Group-based cardiac rehabilitation interventions. A challenge for physical and rehabilitation medicine physicians: a randomized controlled trial

Papathanasiou, Jannis; Petrov, Ivo; Tokmakova, M; Dimitrova, Donka D.; Spasov, Liubomir; Dzhafer, Nigyar; Tsekoura, Dorothea; Dionyssiotis, Yannis; Ferreira, Arthur de Sá; Lopes, Agnaldo José; Roşulescu, Eugenia; Foti, Calogero

doi:10.23736/s1973-9087.20.06013-x

Cited by 22 publications

(28 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is interesting to note that these studies were conducted within the last decade, between 2011 and 2022. The majority of the studies (18) were conducted in Asia [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33], while three [34][35][36] were conducted in Europe and one in South America [37].…”

Section: Resultsmentioning

confidence: 99%

“…The target population in most studies (16/22) included patients with coronary artery disease (CAD) [16,17,19,[21][22][23][24][25][26][27][28]30,31,33,35,37]. Five of the studies targeted patients with CHF [18,20,29,34,36] and one study recruited patients with atrial fibrillation (AF) [32]. The study setting was hospital-based, home-based, or a combination of both.…”

Section: Resultsmentioning

confidence: 99%

“…The study setting was hospital-based, home-based, or a combination of both. Interventions with a home-based component were 16 [16,[18][19][20][21][22]25,[27][28][29][30][31][32]34,35,37], while those that were purely hospital-based were only five [17,23,24,33,36]. All interventions had an exercise component, while others involved a combination of exercise and education on CR and/or lifestyle modification.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of Cardiac Rehabilitation Services in Low- and Middle-Income Countries: A Systematic Review

Mbau,

Mallya Prabhakar,

Khan

2023

Cureus

View full text Add to dashboard Cite

Cardiac rehabilitation (CR) is a cost-effective intervention that can reduce cardiovascular disease (CVD) morbidity and mortality by 20%. Despite the clear benefits of CR, it remains unavailable and underutilized. This study aimed to assess the effectiveness of different CR models in reducing CVD-related morbidity and mortality in low-and middle-income countries.We conducted a systematic review of studies conducted in low-and middle-income countries that assessed at least one of the three phases of CR (inpatient rehabilitation, outpatient rehabilitation in a hospital, or community setting and maintenance). The primary outcomes of interest were mortality (all-cause and CVDspecific), CVD-related morbidity, functional capacity, risk factor reduction, and quality of life (QoL).The electronic search retrieved 1,102 studies, of which 22 were retrieved and included in the review. These studies were conducted between 2011 and 2022 and the majority (18) were conducted in Asia. All studies except one were randomized controlled trials (RCTs), and all except one were conducted at a single site. The target population in most studies ( 16) included patients with coronary artery disease (CAD). Seven studies have incorporated digital technology. Only one study has reported a significant reduction in all-cause mortality. Thirteen studies reported data on functional capacity, and 16 on quality of life (QoL), showing statistically significant improvements. Data on risk factors, anxiety, and depression have shown mixed results. CR is effective in low-and middle-income countries, and strategies to scale it up using locally available resources tailored to the patient population should be adopted.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of Cardiac Rehabilitation Services in Low- and Middle-Income Countries: A Systematic Review

Mbau,

Mallya Prabhakar,

Khan

2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Because the intermittent exercise elicits superior improvements in peak VO 2 and VE/VCO 2 slope compared to continuous exercise training in HF patients [ 10 ], the regular exercise session of the study adopted intermittent exercise. Furthermore, the modified group-based high-intensity aerobic interval training intervention over a 12-week period, for a total of 24 training sessions, was found to be more beneficial and more effective compared to the moderate-intensity continuous training in clinically stable (> 3 months) HFrEF patients prior to participation [ 37 ]. Inspiratory muscle training offers an alternative to exercise training in the most severe HF patients who are unable to exercise, and improves CRF and QoL to a similar as conventional exercise training [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of early cardiac rehabilitation on prognosis in patients with heart failure following acute myocardial infarction

