas: a mixed methods study

“…29 Moreover, offering alternative forms of exercise, such as yoga and Tai Chi Chuan, could facilitate personalisation and lead to improvements in cardiac rehabilitation adherence and participation particularly among women. 30 As limitations of our study, we acknowledge that its observational design limits generalisability and that, despite the use of the inverse probability weighting and extensive model adjustment, selection bias and residual confounding may still have occurred despite adjustment for clinical and sociodemographic factors.…”

Clinical effectiveness of cardiac rehabilitation and barriers to completion in patients of low socioeconomic status in rural areas: A mixed-methods study

“… 29 Moreover, offering alternative forms of exercise, such as yoga and Tai Chi Chuan, could facilitate personalisation and lead to improvements in cardiac rehabilitation adherence and participation particularly among women. 30 …”

Traditional Chinese Exercises for Cardiovascular Diseases: A Bibliometric Analysis

“…However, these exercises often face challenges related to their monotony and intensity, resulting in suboptimal participant compliance with them (Resurrección et al, 2017). In recent years, there has been a shift towards alternative forms of exercise, including yoga, Pilates, aquarobics, and traditional Chinese exercises (TCEs), given their proven effectiveness in CVD management (Suebkinorn et al, 2023). Conventional exercises continue to enjoy widespread use, and we acknowledge that TCEs, with their traditional roots, may have a more limited global circulation and acceptance.…”