Effects of a comprehensive cardiac rehabilitation program on quality of life and exercise tolerance in women: A retrospective analysis

Kennedy, Michael D.; Haykowsky, Mark J.; Daub, Bill; Lohuizen, Karen van; Knapik, Grant; Black, Bill

doi:10.1186/1468-6708-4-1

Cited by 27 publications

(33 citation statements)

References 22 publications

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“…Mostafavi et al found that women had greater improvements in terms of mental health and the constraints were caused by physical problems [24]. In general, it can be attributed to the lower initial quality level of females and their exercise capacity compared to males [25,26]. The findings of the present study also approve the Merkris's results.…”

Section: Discussionsupporting

confidence: 82%

Evaluating the Effect of Cardiac Rehabilitation Care Plan on Quality of Life of Patients Undergoing Coronary Artery Bypass Graft Surgery

Masoumi

Kazemi

Khani

et al. 2017

ijcp

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Introduction: Cardiovascular surgeries are among the conventional surgeries aimed at increasing the survival rate and improving the quality of life of patients. This study aimed to evaluate the effect of cardiac rehabilitation on quality of life of patients undergoing Coronary artery bypass graft (CABG) surgery. Methods: This was a semi-experimental study performed on 160 patients undergoing CABG surgery. The rehabilitation program was carried out for 13 weeks (three sessions per week) in 40 sessions, six weeks after the CABG surgery. The MacNew standard questionnaire and the general health questionnaire (S-f 36) were completed before the beginning of rehabilitation sessions as well as after completion of these sessions by patients. Results: According to the results, the quality of life of patients significantly increased in the physical and emotional areas after the rehabilitation program. The results also indicated that there was a significant difference between various levels of research in the physical functioning variables, dysfunction due to physical health, dysfunction due to emotional health, energy/fatigue of individuals, emotional well-being, social functioning, pain, and general health. Conclusions:The present results indicated the improved quality of life of patients in all the areas after cardiac rehabilitation intervention, compared to before that. Therefore, paying more attention to cardiac rehabilitation is necessary due to its positive effects on increasing the quality of life of patients.

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Section: Discussionsupporting

confidence: 82%

Evaluating the Effect of Cardiac Rehabilitation Care Plan on Quality of Life of Patients Undergoing Coronary Artery Bypass Graft Surgery

Masoumi

Kazemi

Khani

et al. 2017

ijcp

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“…In our study, however, age and medical baseline variables were well balanced between men and women. In two other investigations specifically addressing the effectiveness of lifestyle modification and comprehensive cardiac rehabilitation in women, the intervention improved some psychosocial endpoints and QoL [49, 50]. In the M-HART trial the individually tailored program was only marginally significant in reducing symptoms of anxiety and depression for men and had no impact on psychological symptoms in women.…”

Section: Discussionmentioning

confidence: 99%

Psychological and Quality-of-Life Outcomes from a Comprehensive Stress Reduction and Lifestyle Program in Patients with Coronary Artery Disease: Results of a Randomized Trial

Michalsen

Grossman

Lehmann

et al. 2005

Psychother Psychosom

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Background: Stress reduction and comprehensive lifestyle modification programs have improved atherosclerosis and cardiac risk factors in earlier trials. Little is known about the impact of such programs on quality-of-life (QoL) and psychological outcomes. Given recent significant improvements in cardiac care, we evaluated the current benefit of stress reduction/lifestyle modification on QoL and emotional distress in patients with coronary artery disease (CAD). Methods: 101 patients (59.4 ± 8.6 years, 23 female) with CAD were randomized to a 1-year lifestyle/stress management program (n = 48) or written advice (n = 53). QoL and psychological outcomes were assessed with the SF-36, Beck Depression, Spielberger State/Trait Anxiety, Spielberger State/Trait Anger and Perceived Stress Inventories. Group repeated-measures analyses of variance were performed for all measures. Results: Adherence to the program was excellent (daily relaxation practice 39 ± 5vs. 5 ± 8 min, respectively; p < 0.001). Both groups improved comparably in most dimensions of QoL, and significantly greater improvements for the lifestyle group were found for physical function and physical sum score (p = 0.046 and p = 0.045). Depression, anxiety, anger and perceived stress were reduced similarly in both groups. However, intervention × gender interaction effects revealed greater benefits among women in the lifestyle intervention vs. advice group for depression and anger (p = 0.025 and p = 0.040), but no effects for men. Conclusions: A comprehensive lifestyle modification and stress management program did not improve psychological outcomes in medically stable CAD patients. The program did appear to confer psychological benefits for women but not men. Further trials should investigate gender-related differences in coronary patient responses to behavioral interventions.