Cao

Zhou

et al. 2021

BMC Sports Sci Med Rehabil

View full text Add to dashboard Cite

Objective The purpose of this retrospective study is to evaluate the effectiveness of early cardiac rehabilitation on patients with heart failure following acute myocardial infarction. Methods Two hundred and thirty-two patients who developed heart failure following acute myocardial infarction were enrolled in this study. Patients were divided into heart failure with reduced ejection fraction group (n = 54) and heart failure with mid-range ejection fraction group (n = 178). Seventy-eight patients who accepted a two-week cardiac rehabilitation were further divided into two subgroups based on major adverse cardiovascular events. Key cardio-pulmonary exercise testing indicators that may affect the prognosis were identified among the cardiac rehabilitation patients. Results Early cardiac rehabilitation significantly reduced cardiac death and re-hospitalization in patients. There was more incidence of diabetes, hyperkalemia and low PETCO2 in the cardiac rehabilitation group who developed re-hospitalization. Low PETCO2 at anaerobic threshold (≤ 33.5 mmHg) was an independent risk factor for re-hospitalization. Conclusions Early cardiac rehabilitation reduced major cardiac events in patients with heart failure following acute myocardial infarction. The lower PETCO2 at anaerobic threshold is an independent risk factor for re-hospitalization, and could be used as a evaluating hallmark for early cardiac rehabilitation.

show abstract

“…In the UK, travel bans, quarantine, isolation, and social distancing measures were enforced to varying degrees [ 6 , 7 ]. This led to the suspension of group-based CR programmes, which are frequently hosted in hospitals, community centres and public gyms [ 8 , 9 ] with up to 72% of Phase IV (long-term, community-based) CR programmes being suspended [ 10 ]. Long-term maintenance of physical activity, as observed in CR Phase IV, is known to lead to greater benefits to cardiac health [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 lockdown restrictions on cardiac rehabilitation participation and behaviours in the United Kingdom

Kirwan

Heredia

McCullough

et al. 2022

BMC Sports Sci Med Rehabil

View full text Add to dashboard Cite

Background COVID-19 lockdown measures led to the suspension of centre-based cardiac rehabilitation (CR). We aimed to describe the impact of lockdown on CR behaviours and perceptions of efficacy in a sample of CR participants. Methods An online survey was conducted amongst CR participants from May to October 2020, COVID-19-related lockdown restrictions. Anthropometric data, participant-determined levels of motivation and self-perceived efficacy, CR practices etc., pre- and post-lockdown, were collected. Results The probability of practicing CR in public gyms and hospitals decreased 15-fold (47.2% pre-, 5.6% post-lockdown; OR[95% CI] 0.065[0.013; 0.318], p < 0.001), and 34-fold (47.2% pre, 2.8% post; OR[95% CI] 0.029[0.004; 0.223], p < 0.001), respectively. Amongst participants, 79.5% indicated that their CR goals had changed and were 78% less likely to engage in CR for socialization after lockdown (47.2% pre, 16.7% post; OR[95% CI] 0.220[0.087; 0.555]; p = 0.002). The probability of receiving in-person supervision decreased by 90% (94.4% pre, 16.7% post; OR[95% CI] 0.011[0.002; 0.056]), while participants were almost 7 times more likely to use online supervision (11.1% pre, 44.4% post; OR[95% CI] 6.824[2.450; 19.002]) (both p < 0.001). Fifty percent indicated that their enjoyment of CR was lower than before lockdown and 27.8% reported they would be less likely to continue with CR in the newer format. Conclusions Lockdown was associated with considerable changes in how CR was practiced, motivation levels and willingness to continue with CR. Further research is warranted to develop and improve strategies to implement in times when individuals cannot attend CR in person and not only during pandemics.

show abstract

Group-based cardiac rehabilitation interventions. A challenge for physical and rehabilitation medicine physicians: a randomized controlled trial

Cited by 22 publications

References 33 publications

Effectiveness of Cardiac Rehabilitation Services in Low- and Middle-Income Countries: A Systematic Review

Effectiveness of Cardiac Rehabilitation Services in Low- and Middle-Income Countries: A Systematic Review

Effect of early cardiac rehabilitation on prognosis in patients with heart failure following acute myocardial infarction

Impact of COVID-19 lockdown restrictions on cardiac rehabilitation participation and behaviours in the United Kingdom

Contact Info

Product

Resources

About