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“…Therefore, 100 women would be required to enroll in the study to have 70 women (approximately 35 per group) assessable for the primary endpoints. Based on Wilcoxon rank sum tests with 2-sided significance levels of .05 for each endpoint, there was 80% power to detect differences between the intervention arms of 1) 18.6 in the physical functioning score and 2) 1.2 minutes in exercise tolerance, given variability estimates of 22 minutes 8 and 2.4 minutes, 20 respectively, for changes in physical functioning and exercise tolerance.…”

Section: Discussionmentioning

confidence: 99%

Randomized trial of a physical activity intervention in women with metastatic breast cancer

Ligibel

Giobbie‐Hurder

Shockro

et al. 2016

Cancer

108

192

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BACKGROUND: Exercise interventions improve fitness, functional capacity, and quality of life in patients with early-stage breast cancer, but to the authors' knowledge there are few data regarding the feasibility or potential benefits of exercise in women with metastatic breast cancer. METHODS: Individuals with metastatic breast cancer were randomized 1:1 to a 16-week moderate-intensity exercise intervention or wait-list control group. Intervention goals included 150 minutes of moderate-intensity aerobic exercise per week. The baseline and 16-week evaluations included a modified Bruce Ramp treadmill test, 7-day Physical Activity Recall interview, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ C-30) questionnaire. RESULTS: A total of 101 participants were randomized (48 to the intervention group and 53 to the control group). The median age of the participants was 49 years, the median time since the diagnosis of metastatic breast cancer was 1.1 years, and approximately 42% of participants were undergoing chemotherapy at the time of enrollment. Study attrition was higher in the intervention arm (14 participants vs 8 participants; P 5 .15). Women randomized to the exercise intervention experienced a nonsignificant increase with regard to minutes of weekly exercise ( INTRODUCTIONOver the past decade, the benefits of exercise have increasingly been demonstrated for women with early breast cancer. Several observational studies have indicated that women who engage in regular exercise after a diagnosis of stage I to III breast cancer experience a lower risk of breast cancer recurrence and related mortality.1-3 In addition, >100 interventional trials have been conducted in women with early-stage breast cancer. [4][5][6] Although no trial to date has been large enough to test the impact of increased exercise on cancer-related outcomes, these studies have demonstrated that exercise is safe and provides several health benefits in patients with breast cancer both during and after adjuvant therapy.Despite these data in women with early-stage breast cancer, to our knowledge there is little information regarding the feasibility or benefits of exercise in women with advanced breast cancer. With new treatments, women often live several years after a diagnosis of metastatic breast cancer. However, during this time, many women experience significant side effects from breast cancer treatment, as well as symptoms from their disease. Fatigue, poor physical functioning, pain, and other symptoms can impair a woman's ability to complete activities of daily living in the years after the diagnosis of metastatic breast cancer, which in turn significantly compromises quality of life (QOL) and mood. Interventions are needed to help alleviate symptoms and allow women to continue to function normally in the years that they survive with advanced breast cancer.

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Effects of a comprehensive cardiac rehabilitation program on quality of life and exercise tolerance in women: A retrospective analysis

Cited by 27 publications

References 22 publications

Evaluating the Effect of Cardiac Rehabilitation Care Plan on Quality of Life of Patients Undergoing Coronary Artery Bypass Graft Surgery

Evaluating the Effect of Cardiac Rehabilitation Care Plan on Quality of Life of Patients Undergoing Coronary Artery Bypass Graft Surgery

Psychological and Quality-of-Life Outcomes from a Comprehensive Stress Reduction and Lifestyle Program in Patients with Coronary Artery Disease: Results of a Randomized Trial

Randomized trial of a physical activity intervention in women with metastatic breast cancer

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